Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State
調査の概要
詳細な説明
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).
研究の種類
入学 (実際)
連絡先と場所
研究場所
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New York
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Rochester、New York、アメリカ、14614
- Rochester RHIO
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参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Patients and health care providers participating in regional health information organizations or their affiliate institutions.
Exclusion Criteria:
- None
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
---|---|
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.
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2
Those not exposed to health information technology or health information exchange
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
---|---|
Hospital admissions
時間枠:2 years
|
2 years
|
Hospital re-admissions
時間枠:2 years
|
2 years
|
Repeat medical imaging
時間枠:2 years
|
2 years
|
二次結果の測定
結果測定 |
時間枠 |
---|---|
Usage of health information technology and health information exchange
時間枠:2 years
|
2 years
|
Changes in health care quality
時間枠:2 years
|
2 years
|
Changes in patient safety
時間枠:2 years
|
2 years
|
Changes in health care efficiency
時間枠:2 years
|
2 years
|
協力者と研究者
捜査官
- スタディディレクター:Lisa M Kern, MD, MPH、Weill Medical College of Cornell University
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
医療費の臨床試験
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University of Colorado, DenverEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD); National... と他の協力者積極的、募集していない
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Queens College, The City University of New York募集American Journal of Public Healthに投稿された論文の出版アメリカ
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Istanbul University - Cerrahpasa (IUC)募集
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Washington University School of MedicineColumbia University; Indiana University; Rakai Health Sciences Program; Reach the Youth Uganda積極的、募集していないコントロールアーム_Bolstered Care | 治療アーム_HIVRR+S+FL | 治療アーム_HIVRR+S+FLMウガンダ
Health information technology and exchangeの臨床試験
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Washington State UniversityNational Institute on Drug Abuse (NIDA)完了
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University of BirminghamNational Institute for Health Research, United Kingdomわからない