Brigham & Women's Hospital
Boston, Massachusetts, 02115, United States
NCT Number: NCT01303263
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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Interventional
Not applicable
Boston, Massachusetts, 02115, United States
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.
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
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.
Time frame: 2 weeks following educational intervention
Total hospital cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
Total lab cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
Total pharmacy cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
Total radiology cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks after educational intervention
Time frame: 2 weeks after educational intervention
Time frame: within 30 days after end of study period
Time frame: within 30 days after end of study period
Brigham and Women's Hospital
Other
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