Randomized Controlled Cluster Trial of Resident Pay for Performance and Cardiovascular Outcomes
| Status: | Recruiting |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | April 2012 |
The purpose of this study is to determine if a pay for performance model in contrast to the
traditional "fee for service" model may improve the number of patients discharged being
treated in accordance with Joint Commission on Health Care JCAHO (a non-for profit
organization that accredits health care organizations) standards and standard of care for
management of hyperlipidemia
In this study the investigators will evaluate these two models by training resident
physicians (doctors in training) on JCAHO core measures and specific criteria related to
accepted standard of care for acute myocardial infarction and heart failure. The physicians
will be randomized to a pay for performance or a fee for service model. Then a medical
record review will be performed on patient records that received a discharge diagnosis of
myocardial infarction or heart failure and were cared for by the physician subjects
traditional "fee for service" model may improve the number of patients discharged being
treated in accordance with Joint Commission on Health Care JCAHO (a non-for profit
organization that accredits health care organizations) standards and standard of care for
management of hyperlipidemia
In this study the investigators will evaluate these two models by training resident
physicians (doctors in training) on JCAHO core measures and specific criteria related to
accepted standard of care for acute myocardial infarction and heart failure. The physicians
will be randomized to a pay for performance or a fee for service model. Then a medical
record review will be performed on patient records that received a discharge diagnosis of
myocardial infarction or heart failure and were cared for by the physician subjects
Inclusion Criteria:
- Physician inclusion: Resident physician on the Acute Cardiology Service, the Coronary
Care Unit, or the General Medicine Service at the University of Virginia
- Patient inclusion: discharge diagnosis of heart failure or myocardial infarction.
Exclusion Criteria:
- Residents that are part of the study team
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University of Virginia The University of Virginia is distinctive among institutions of higher education. Founded...
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