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NCT04053335 · ClinicalTrials.gov registry record
Smarter Care Virginia, Examining Low-Value Care in Virginia
A clinical trial, sponsored by University of California, Los Angeles.
- Completed
- Registry status
- 5,000,000
- Enrollment target
NCT04053335 is a clinical trial that has completed, run by University of California, Los Angeles. The registered enrollment target is 5,000,000 participants.
The verdict
NCT04053335 has completed, sponsored by University of California, Los Angeles.
- COMPLETED
- Registry status
- 5,000,000 participants
- Enrollment target
Study Summary
Low-value care is defined as patient care that provides no net benefit to patients in specific clinical scenarios, and can cause patient harm. Prior research has documented high-rates of low-value care in Virginia; this work has helped to inspire a Virginia government-sponsored quality improvement initiative to reduce low-value care. Funded by an Arnold Ventures grant, six large health systems in Virginia volunteered to partner with the Virginia Center for Health Innovation (VCHI) to reduce use of nine low-value health services (three preoperative testing measures, two cardiac screening measures, one diagnostic eye imaging measure, one low-back pain opioid measure, one low-back pain imaging measure and one peripherally inserted central catheter \[PICC\] measure). These health systems include nearly 7000 clinicians practicing across more than 1000 sites. VCHI is implementing a nonrandomized physician peer-comparison feedback quality improvement intervention to reduce use of nine low-value services. Modeling will be used to identify and use propensity score matching to match six intervention health systems to six comparable control health systems. VCHI will provide education, quality improvement training and financial resources to each site, and VCHI will use the Milliman MedInsight Health Waste Calculator to create the peer comparison reports using the Virginia All Payer Claims Database (APCD). VCHI will use additional measures from The Agency for Healthcare Research and Quality (AHRQ). Additionally, VCHI will use AHRQ data to attribute physicians and health care facilities to health systems. The primary purpose of the initiative is to improve quality of care for Virginia residents and this initiative is not being done for research purposes. Nevertheless, University of California, Los Angeles (UCLA) plans to rigorously study and publish the impact of this intervention across the state of Virginia, which is why the UCLA team pre-registered the initiative. The UCLA t
Interventions
- BEHAVIORAL Multicomponent Physician Performance Peer-Comparison Feedback Intervention
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 5,000,000 participants |
| Start Date | 2019-07-25 |
| Est. Completion | 2022-12-31 |
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Full Details on ClinicalTrials.gov ↗What the Registry Record Tells You About NCT04053335
The ClinicalTrials.gov registry entry for NCT04053335 describes a study currently listed as completed, categorized as an unspecified phase. The registered enrollment target is 5,000,000 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is University of California, Los Angeles, which has 897 total studies on file at ClinicalTrials.gov.
The record links to 0 conditions, and to 1 intervention - of which Multicomponent Physician Performance Peer-Comparison Feedback Intervention is the first listed.
NCT04053335 reports 0 study locations.
Frequently Asked Questions
What is clinical trial NCT04053335 about?
NCT04053335 is a clinical study titled "Smarter Care Virginia, Examining Low-Value Care in Virginia". Low-value care is defined as patient care that provides no net benefit to patients in specific clinical scenarios, and can cause patient harm. Prior research has documented high-rates of low-value care in Virginia; this work has helped to inspire a Virginia government-sponsored quality improvement i...
What is the current status of trial NCT04053335?
This trial is currently completed. The enrollment target is 5,000,000 participants. The study started on 2019-07-25. Estimated completion is 2022-12-31.
What interventions are being tested in trial NCT04053335?
The interventions under investigation include: Multicomponent Physician Performance Peer-Comparison Feedback Intervention (BEHAVIORAL).
Who is sponsoring clinical trial NCT04053335?
This trial is sponsored by University of California, Los Angeles, which has 897 total clinical trials registered on ClinicalTrials.gov.
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