Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley

NCT00793065 | Completed

• 1 other identifier: 0508190240
• Study Type: observational
• Target: 438
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators will conduct a longitudinal cohort study with concurrent controls. The investigators will include all primary care physicians in the Hudson Valley including family practitioners, internists, and pediatricians. The purpose of this study is to determine the effects of implementing electronic health records (EHRs), pay-for-performance incentives for physicians (P4P), and Medical Home redesign on health care quality, cost and patient experience in the Hudson Valley.

Conditions

Quality of Health Care; Electronic Health Records

Keywords

electronic health records; health information technology; physician incentives; quality of health care

Outcome Measures

Primary Outcomes (2)

• health care quality (as determined by previously selected and approved quality indicators)

  5 years

• health care utilization

  5 years

Study Arms (3)

1

Physicians that are using paper-based medical charts and who are not receiving Medical Home redesign incentives.

2

Physicians that are using Electronic Health Records (EHRs) and who are not undergoing Medical Home redesign.

Other: Electronic health record (EHR)

3

Physicians that are using Electronic Health Records (EHRs) and undergoing Medical Home redesign.

Other: Electronic health record (EHR); Other: Medical Home redesign

Interventions

Electronic health record (EHR) OTHER

Computer-based system that allows physicians to access and manage patient records electronically.

2; 3

Medical Home redesign OTHER

Implementation of NCQA Level III Medical Home

3

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All primary care physicians (i.e. general internists, pediatricians and family practice physicians) in the Hudson Valley who are members of the Taconic Independent Practice Association (IPA).

You may qualify if:

• Primary care physicians working in the offices practices in the Hudson Valley, and who are members of the Taconic IPA.

You may not qualify if:

• Physicians who opt out from the study.

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• New York State Department of Health: collaborator
• The Commonwealth Fund: collaborator
• Taconic Health Information Network and Community (THINC): collaborator
• Taconic Independent Practice Association (TIPA): collaborator

Study Sites (1)

Weill Cornell Medical College

New York, New York, 10021, United States

Location

Related Publications (3)

• Kern LM, Edwards A, Kaushal R. The Patient-Centered Medical Home and Associations With Health Care Quality and Utilization: A 5-Year Cohort Study. Ann Intern Med. 2016 Mar 15;164(6):395-405. doi: 10.7326/M14-2633. Epub 2016 Feb 16.

  PMID: 26882534 DERIVED

• Kaushal R, Edwards A, Kern LM; HITEC Investigators. Association between electronic health records and health care utilization. Appl Clin Inform. 2015 Jan 28;6(1):42-55. doi: 10.4338/ACI-2014-10-RA-0089. eCollection 2015.

  PMID: 25848412 DERIVED

• Kern LM, Edwards A, Kaushal R. The patient-centered medical home, electronic health records, and quality of care. Ann Intern Med. 2014 Jun 3;160(11):741-9. doi: 10.7326/M13-1798.

  PMID: 24887615 DERIVED

MeSH Terms

Interventions

Electronic Health Records

Intervention Hierarchy (Ancestors)

Medical Records Systems, Computerized; Medical Records; Records; Data Collection; Epidemiologic Methods; Investigative Techniques; Organization and Administration; Health Services Administration; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Lisa M Kern, MD, MPH

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

• Rainu Kaushal, MD, MPH

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 14, 2008
• First Posted: November 19, 2008
• Study Start: January 1, 2008
• Primary Completion: December 1, 2012
• Study Completion: December 1, 2012
• Last Updated: February 23, 2017

Record last verified: 2017-02

Locations

US (1)