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OpenTrials
Completed

NCT Number: NCT01303263

A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff

OBJECTIVE: To test a brief intervention designed to improve the cost-effectiveness of care provided by medicine housestaff for hospitalized patients.

HYPOTHESIS: A brief intervention in which medicine residents receive itemized bills for recent patients cared for by them, followed by a discussion on approaches to reducing unnecessary inpatient costs, can result in significant cost reductions without adversely affecting patient outcomes.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Brigham & Women's Hospital

Boston, Massachusetts, 02115, United States

About this study

We designed a brief educational intervention with two primary objectives: 1) to increase awareness among residents about how their decisions impact the costs of inpatient medical care; and 2) to improve the cost-effectiveness of care provided by residents without adversely affecting patient outcomes. We hypothesized that a brief intervention in which residents receive bills for patients they recently cared for, followed by a discussion on approaches to reducing unnecessary inpatient costs, would reduce costs without adversely affecting patient outcomes.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Internal Medicine Residents on Inpatient Rotations at Brigham & Women's Hospital

Exclusion criteria

  • Having a team member who was in either the control group or intervention group in a prior round of this study.

Treatment and study plan

Educational intervention

Behavioral

45-minute teaching session on healthcare costs, in which each resident reviewed an itemized hospital bill for a patient he/she had cared for, followed by an open-ended discussion about reducing unnecessary costs.

Primary outcomes

  1. Total Cost

    Time frame: 2 weeks following educational intervention

    Total hospital cost per admission for 2 weeks following the educational intervention.

  2. Lab Cost

    Time frame: 2 weeks following educational intervention

    Total lab cost per admission for 2 weeks following the educational intervention.

  3. Pharmacy Cost

    Time frame: 2 weeks following educational intervention

    Total pharmacy cost per admission for 2 weeks following the educational intervention.

  4. Radiology Cost

    Time frame: 2 weeks following educational intervention

    Total radiology cost per admission for 2 weeks following the educational intervention.

Secondary outcomes

  1. length of stay

    Time frame: 2 weeks after educational intervention

  2. admission to an intensive care unit (ICU)

    Time frame: 2 weeks after educational intervention

  3. 30-day readmission

    Time frame: within 30 days after end of study period

  4. 30-day mortality

    Time frame: within 30 days after end of study period

Sponsors and collaborators

Lead sponsor

Brigham and Women's Hospital

Other

Collaborators

  • Partners Center of Expertise in Quality and Patient Safety

Registry information

Important dates

Study start
2009
Primary completion
2010
Study completion
2011
First posted
Feb 24, 2011
Registry last updated
Jun 22, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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