The Effect of Personalized Report Cards and Bottom-up Framing on PCCE Performance and Attitudes
University of California, Los Angeles
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.
Description
The investigators will use a communication strategy that leverages behavioral principles to motivate providers to improve in all four of the evaluated domains of the PCCE program: clinical quality, professional participation, patient experience, and risk coding. The investigators will implement a three-arm experimental communication campaign that includes quarterly emails and quarterly survey messages. The communication strategies will utilize motivation and behavior change theories to improve physician performance in the program and attitudes towards the program. In particular, the investiga…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion criteria: * 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 criteria: * 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…
Interventions
- BehavioralStandard Communication Email
This is a standard quarterly email communication without personalized performance metrics.
- BehavioralPersonalized Report Card Email
This personalized information about physician performance replaces the standard communication email to provide personalized feedback to physicians.
- BehavioralBottom-Up Framing
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.
Location
- UCLA Health Department of Medicine, Quality OfficeLos Angeles, California