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

Quality of Health Care Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00793065
• Other study ID #: 0508190240
• Status: Completed
• Phase: N/A
• First received: November 14, 2008
• Last updated: February 17, 2017
• Start date: January 2008
• Est. completion date: December 2012

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 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 438
• Est. completion date: December 2012
• Est. primary completion date: December 2012
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Electronic Health Records
• Quality of Health Care

Intervention

Other:
• Electronic health record (EHR)
Computer-based system that allows physicians to access and manage patient records electronically.
• Medical Home redesign
Implementation of NCQA Level III Medical Home

Locations

Country	Name	City	State
United States	Weill Cornell Medical College	New York	New York

Sponsors (5)

Lead Sponsor	Collaborator
Weill Medical College of Cornell University	New York State Department of Health, Taconic Health Information Network and Community (THINC), Taconic Independent Practice Association (TIPA), The Commonwealth Fund

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	health care quality (as determined by previously selected and approved quality indicators)		5 years
Primary	health care utilization		5 years