Evaluating the Impact on Quality and Costs of Regional Clinical Data Exchange Programs in New York State

Completed

• Conditions: Quality of Health Care; Health Care Costs
• Interventions: Other: Health information technology and exchange

• Registration Number: NCT00571376
• Lead Sponsor: Weill Medical College of Cornell University

Brief Summary

The purpose of this study is to measure the financial effects of health information technology and health information exchange in regional health information organizations in New York State.

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 Timeline

• Study First Submitted: 2007-12-11
• Study First Submitted QC: 2007-12-11
• Study First Posted: 2007-12-12
• Study Start: 2009-01
• Primary Completion: 2010-12
• Study Completion: 2010-12
• Status Verified: 2017-02
• Last Update Submitted: 2017-02-17
• Last Update Posted: 2017-02-23

Recruitment & Eligibility

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

Inclusion Criteria

• Patients and health care providers participating in regional health information organizations or their affiliate institutions.

Exclusion Criteria

• None

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
1	Health information technology and exchange	Those exposed to health information technology or health information exchange

Primary Outcome Measures

Name	Time	Method
Hospital admissions	2 years
Hospital re-admissions	2 years
Repeat medical imaging	2 years

Secondary Outcome Measures

Name	Time	Method
Changes in patient safety	2 years
Changes in health care efficiency	2 years
Usage of health information technology and health information exchange	2 years
Changes in health care quality	2 years

Trial Locations

Locations (1)

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