Taconic Health Information Network and Community (THINC)
Recruitment status was Recruiting
The Taconic IPA, a 2,500 physician independent practice association (IPA) located in Fishkill, New York (NY), is involved in an information technology project to improve the quality, safety and efficiency of healthcare in the region. Over the past three years, the organization has worked with area hospitals and laboratories to create a community wide electronic data exchange. Currently, the Taconic IPA is in the midst of implementing a full electronic health record in some practices and e-prescribing in other practices. The purpose is to study the impact of an electronic health record on safety and quality measures.
|Study Design:||Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Transforming Healthcare Quality Through I.T.|
- Medication errors
- Near misses
- Adverse drug events
- Quality measures
|Study Start Date:||October 2004|
|Estimated Study Completion Date:||September 2007|
We propose to measure differences in patient safety and quality measures among three groups: the control group consisting of physicians with paper-based office practices, a group of physicians using the clinical messaging system and electronic prescribing, and a group of physicians using the EMR and electronic prescribing.
We plan to introduce a vendor based electronic prescribing system by July 2005. This system will be offered to all physicians using clinical messaging and will be integrated with the EMR system. The system will have clinical decision support, such as checks for drug-drug interactions.
Our evaluation will measure differences in rates of medication errors and quality measures amongst these three groups. We will use a study design of a pre-post evaluation with a comparison control group. We will detect medical errors by prescription and chart review. We will determine compliance with quality measures through a combination of electronic data and chart review.
|Contact: A. John Blair, MD||(845)firstname.lastname@example.org|
|Contact: Laura Cosh||(845)email@example.com|
|United States, New York|
|Fishkill, New York, United States, 12524|
|Principal Investigator: A. John Blair, MD|
|Principal Investigator:||A. John Blair, MD||Taconic IPA|
|Principal Investigator:||Rainu Kaushal, MD||Partners Health Care|