Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Other |
Hopewell Hospitalist - Apple App Store and Google Analytics |
Number of unique downloads for the HH game will be provided by the Apple App store. Using Google Analytics we will be able to discern time spent playing the game for each individual hospitalist using their unique log-in passphrase. |
3 months |
|
| Primary |
Incidence of Billed Advance Care Planning |
Change in physician advance care planning billing for patients over the age of 65 in the three months before and after the roll-out of the video game intervention at their hospital. Advance care planning billing is defined as the presence/absence of ACP charges (Medicare billing codes 99497 or 99498) during a physician's patient's hospitalization. |
6 months (3 months pre and 3 months post intervention) |
|
| Primary |
Merit-based Incentive Payment System Advance Care Planning Quality Score |
Change in the Merit-based Incentive Payment System (MIPS) self-report measure of advance care planning by enrolled hospitalists (MiPS-ACP quality score). The MiPS-ACP quality score is the percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. The quality score ranges from 0-100%, with higher scores indicating that a greater proportion of patients with an advance care plan documented in the medical record. |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Hospitalist-Managed Patient In-Hospital Mortality Rate |
In-hospital mortality rate for patients managed by enrolled hospitalists. |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Hospitalist-Managed Patient 90-Day Mortality Rate |
90-day mortality rate for patients managed by enrolled hospitalists. |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Sum of Resources Utilized by Hospitalist-Managed Patients |
Combined sum of resources utilized by patients managed by enrolled hospitalists during their index hospitalization (first hospitalization in the relevant period: control or intervention). It is a composite measure including: admission to ICU, receipt of life-sustaining treatment(s) including mechanical ventilation, placement of tracheostomy, insertion of gastric feeding tube, new onset dialysis. This measure ranges from 0 to 5, where higher scores indicate greater utilization of resources during the index hospitalization. |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Incidence of Hospitalist-Managed Patient Admission to ICU |
Incidence of admission to ICU for patients managed by enrolled hospitalists during their index hospitalization (first hospitalization in the relevant period: control or intervention). |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Incidence of Hospitalist-Managed Patient Mechanical Ventilation |
Incidence of mechanical ventilation of patients managed by enrolled hospitalists during their index hospitalization (first hospitalization in the relevant period: control or intervention). |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Incidence of Hospitalist-Managed Patient Receipt of Life-Sustaining Treatment(s) |
Incidence of placement of tracheostomy, insertion of gastric feeding tube, new onset dialysis for patients managed by enrolled hospitalists during their index hospitalization (first hospitalization in the relevant period: control or intervention). |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Hospitalist-Managed Patient Length of Stay |
Total days between admission and discharge for patients managed by enrolled hospitalists. |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Hospitalist-Managed Patient Disposition Status Type |
Type of status upon discharge of patients managed by enrolled hospitalists (e.g., discharged to home, to skilled nursing, to hospice, deceased, etc.). |
6 months (3 months pre and 3 months post intervention) |
|
| Secondary |
Hospitalist-Managed Patient 90-Day Episode-Based Spending |
Amount of total Medicare payments between index admission and 90-days for patients managed by enrolled hospitalists. |
6 months (3 months pre and 3 months post intervention) |
|
