Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00571376
• Other study ID #: 20060550
• Status: Completed
• Phase: N/A
• First received: December 11, 2007
• Last updated: February 17, 2017
• Start date: January 2009
• Est. completion date: December 2010

Study information

• Verified date: February 2017
• Source: Weill Medical College of Cornell University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

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.

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 218766
• Est. completion date: December 2010
• Est. primary completion date: December 2010
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients and health care providers participating in regional health information organizations or their affiliate institutions.

Exclusion Criteria:

Related Conditions & MeSH terms

• Health Care Costs
• Quality of Health Care

Intervention

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.

Locations

Country	Name	City	State
United States	Rochester RHIO	Rochester	New York

Sponsors (2)

Lead Sponsor	Collaborator
Weill Medical College of Cornell University	The Commonwealth Fund

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Hospital admissions		2 years
Primary	Hospital re-admissions		2 years
Primary	Repeat medical imaging		2 years
Secondary	Usage of health information technology and health information exchange		2 years
Secondary	Changes in health care quality		2 years
Secondary	Changes in patient safety		2 years
Secondary	Changes in health care efficiency		2 years