De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

Description

This trial aims to evaluate the effectiveness of a multi-level, multi-component de-implementation strategy to reduce unnecessary preoperative testing. Sixteen Michigan Value Collaborative (MVC)/Michigan Surgical Quality Collaborative (MSQC) sites in Michigan will implement several tools that have been proven to reduce unnecessary testing at a single site, including clinician education, a decision aid, audit and feedback on performance, and a pay-for-performance incentive. The researchers believe that, through the use of these strategies, there will be a significant reduction in unnecessary preoperative testing during the intervention.

Conditions

Breast Lumpectomy, Laparoscopic Cholecystectomy, Inguinal Hernia Repair

Study Overview

Study Details

Study overview

This trial aims to evaluate the effectiveness of a multi-level, multi-component de-implementation strategy to reduce unnecessary preoperative testing. Sixteen Michigan Value Collaborative (MVC)/Michigan Surgical Quality Collaborative (MSQC) sites in Michigan will implement several tools that have been proven to reduce unnecessary testing at a single site, including clinician education, a decision aid, audit and feedback on performance, and a pay-for-performance incentive. The researchers believe that, through the use of these strategies, there will be a significant reduction in unnecessary preoperative testing during the intervention.

De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

Condition
Breast Lumpectomy
Intervention / Treatment

-

Contacts and Locations

Ann Arbor

University of Michigan and other Michigan Surgical Quality Collaborative sites, Ann Arbor, Michigan, United States, 48109

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Over 30% of testing rates on at least one of the three index procedures (breast lumpectomy, laparoscopic cholecystectomy, and inguinal hernia repair)
  • * none

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Michigan,

Lesly Dossett, MD, MPH, PRINCIPAL_INVESTIGATOR, University of Michigan

Hari Nathan, PhD, PRINCIPAL_INVESTIGATOR, University of Michigan

Study Record Dates

2026-12