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Communication Strategies for Primary Care Quality Improvement (RCF: PCCE Trial)

N/A

Recruiting

Led By Richard Leuchter, MD

Research Sponsored by University of California, Los Angeles

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 12 months

Summary

This trial incentivizes physicians to provide high quality primary care to improve patient health. UCLA Health and the Anderson School of Management are researching the most effective way to frame and communicate the program.

Who is the study for?

This trial is for primary care physicians within the UCLA Health Department of Medicine Primary Care Network who are part of the PCCE Incentive program, have a clinical full-time employee level (FTE) of ≥ 40%, and manage a patient panel size greater than 50. Pediatric and Urgent Care physicians or those involved in designing this experiment are excluded.

What is being tested?

The study tests different methods to communicate quality improvement information to doctors: Personalized Report Card Email, Bottom-Up Framing, versus Standard Communication Email. The goal is to see which method better motivates physicians towards high-quality primary care delivery.

What are the potential side effects?

Since this trial involves communication strategies rather than medical treatments, there aren't traditional side effects. However, unintended consequences may include changes in physician behavior or satisfaction.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 12 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~12 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Physician Behavior: Rate of Engagement with Resources in First Email

Secondary study objectives

Domain-Specific and Aggregate PCCE Performance

Physician Program-Related Attitudes and Perceptions

Physician Workplace Attitudes

+2 more

Trial Design

3Treatment groups

Experimental Treatment

Placebo Group

Group I: Arm 3: Personalized Report Card + Bottom-Up FramingExperimental Treatment2 Interventions

Quarterly email communication as in Arm 2. Bottom-up intervention: The quarterly email communication will also describe the ways in which the PCCE program and its features were informed by physician feedback and recommendations. Quarterly survey: The quarterly survey will include information about the ways in which the PCCE program and its features were informed by physician feedback and recommendations. Physicians will respond to the same questions about physician attitudes and beliefs as in Arms 1 and 2.

Group II: Arm 2: Personalized Report CardExperimental Treatment1 Intervention

Quarterly email communication: Quarterly personalized communication via email providing individualized performance metrics to physicians for the PCCE program from the prior quarter. All the links in the Arm 1 emails will be included in Arm 2 emails. Starting with the email communication in February 2024, there will be a reminder email sent two weeks after the first email with the same content. Quarterly survey: Quarterly standard communication via survey with the same questions about physician attitudes and beliefs as in Arm 1.

Group III: Arm 1: Standard Communication ArmPlacebo Group1 Intervention

Quarterly email communication: Quarterly standard communication via email providing a link to physicians to check their PCCE program performance over the prior quarter, and a link to access the PCCE dashboard. The email will also include a link to resources. Starting with the email communication in February 2024, there will be a reminder email sent two weeks after the first email with the same content. Quarterly survey: Quarterly standard communication via survey with questions about physician attitudes and beliefs.

Do I qualify?Apply below to find out