An interventional study of Educational Intervention in Graduate Medical Education and Cost-Effectiveness, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2011-06-22.
Sponsored by Brigham and Women's Hospital · Not applicable and Interventional
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.
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.
Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.
Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Residents Randomized to Receive Educational Intervention
Behavioral: Educational Intervention
Residents randomized not to receive a teaching intervention.
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.
Total Cost
Total hospital cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
Lab Cost
Total lab cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
Pharmacy Cost
Total pharmacy cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
Radiology Cost
Total radiology cost per admission for 2 weeks following the educational intervention.
Time frame: 2 weeks following educational intervention
length of stay
Time frame: 2 weeks after educational intervention
admission to an intensive care unit (ICU)
Time frame: 2 weeks after educational intervention
30-day readmission
Time frame: within 30 days after end of study period
30-day mortality
Time frame: within 30 days after end of study period
This study is completed, as verified in Feb 2011. You cannot join it, but the record below documents what was studied.
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Brigham and Women's Hospital