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Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State

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ClinicalTrials.gov Identifier: NCT00571376
Recruitment Status : Completed
First Posted : December 12, 2007
Last Update Posted : February 23, 2017
Sponsor:
Collaborator:
Information provided by (Responsible Party):

Study Description
Brief Summary:
The purpose of this study is to measure the financial effects of health information technology and health information exchange in regional health information organizations in New York State.

Condition or disease Intervention/treatment
Quality of Health Care Health Care Costs Other: Health information technology and exchange

Detailed Description:

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 Design

Study Type : Observational
Actual Enrollment : 218766 participants
Observational Model: Cohort
Time Perspective: Prospective
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
Primary Completion Date : December 2010
Study Completion Date : December 2010
Groups and Cohorts

Group/Cohort Intervention/treatment
1
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.
2
Those not exposed to health information technology or health information exchange


Outcome Measures

Primary Outcome Measures :
  1. Hospital admissions [ Time Frame: 2 years ]
  2. Hospital re-admissions [ Time Frame: 2 years ]
  3. Repeat medical imaging [ Time Frame: 2 years ]

Secondary Outcome Measures :
  1. Usage of health information technology and health information exchange [ Time Frame: 2 years ]
  2. Changes in health care quality [ Time Frame: 2 years ]
  3. Changes in patient safety [ Time Frame: 2 years ]
  4. Changes in health care efficiency [ Time Frame: 2 years ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Patients and health care providers in the Rochester, NY community
Criteria

Inclusion Criteria:

  • Patients and health care providers participating in regional health information organizations or their affiliate institutions.

Exclusion Criteria:

Contacts and Locations

Information from the National Library of Medicine

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


Locations
United States, New York
Rochester RHIO
Rochester, New York, United States, 14614
Sponsors and Collaborators
Weill Medical College of Cornell University
The Commonwealth Fund
Investigators
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
More Information

Responsible Party: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT00571376     History of Changes
Other Study ID Numbers: 20060550
First Posted: December 12, 2007    Key Record Dates
Last Update Posted: February 23, 2017
Last Verified: February 2017

Keywords provided by Weill Medical College of Cornell University:
Quality of health care
Health care costs