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| Sponsors and Collaborators: |
Weill Medical College of Cornell University New York State Department of Health The Commonwealth Fund Taconic Health Information Network and Community (THINC) Taconic Independent Practice Association (TIPA) |
|---|---|
| Information provided by: | Weill Medical College of Cornell University |
| ClinicalTrials.gov Identifier: | NCT00793065 |
Purpose
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.
| Condition | Intervention |
|---|---|
|
Health Information Technology Physician Incentives Quality of Health Care |
Other: Electronic health record (EHR) Other: Pay-for-performance incentive Other: Medical Home redesign |
| Study Type: | Observational |
| Study Design: | Cohort, Prospective |
| Official Title: | Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley |
| Estimated Enrollment: | 1200 |
| Study Start Date: | October 2008 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
1
Physicians that are using paper-based medical charts and who are not receiving pay-for-performance or Medical Home redesign incentives.
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2
Physicians that are using paper-based medical charts and who are receiving pay-for-performance incentives but not undergoing Medical Home redesign.
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Other: Pay-for-performance incentive
Financial incentives that are given to physicians based on their performance on health care quality measures
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3
Physicians that are using electronic health records and who are not receiving pay-for-performance or undergoing Medical Home redesign.
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Other: Electronic health record (EHR)
Computer-based system that allows physicians to access and manage patient records electronically.
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4
Physicians that are using electronic health records and who are receiving Pay-for-performance incentives but not undergoing Medical Home redesign.
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Other: Electronic health record (EHR)
Computer-based system that allows physicians to access and manage patient records electronically.
Other: Pay-for-performance incentive
Financial incentives that are given to physicians based on their performance on health care quality measures
|
|
5
Physicians that are using electronic health records, receiving pay-for-performance incentives and undergoing Medical Home redesign.
|
Other: Electronic health record (EHR)
Computer-based system that allows physicians to access and manage patient records electronically.
Other: Pay-for-performance incentive
Financial incentives that are given to physicians based on their performance on health care quality measures
Other: Medical Home redesign
Implementation of NCQA Level II Medical Home
|
The Hudson Valley is implementing several innovative programs to potentially improve quality and reduce the cost of health care delivered. First the Taconic Health Information Network and Communities Regional Health Information Organization (THINC RHIO) is facilitating diffusion of EHRs in office practices in the Hudson Valley. Second, THINC RHIO is also offering a strategic approach to pay-for-performance. Third, an additional component of the THINC P4P project will be an added financial incentive for private practice physicians who implement and reach Level II of Physician Practice Connections® - Patient Centered Medical Home (PCMH)™, NCQA's new national recognition system for physician practices. Our study will seek to determine the effect of each of these initiatives on health care quality and cost of care in the Hudson Valley. We will also measure the patient experience before and after implementation of the Medical Home.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
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).
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Lisa M Kern, MD, MPH | (212) 746-3039 | lmk2003@med.cornell.edu |
| Contact: Rina V Dhopeshwarkar, MPH | (212) 746-1274 | rvd2001@med.cornell.edu |
| United States, New York | |
| Weill Cornell Medical College | Recruiting |
| New York, New York, United States, 10021 | |
| Principal Investigator: | Lisa M Kern, MD, MPH | Weill Cornell Medical College |
| Principal Investigator: | Rainu Kaushal, MD, MPH | Weill Cornell Medical College |
More Information
| Responsible Party: | Department of Public Health, Weill Cornell Medical College ( Lisa Kern, MD, MPH, Assistant Professor ) |
| Study ID Numbers: | 0508190240 |
| Study First Received: | November 14, 2008 |
| Last Updated: | November 18, 2008 |
| ClinicalTrials.gov Identifier: | NCT00793065 |
| Health Authority: | United States: Institutional Review Board |
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health information technology physician incentives quality of health care |
