- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00571376
Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State
Study Overview
Status
Conditions
Intervention / Treatment
Detailed 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).
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
New York
-
Rochester, New York, United States, 14614
- Rochester RHIO
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients and health care providers participating in regional health information organizations or their affiliate institutions.
Exclusion Criteria:
- None
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
1
Those exposed to health information technology or health information 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.
|
2
Those not exposed to health information technology or health information exchange
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Hospital admissions
Time Frame: 2 years
|
2 years
|
Hospital re-admissions
Time Frame: 2 years
|
2 years
|
Repeat medical imaging
Time Frame: 2 years
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Usage of health information technology and health information exchange
Time Frame: 2 years
|
2 years
|
Changes in health care quality
Time Frame: 2 years
|
2 years
|
Changes in patient safety
Time Frame: 2 years
|
2 years
|
Changes in health care efficiency
Time Frame: 2 years
|
2 years
|
Collaborators and Investigators
Collaborators
Investigators
- Study Director: Lisa M Kern, MD, MPH, Weill Medical College of Cornell University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 20060550
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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