Ignite Creation Date:
2024-05-06 @ 5:21 PM
Last Modification Date:
2024-10-26 @ 2:27 PM
Study NCT ID:
NCT05278806
Status:
COMPLETED
Last Update Posted:
2023-06-26
First Post:
2021-11-09
Brief Title:
Evaluating the Impact of an Equity Focused Dashboard and Clinical Support
Sponsor:
Massachusetts General Hospital
Organization:
Massachusetts General Hospital
Study Overview
Official Title:
Evaluating the Impact of an Equity Focused Dashboard and Clinical Support on Disparities in Primary Care Ambulatory Quality Outcome Measures a Quality Improvement Research Project
Status:
COMPLETED
Status Verified Date:
2023-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
In this project the impact of providing a practice-level equity dashboard that displays ambulatory quality outcome metrics stratified by race and language to primary care providers at Massachusetts General Hospital MGH will be evaluated Provision of the dashboard data will be paired with additional clinical support focused on hypertension control among Black Indigenous and People of Color BIPOC and patients with limited English proficiency LEP
The investigators hypothesize that there will be a improvement in hypertension control primary outcome diabetes control and breast cancer screening secondary outcomes among Black Indigenous and People of Color BIPOC and patients with limited English proficiency LEP in the intervention period compared to the control period
The investigators hypothesize that there will be a improvement in hypertension control primary outcome diabetes control and breast cancer screening secondary outcomes among Black Indigenous and People of Color BIPOC and patients with limited English proficiency LEP in the intervention period compared to the control period
Detailed Description:
A clinical program will be implemented to utilize the equity dashboard in routine clinical practice augmented by clinical support to address current disparities in hypertension control among MGH primary care patients who are Black Indigenous and People of Color BIPOC as well as patients with limited English proficiency LEP The clinical support will be provided by population health coordinators PHCs andor community health workers CHWs
To evaluate the program the investigators propose a stepped wedge design that will randomize the primary care providers to the provision of the equity dashboard and additional clinical support at different intervals The primary reason to randomize the primary care providers is because the PHCs and CHWs have limited capacity to contact and assist the patients in our primary care practices with poorly controlled hypertension and can only engage a limited number of patients at a time
The stepped wedge cluster-randomized study design will randomize providers in all 15 MGH primary care practices to receiving the intervention ie equity dashboard with additional clinical support in twelve groups Each step will be a one-month period Providers randomized to Group 1 will receive the equity dashboard data as well as additional clinical support starting in Step 1 while providers randomized to Group 12 will receive the same intervention at the beginning of Step 12 but receive usual care in Steps 0-11 We will match Providers in the opposite steps eg Group 1 vs Group 12 Group 2 vs Group 11 etc by practice baseline hypertension control rate and the number of patients in their panel who are eligible for the intervention to ensure balance between data collected from the intervention periods and control periods The stepped wedge design will allow for an open cohort ie new patients of the providers allocated to the intervention can enter in subsequent steps and a repeated measures data analysis with the same patients experiencing both control and intervention conditions
To evaluate the program the investigators propose a stepped wedge design that will randomize the primary care providers to the provision of the equity dashboard and additional clinical support at different intervals The primary reason to randomize the primary care providers is because the PHCs and CHWs have limited capacity to contact and assist the patients in our primary care practices with poorly controlled hypertension and can only engage a limited number of patients at a time
The stepped wedge cluster-randomized study design will randomize providers in all 15 MGH primary care practices to receiving the intervention ie equity dashboard with additional clinical support in twelve groups Each step will be a one-month period Providers randomized to Group 1 will receive the equity dashboard data as well as additional clinical support starting in Step 1 while providers randomized to Group 12 will receive the same intervention at the beginning of Step 12 but receive usual care in Steps 0-11 We will match Providers in the opposite steps eg Group 1 vs Group 12 Group 2 vs Group 11 etc by practice baseline hypertension control rate and the number of patients in their panel who are eligible for the intervention to ensure balance between data collected from the intervention periods and control periods The stepped wedge design will allow for an open cohort ie new patients of the providers allocated to the intervention can enter in subsequent steps and a repeated measures data analysis with the same patients experiencing both control and intervention conditions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None