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New York City (NYC) Health eHearts Pay for Quality Pilot (ehearts)

This study has been completed.
Sponsor:
Collaborator:
Robin Hood Foundation
Information provided by:
New York City Department of Health and Mental Hygiene
ClinicalTrials.gov Identifier:
NCT00884013
First received: April 16, 2009
Last updated: April 17, 2009
Last verified: April 2009

April 16, 2009
April 17, 2009
January 2009
Not Provided
percent of patients eligible for quality measures (ABCS) [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00884013 on ClinicalTrials.gov Archive Site
use of EHR clinical reminders [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
New York City (NYC) Health eHearts Pay for Quality Pilot
Program Evaluation of New York City Health eHearts Pay for Quality Program

Do monetary incentives in small independent primary care practices improve the delivery of preventive services as recommended by U.S. Preventive Services Task Force (USPSTF) guidelines for cardiovascular health?

The NYC DOHMH received a private donation from the Robin Hood Foundation to provide monetary incentives to small practices for improving their delivery of preventive services in neighborhoods experiencing health disparities.

Practices recruited by NYC DOHMH to adopt an electronic health record will be randomized to receive monetary incentives for improving both patient outcomes and delivery of care on: aspirin therapy, blood pressure control, cholesterol control, and smoking cessation intervention. The set of quality measures are referred to the ABCS.

The NYC DOHMH will be collecting provider surveys on their experience on quality measurement and participation in other pay-for-performance programs, as well as transmit aggregated information on their performance on the ABCS to DOHMH on a monthly basis.

Observational
Observational Model: Case Control
Time Perspective: Prospective
Not Provided
Not Provided
Non-Probability Sample

Adult Primary Care Providers that have adopted an electronic health record in New York City in non-hospital based practices.

  • Hypertension
  • Diabetes
  • Smoking
  • Ischemic Cardiovascular Disease
Not Provided
  • 1
    Quality Payment and all clinical reminders turned on
  • 2
    Quality Payment and ABCS measures reminders turned on
  • 3
    Quality Payment and non-ABCS measures reminders turned on
  • 4
    Quality Reporting and Recognition with all clinical reminders turned on
  • 5
    Quality Reporting and Recognition with ABCS measures reminders turned on
  • 6
    Quality Reporting and Recognition with non-ABCS measures reminders turned on
Bardach NS, Wang JJ, De Leon SF, Shih SC, Boscardin WJ, Goldman LE, Dudley RA. Effect of pay-for-performance incentives on quality of care in small practices with electronic health records: a randomized trial. JAMA. 2013 Sep 11;310(10):1051-9. doi: 10.1001/jama.2013.277353.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
84
Not Provided
Not Provided

Inclusion Criteria:

  • Primary Care Providers

Exclusion Criteria:

  • Specialists
  • Pediatricians
  • Obstetricians
  • Gynecologists
Male
22 Years and older
Not Provided
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00884013
PCIP001
No
Farzad Mostashari/Assistant Commission, NYC DOHMH
New York City Department of Health and Mental Hygiene
Robin Hood Foundation
Principal Investigator: Farzad Mostashari, MD, MPH NYC DOHMH
New York City Department of Health and Mental Hygiene
April 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP