- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT03054090
Heart of Virginia Healthcare (HVH)
Restoring Primary Care in Virginia: PCOR Learning as a Pathway to Value
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Szczegółowy opis
Restoring Primary Care in Virginia: Patient Centered Outcomes Research (PCOR) Learning as a Pathway to Value is an extension of the Virginia Center for Health Innovation's (VCHI) work to address primary care transformation in its Virginia Health Innovation Plan. VCHI, in partnership with four of Virginia's schools of medicine, the Virginia Center for Health Quality (VHQC), and evaluation specialists at George Mason University, will form the Virginia Primary Care Transformation Collaborative (VPCTC). They will use an evidence-based, comprehensive strategy to help up to 300 small-to-medium sized primary care practices: 1) accelerate incorporation of PCOR clinical and organizational findings into practice with an initial focus on cardiovascular health and the Aspirin, Blood Pressure, Cholesterol, and Smoking (ABCS); 2) increase their capacity to integrate new PCOR findings on an on-going basis; and 3) learn strategies that can help them sustain and revitalize their organizations while restoring the joy to primary care practice. Practice supports will include on-site coaching, expert consultation, collaborative learning events, an online support center, and data feedback and benchmarking. As a result of this project, "Restoring Primary Care in Virginia," participating practices will develop stronger Quality Improvement (QI) capacity and learn strategies that can help them sustain and revitalize their organizations while restoring the joy to primary care practice. The value proposition to recruit and retain participating practices includes: Improved financial performance; improved clinician, staff, and patient satisfaction; objectively improved quality of care; improved ability to negotiate for and receive pay for performance bonuses, including Electronic Medical Record (EMR) meaningful use stage 2; completion of Part IV certification by the American Board of Family Medicine (ABFM) and American Board of Internal Medicine (ABIM) for QI work completed in this initiative; and engagement in a self-sustaining learning collaborative of similar practices after the end of the project. The evaluation plan is designed to answer these questions: (1) Did the VPCTC intervention improve the performance of small physician practices in Virginia as measured by the individual ABCS? (2) Which elements of the intervention were most important to the physicians for performance improvement? (3) Did "maintenance" or follow-up intervention activities add value or was the initial intense intervention enough to produce the measured impact? (4) Which internal contextual or structural features of practices at baseline are most likely to be associated with improved performance (e.g., expansive use of EMRs, degree of adaptive reserve or change processing capacity, number of physicians in the practice, etc.)? (5) Did the VPCTC improve the capacity of small physician practices to implement future PCOR findings and improve quality on an ongoing basis? (6) Which elements of the intervention were most important to the physicians for QI capacity building? Multivariate statistical modeling of clinical performance and survey data will be performed to answer questions 1, 3, and 4.
Qualitative interviews, surveys and statistical analysis of survey results will answer questions 2, 5, and 6.
Typ studiów
Zapisy (Rzeczywisty)
Faza
- Nie dotyczy
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- small to medium sized primary care practices in virginia that serve adults
Exclusion Criteria:
- large sized primary care practices
- pediatric practices
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Badania usług zdrowotnych
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
---|---|
Inny: Quality Improvement support
A blended support strategy will include practice facilitation, expert consultation, collaborative learning events, an online support center, and data feedback and benchmarking.
|
Practices will receive a blended strategy of quality improvement facilitation to help participating practices incorporate PCOR clinical and organizational findings while building their overall practice capabilities.
Primary care practices will be provided tools and training to improve the rates of screening and treatment of risk factors for heart attacks and strokes, as well as other chronic illnesses and the delivery of preventive services.
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
---|---|---|
Aspirin prescriptions
Ramy czasowe: 3 month
|
Practice level rates of aspirin or other anti-thrombotics being prescribed.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 month
|
Blood pressure
Ramy czasowe: 3 months
|
Blood pressure control for hypertensives.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Statin prescriptions
Ramy czasowe: 3 months
|
Practice level rates of Statins being prescribed for categories of higher risk cholesterol levels.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Smoking
Ramy czasowe: 3 months
|
Smoking assessment.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Smoking
Ramy czasowe: 3 months
|
Smoking cessation counseling.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
---|---|---|
Capacities to incorporate new patient centered outcome research
Ramy czasowe: 1 year after intervention
|
Capacities of practices to incorporate new patient centered outcome research into their care of patients.
This outcome measure will be assessed using surveys.
|
1 year after intervention
|
Capacities to incorporate new patient centered outcome research
Ramy czasowe: 1 year after intervention
|
Capacities of practices to incorporate new patient centered outcome research into their care of patients.
This outcome measure will be assessed using interviews.
|
1 year after intervention
|
Joy in practice
Ramy czasowe: 1 year after intervention
|
This outcome measure will be assessed by way of surveys.
|
1 year after intervention
|
Współpracownicy i badacze
Sponsor
Współpracownicy
Śledczy
- Główny śledczy: Anton Kuzel, MD, Virginia Commonwealth University
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Ukończenie studiów (Rzeczywisty)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- 1R18HS023913-01 (Grant/kontrakt AHRQ w USA)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .
Badania kliniczne na Quality Improvement Support
-
Medical University of South CarolinaNational Center for Advancing Translational Sciences (NCATS)ZakończonyChoroba Alzheimera | Łagodne upośledzenie funkcji poznawczychStany Zjednoczone
-
Karolinska InstitutetRekrutacyjnyOstra niewydolność oddechowaSzwecja
-
Washington University School of MedicineNational Institutes of Health (NIH)Rekrutacyjny
-
Avicenna Military HospitalZakończonyRekonwalescencja pooperacyjnaMaroko
-
VA Office of Research and DevelopmentRekrutacyjnyMieszkania | Wykorzystanie usług opieki doraźnej | Stan zdrowia psychicznego | Stan zdrowia fizycznegoStany Zjednoczone
-
Teachers College, Columbia UniversityColumbia UniversityRekrutacyjnyPorażenie mózgoweStany Zjednoczone
-
Dana-Farber Cancer InstituteWycofaneGlejak niskiego stopnia | Przetrwanie | Obciążenie związane z opiekąStany Zjednoczone
-
Butler HospitalNational Institute of Mental Health (NIMH)ZakończonyZaburzenie psychotyczneStany Zjednoczone