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Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborators:
New York State Department of Health
The Commonwealth Fund
Taconic Health Information Network and Community (THINC)
Taconic Independent Practice Association (TIPA)
Information provided by (Responsible Party):
Weill Medical College of Cornell University
ClinicalTrials.gov Identifier:
NCT00793065
First received: November 14, 2008
Last updated: February 17, 2012
Last verified: February 2012
History of Changes
  Purpose

The investigators will conduct a longitudinal cohort study with concurrent controls. The investigators will include all primary care physicians in the Hudson Valley including family practitioners, internists, and pediatricians. The purpose of this study is to determine the effects of implementing electronic health records (EHRs), pay-for-performance incentives for physicians (P4P), and Medical Home redesign on health care quality, cost and patient experience in the Hudson Valley.


Condition Intervention
Quality of Health Care
Electronic Health Records
 Other: Electronic health record (EHR)
Other: Medical Home redesign

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley

Further study details as provided by Weill Medical College of Cornell University:

Primary Outcome Measures:
  • health care quality (as determined by previously selected and approved quality indicators) [ Time Frame: 5 years ] [ Designated as safety issue: No ]
  • health care costs (as calculated by utilization) [ Time Frame: 5 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 1200
Study Start Date: October 2008
Estimated Study Completion Date: December 2012
Estimated Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
1
Physicians that are using paper-based medical charts and who are not receiving Medical Home redesign incentives.
2
Physicians that are using electronic health records and who are not undergoing Medical Home redesign.
 Other: Electronic health record (EHR)
Computer-based system that allows physicians to access and manage patient records electronically.
3
Physicians that are using electronic health records and undergoing Medical Home redesign.
 Other: Electronic health record (EHR)
Computer-based system that allows physicians to access and manage patient records electronically.
Other: Medical Home redesign
Implementation of NCQA Level II Medical Home

Detailed Description:

The Hudson Valley is implementing several innovative programs to potentially improve quality and reduce the cost of health care delivered. First the Taconic Health Information Network and Communities Regional Health Information Organization (THINC RHIO) is facilitating diffusion of EHRs in office practices in the Hudson Valley. Second, THINC RHIO is also offering a strategic approach to pay-for-performance. Third, an additional component of the THINC P4P project will be an added financial incentive for private practice physicians who implement and reach Level II of Physician Practice Connections® - Patient Centered Medical Home (PCMH)™, NCQA's new national recognition system for physician practices. Our study will seek to determine the effect of each of these initiatives on health care quality and cost of care in the Hudson Valley. We will also measure the patient experience before and after implementation of the Medical Home.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

All primary care physicians (i.e. general internists, pediatricians and family practice physicians) in the Hudson Valley who are members of the Taconic Independent Practice Association (IPA).

Criteria

Inclusion Criteria:

  • Primary care physicians working in the offices practices in the Hudson Valley, and who are members of the Taconic IPA.

Exclusion Criteria:

  • Physicians who opt out from the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00793065

Locations
United States, New York
Weill Cornell Medical College
New York, New York, United States, 10021
Sponsors and Collaborators
Weill Medical College of Cornell University
New York State Department of Health
The Commonwealth Fund
Taconic Health Information Network and Community (THINC)
Taconic Independent Practice Association (TIPA)
Investigators
Principal Investigator: Lisa M Kern, MD, MPH Weill Medical College of Cornell University
Principal Investigator: Rainu Kaushal, MD, MPH Weill Medical College of Cornell University
  More Information

No publications provided

Responsible Party: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT00793065     History of Changes
Other Study ID Numbers: 0508190240
Study First Received: November 14, 2008
Last Updated: February 17, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Weill Medical College of Cornell University:
electronic health records
health information technology
physician incentives
quality of health care

ClinicalTrials.gov processed this record on May 22, 2013