New York City (NYC) Health eHearts Pay for Quality Pilot (ehearts)
Do monetary incentives in small independent primary care practices improve the delivery of preventive services as recommended by U.S. Preventive Services Task Force (USPSTF) guidelines for cardiovascular health?
Ischemic Cardiovascular Disease
|Study Design:||Observational Model: Case Control
Time Perspective: Prospective
|Official Title:||Program Evaluation of New York City Health eHearts Pay for Quality Program|
- percent of patients eligible for quality measures (ABCS) [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- use of EHR clinical reminders [ Time Frame: 1 year ] [ Designated as safety issue: No ]
|Study Start Date:||January 2009|
Quality Payment and all clinical reminders turned on
Quality Payment and ABCS measures reminders turned on
Quality Payment and non-ABCS measures reminders turned on
Quality Reporting and Recognition with all clinical reminders turned on
Quality Reporting and Recognition with ABCS measures reminders turned on
Quality Reporting and Recognition with non-ABCS measures reminders turned on
The NYC DOHMH received a private donation from the Robin Hood Foundation to provide monetary incentives to small practices for improving their delivery of preventive services in neighborhoods experiencing health disparities.
Practices recruited by NYC DOHMH to adopt an electronic health record will be randomized to receive monetary incentives for improving both patient outcomes and delivery of care on: aspirin therapy, blood pressure control, cholesterol control, and smoking cessation intervention. The set of quality measures are referred to the ABCS.
The NYC DOHMH will be collecting provider surveys on their experience on quality measurement and participation in other pay-for-performance programs, as well as transmit aggregated information on their performance on the ABCS to DOHMH on a monthly basis.
|United States, New York|
|New York City Departemnt of Health and Mental Hygiene|
|New York, New York, United States, 10038|
|Principal Investigator:||Farzad Mostashari, MD, MPH||NYC DOHMH|