Assessing the Impact of Health Information Exchange (HIE) on Healthcare Utilization

Completed

• Conditions: Health Care Utilization; Health Information Technology; Health Information Exchange; Virtual Health Record
• Interventions: Other: Virtual Health Record (VHR)

• Registration Number: NCT01147328
• Lead Sponsor: Weill Medical College of Cornell University

Brief Summary

The purpose of this study is to assess usage of the virtual health record (VHR), and determine the effects of this technology on healthcare utilization.

Detailed Description

National efforts are underway to support the implementation of technology that enables providers to electronically access and view community-wide clinical information for their patients, which has the potential to improve quality of care and reduce health care costs by providing timely and complete health information at the point of care. However, few empirical studies have been conducted to evaluate the economic effects of this technology. Along with other stakeholders, New York State is funding regional health information organizations (RHIOs) to deploy a virtual health record (VHR), which is technology that enables providers to electronically access community-wide clinical data for patients who have consented to have their clinical data accessed via a web portal. RHIOs bring together multiple stakeholders, including physician practices, hospitals, pharmacies, and laboratories, for the purpose of exchanging clinical information electronically across communities. The investigators will conduct a multi-RHIO retrospective pre-post, cohort study of adult patients who have consented to have their clinical data viewed by their providers using the VHR portal. Examining the effects of electronically accessing clinical data on healthcare utilization across multiple settings and communities can help inform the national health IT initiative that is underway and allow assessment of the economic value of these technologies.

Study Timeline

• Study First Submitted: 2010-06-16
• Study First Submitted QC: 2010-06-16
• Study First Posted: 2010-06-22
• Study Start: 2011-06
• Primary Completion: 2016-08
• Study Completion: 2016-08
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-17
• Last Update Posted: 2018-08-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 218766

Inclusion Criteria

• Patients that are aged 18 and older who have consented during the year 2009 to allow their provider use of their VHR data and had at least one visit to a healthcare provider that is a VHR user within 6 months after they consented to allow their provider use of their VHR data. (Note: we only wish to include individuals who have had the opportunity for their data to be viewed using the VHR web portal). Providers who are participating in the Regional Health Information Exchange (RHIO).

Exclusion Criteria

• Patients and providers who do not meet the above criteria

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
1	Virtual Health Record (VHR)	Patients who did not have their data accessed in the VHR by a provider within 6 months after they consented will be part of the control group
2	Virtual Health Record (VHR)	Patients who had their data accessed in the VHR by a provider within 6 months after they consented will be part of the intervention group

Primary Outcome Measures

Name	Time	Method
VHR Usage	1 year	Data from the VHR web portal database which records patient consent and provider usage of the web portal
Changes in Healthcare Utilization	1 year	A retrospective set of claims data will be used to characterize healthcare utilization and describe the study population

Trial Locations

Locations (3)

HealtheLink; 🇺🇸 Buffalo, New York, United States

Rochester RHIO; 🇺🇸 Rochester, New York, United States

Weill Medical College of Cornell University; 🇺🇸 New York, New York, United States