Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT00571376|
Recruitment Status : Completed
First Posted : December 12, 2007
Last Update Posted : February 23, 2017
|Condition or disease||Intervention/treatment|
|Quality of Health Care Health Care Costs||Other: Health information technology and exchange|
In 2004, the federal government set an ambitious goal of ensuring that most Americans have electronic health records within 10 years and the presence of a widespread clinical information exchange capability will greatly facilitate this goal. Through HEAL NY, New York State is currently awarding millions of dollars in grants to support health information technology initiatives across the state through regional clinical information exchanges. The financial success of these initiatives is expected to result from improvements in health care quality and efficiency. However, whether these initiatives will be cost saving, as experts assert, and what the return-on-investments of these initiatives will be are unknown. Answering these questions will provide critical information to the nation as we progress towards a national health information network. We will conduct a multi-center financial evaluation of regional clinical information exchanges. The results of the financial evaluations proposed in this study will provide a framework and standardized methodology including metrics for financial evaluations of regional health information organizations and return-on-investment analyses from the perspectives of providers and payers. We will consider the financial effects as driven by changes in quality, safety, and efficiency.
The most advanced community we studied was Rochester, NY, and studying this community allowed us to measure the effects of health information technology and health information exchange on 3 major utilization outcomes (hospital admissions, hospital re-admissions, and repeat medical imaging).
|Study Type :||Observational|
|Actual Enrollment :||218766 participants|
|Official Title:||Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State|
|Actual Study Start Date :||January 2009|
|Actual Primary Completion Date :||December 2010|
|Actual Study Completion Date :||December 2010|
Those exposed to health information technology or health information exchange
Other: Health information technology and exchange
Health information technology includes electronic health records, electronic prescribing, and electronic results notification and/or viewers. Health information exchange includes use of central repositories of data and peer-to-peer models.
Those not exposed to health information technology or health information exchange
- Hospital admissions [ Time Frame: 2 years ]
- Hospital re-admissions [ Time Frame: 2 years ]
- Repeat medical imaging [ Time Frame: 2 years ]
- Usage of health information technology and health information exchange [ Time Frame: 2 years ]
- Changes in health care quality [ Time Frame: 2 years ]
- Changes in patient safety [ Time Frame: 2 years ]
- Changes in health care efficiency [ Time Frame: 2 years ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00571376
|United States, New York|
|Rochester, New York, United States, 14614|
|Principal Investigator:||Rainu Kaushal, MD, MPH||Weill Medical College of Cornell University|
|Study Director:||Lisa M Kern, MD, MPH||Weill Medical College of Cornell University|