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

April 17, 2009 updated by: New York City Department of Health and Mental Hygiene

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?

Study Overview

Status

Completed

Conditions

Detailed Description

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.

Study Type

Observational

Enrollment (Anticipated)

84

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • New York, New York, United States, 10038
        • New York City Departemnt of Health and Mental Hygiene

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

22 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

N/A

Genders Eligible for Study

Male

Sampling Method

Non-Probability Sample

Study Population

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

Description

Inclusion Criteria:

  • Primary Care Providers

Exclusion Criteria:

  • Specialists
  • Pediatricians
  • Obstetricians
  • Gynecologists

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
percent of patients eligible for quality measures (ABCS)
Time Frame: 1 year
1 year

Secondary Outcome Measures

Outcome Measure
Time Frame
use of EHR clinical reminders
Time Frame: 1 year
1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

New York City Department of Health and Mental Hygiene

Collaborators

Robin Hood Foundation

Investigators

  • Principal Investigator: Farzad Mostashari, MD, MPH, NYC DOHMH

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2009

Study Registration Dates

First Submitted

April 16, 2009

First Submitted That Met QC Criteria

April 17, 2009

First Posted (Estimate)

April 20, 2009

Study Record Updates

Last Update Posted (Estimate)

April 20, 2009

Last Update Submitted That Met QC Criteria

April 17, 2009

Last Verified

April 1, 2009

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PCIP001

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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