Report Cards and Feedback for PCCE
The Effect of Personalized Report Cards and Bottom-up Framing on PCCE Performance and Attitudes
University of California, Los Angeles
330 participants
Oct 3, 2023
INTERVENTIONAL
Conditions
Summary
As part of UCLA Health's commitment to developing an integrated health system built on a foundation of physician-led, team-based primary care, the Department of Medicine (DOM) implemented a performance-based incentive plan called the Primary Care Clinical Excellence (PCCE) Incentive Plan. The UCLA Health DOM Quality team is leading the implementation and evaluation of this incentive plan across the UCLA Health primary care network, with the primary goal to immediately produce improvements in the quality of primary care. In order to rigorously measure the most efficacious ways to frame and communicate information about the quality improvement (QI) program, the DOM Quality team has partnered with the UCLA Anderson School of Management. Understanding the factors that motivate physicians to deliver high quality primary care will provide pivotal insights into the successful implementation of performance based programs nationwide.
Eligibility
Inclusion Criteria3
- Primary care physicians within the UCLA Health Department of Medicine Primary Care Network that are eligible for the PCCE Incentive program as of October 1, 2023.
- Physicians with the clinical full-time employee level (FTE) of ≥ 40% as of October 1, 2023
- Physicians with panel size \>50 patients as of October 1, 2023
Exclusion Criteria3
- Physicians classified as Pediatrics will be excluded from data analysis given the structural differences in health maintenance guidelines for children.
- Physicians classified as Urgent Care will be excluded from data analysis given the structural differences in their performance evaluation. They are all in Arm 1.
- Physicians who participate in the design of this experiment will be excluded from analysis.
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Interventions
This is a standard quarterly email communication without personalized performance metrics.
This personalized information about physician performance replaces the standard communication email to provide personalized feedback to physicians.
The bottom-up framing is added onto the personalized communication email to provide insight on how the PCCE program was informed by physician feedback. The bottom-up framing is added onto the survey communication to provide insight on how the PCCE program was informed by physician feedback.
Locations(1)
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NCT06155292