Clinical trial · Interventional
Primary Care Clinical Excellence Incentive Study
Effects of Social Comparison Performance Feedback on Primary Care Quality
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
As part of UCLA Health's commitment to developing a premier integrated health system built on a foundation of physician-led, team-based primary care, the Department of Medicine (DOM) recently implemented a new performance based incentive plan called the Primary Care Clinical Excellence (PCCE) Incentive Plan. This incentive plan was developed to motivate providers to improve health maintenance screening rates. The UCLA Health DOM Quality team is leading the implementation and evaluation of this new incentive plan across our primary care network. In addition, the DOM Quality team has partnered with the UCLA Anderson School of Management to study the most efficacious ways to frame and communicate performance based incentives. Understanding the factors that motivate physicians to deliver the highest quality primary care will provide pivotal insights into the successful implementation of performance based programs nationwide. The investigators believe that physicians who receive communication built on behavioral principles will demonstrate more motivation towards and success at meeting national primary care screening guidelines.
Conditions
Conditions (8)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Behavioral Economics | — | UNRESOLVED | — |
| Cervical Cancer Screening | — | UNRESOLVED | — |
| Chlamydia Screening | — | UNRESOLVED | — |
| Colorectal Cancer Screening | — | UNRESOLVED | — |
| Diabetes | — | UNRESOLVED | — |
| Health Maintenance | — | UNRESOLVED | — |
| HPV Screening | — | UNRESOLVED | — |
| Primary Health Care | — | UNRESOLVED | — |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Leadership Training | Behavioral | — | UNRESOLVED |
| Social comparison Intervention | Behavioral | — | UNRESOLVED |
| Standard communication email | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (3)
- type
- PLACEBO_COMPARATOR
- label
- Arm 1: Standard Communication Arm
- description
- Monthly email communication: Monthly standard communication via email informing physicians of their health maintenance completion rate over the prior three-month period. The email will also include a link to the performance dashboard, a link to a FAQ page that outlines their incentive plan, a link to helpful resources such as care guidelines, key tips from top performers, the quality measure on which they are performing the best, and the two quality measures that they could improve on the most.
- interventionNames
- Behavioral: Standard communication email
- type
- EXPERIMENTAL
- label
- Arm 2: Arm 1 Message + Social Comparison Intervention
- description
- Monthly email communication as in Arm 1 Social comparison: In addition to the information given in Arm 1 email messaging, physicians in this arm will receive a list of the names of the top 25 performers from the prior month, and a high performer benchmark. Each physician in this group will receive a personalized message and subject line based on where in the performance distribution they fall (categories: top 25 performers, high performers, nearly high performers, and low performers). Message content will incorporate language utilizing principles of social comparison theory.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria * Primary care physicians within the UCLA Health Department of Medicine Primary Care Network and with the following specialties: Internal Medicine, Geriatrics, Internal Medicine/Pediatrics, or Family Medicine. * Clinical full-time employee level (FTE) of ≥ 40% at the beginning of the intervention period. * Eligible to receive performance-based financial incentive as determined by the Department of Medicine. * Panel size \>50 patients before the first intervention email was sent * Patients, with at least one Health Maintenance topic open before or during at least one visit that takes place with a physician enrolled in the study between November 5, 2019 and March 3, 2020. Exclusion Criteria: * Not a primary care physician within the UCLA Health Department of Medicine Primary Care Network. * Not a primary care physician with the following specialties: Internal Medicine, Geriatrics, Internal Medicine/Pediatrics, or Family Medicine. * Clinical FTE \< 40%. * Not eligible to receive performance-based financial incentive as determined by the Department of Medicine. * Panel size greater than 50 patients before the first intervention email was sent. * Patients that are not seen by a provider enrolled in the study period. * Patients seen by physician in the study with no Health Maintenance topics open before or during any visit that takes place between November 5, 2019 and March 3, 2020.
References
Publications (0)
Data not yet available