Assessing the Impact of Health Information Exchange (HIE) on Healthcare Utilization (VHR)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified January 2011 by Weill Medical College of Cornell University.
Recruitment status was  Not yet recruiting
Sponsor:
Collaborator:
New York State Department of Health
Information provided by:
Weill Medical College of Cornell University
ClinicalTrials.gov Identifier:
NCT01147328
First received: June 16, 2010
Last updated: January 11, 2011
Last verified: January 2011
  Purpose

The purpose of this study is to assess usage of the virtual health record (VHR), and determine the effects of this technology on healthcare utilization.


Condition Intervention
Health Information Technology
Health Information Exchange
Virtual Health Record
Health Care Utilization
Other: Virtual Health Record (VHR)

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Assessing the Impact of Health Information Exchange (HIE) on Healthcare Utilization

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

Primary Outcome Measures:
  • VHR Usage [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    Data from the VHR web portal database which records patient consent and provider usage of the web portal

  • Changes in Healthcare Utilization [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    A retrospective set of claims data will be used to characterize healthcare utilization and describe the study population


Estimated Enrollment: 157000
Study Start Date: June 2011
Estimated Study Completion Date: December 2011
Groups/Cohorts Assigned Interventions
1
Patients who did not have their data accessed in the VHR by a provider within 6 months after they consented will be part of the control group
Other: Virtual Health Record (VHR)
Technology that enables providers to electronically access community-wide clinical data for patients who have consented to have their clinical data accessed via a web portal.
2
Patients who had their data accessed in the VHR by a provider within 6 months after they consented will be part of the intervention group
Other: Virtual Health Record (VHR)
Technology that enables providers to electronically access community-wide clinical data for patients who have consented to have their clinical data accessed via a web portal.

Detailed Description:

National efforts are underway to support the implementation of technology that enables providers to electronically access and view community-wide clinical information for their patients, which has the potential to improve quality of care and reduce health care costs by providing timely and complete health information at the point of care. However, few empirical studies have been conducted to evaluate the economic effects of this technology. Along with other stakeholders, New York State is funding regional health information organizations (RHIOs) to deploy a virtual health record (VHR), which is technology that enables providers to electronically access community-wide clinical data for patients who have consented to have their clinical data accessed via a web portal. RHIOs bring together multiple stakeholders, including physician practices, hospitals, pharmacies, and laboratories, for the purpose of exchanging clinical information electronically across communities. The investigators will conduct a multi-RHIO retrospective pre-post, cohort study of adult patients who have consented to have their clinical data viewed by their providers using the VHR portal. Examining the effects of electronically accessing clinical data on healthcare utilization across multiple settings and communities can help inform the national health IT initiative that is underway and allow assessment of the economic value of these technologies.

  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

Adult patients with concurrent controls who have consented to have their clinical data viewed by their providers using the VHR portal provided by RHIOs. Providers who are participating in the Regional Health Information Exchange (RHIO).

Criteria

Inclusion Criteria:

  • Patients that are aged 18 and older who have consented during the year 2009 to allow their provider use of their VHR data and had at least one visit to a healthcare provider that is a VHR user within 6 months after they consented to allow their provider use of their VHR data. (Note: we only wish to include individuals who have had the opportunity for their data to be viewed using the VHR web portal). Providers who are participating in the Regional Health Information Exchange (RHIO).

Exclusion Criteria:

  • Patients and providers who do not meet the above criteria
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01147328

Contacts
Contact: Vaishali Patel, PhD, MPH 646-962-8069 vap2005@med.cornell.edu
Contact: Renny Varghese, MPH 646-962-8068 rev2002@med.cornell.edu

Locations
United States, New York
HealtheLink
Buffalo, New York, United States, 14225
Weill Medical College of Cornell University Not yet recruiting
New York, New York, United States, 10065
Contact: Vaishali Patel, PhD, MPH    646-962-8069    vap2005@med.cornell.edu   
Contact: Renny Varghese, MPH    646-962-8068    rev2002@med.cornell.edu   
Rochester RHIO
Rochester, New York, United States, 14614
Sponsors and Collaborators
Weill Medical College of Cornell University
New York State Department of Health
Investigators
Study Chair: Lisa Kern, MD, MPH Weill Medical College of Cornell University
Study Chair: Yolanda Barron, MS Weill Medical College of Cornell University
Study Chair: Alison Edwards, MStat Weill Medical College of Cornell University
Study Chair: Ranjit Singh, MD, MA, MBA Weill Medical College of Cornell University
Study Chair: Renny Varghese, MPH Weill Medical College of Cornell University
Principal Investigator: Vaishali Patel, PhD, MPH Weill Medical College of Cornell University
  More Information

No publications provided

Responsible Party: Thomas R. Campion, Jr., Ph.D, Instructor, Department of Pediatrics and Public Health, Weill Cornell Medical College
ClinicalTrials.gov Identifier: NCT01147328     History of Changes
Other Study ID Numbers: 0708160258-08
Study First Received: June 16, 2010
Last Updated: January 11, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Weill Medical College of Cornell University:
Health information technology
Health information exchange
Virtual health record
Health care utilization

ClinicalTrials.gov processed this record on October 23, 2014