Quality of Health Care Clinical Trial
Official title:
Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State
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.
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).
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