Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State
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Purpose
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, as mediated by changes in quality, safety and efficiency.
| Condition | Intervention |
|---|---|
|
Quality of Health Care Health Care Costs |
Other: Health information technology and exchange |
| Study Type: | Observational |
| Study Design: | 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 |
- Financial return-on-investment [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Usage of health information technology and health information exchange [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Changes in health care quality [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
- Changes in patient safety [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
- Changes in health care efficiency [ Time Frame: 2 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 10000 |
| Study Start Date: | July 2008 |
| Estimated Study Completion Date: | December 2010 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
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
|
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.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Patients and health care providers in the communities of the regional health information organizations, including those in ambulatory care practices, hospitals, long-term care facilities, home care programs and emergency departments.
Inclusion Criteria:
- Patients and health care providers participating in regional health information organizations or their affiliate institutions.
Exclusion Criteria:
- None
Contacts and Locations| United States, New York | |
| Brooklyn Health Information Exchange | |
| Brooklyn, New York, United States, 11219 | |
| HealtheLink | |
| Buffalo, New York, United States, 14225 | |
| The Taconic Health Information Network and Community | |
| Fishkill, New York, United States, 12524 | |
| Rochester RHIO | |
| 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 |
More Information
No publications provided
| Responsible Party: | Rainu Kaushal, MD, MPH, Weill Medical College of Cornell University |
| ClinicalTrials.gov Identifier: | NCT00571376 History of Changes |
| Other Study ID Numbers: | 20060550 |
| Study First Received: | December 11, 2007 |
| Last Updated: | June 16, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Weill Medical College of Cornell University:
|
Quality of health care Health care costs |
ClinicalTrials.gov processed this record on May 19, 2013