Skip to main content
OpenTrials
Completed

NCT Number: NCT00793065

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

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Quality of Health Care Electronic Health Records

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Weill Cornell Medical College

New York, 10021, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Physicians who opt out from the study.

Treatment and study plan

Electronic health record (EHR)

Other

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

Medical Home redesign

Other

Implementation of NCQA Level III Medical Home

Primary outcomes

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

    Time frame: 5 years

  2. health care utilization

    Time frame: 5 years

Sponsors and collaborators

Lead sponsor

Weill Medical College of Cornell University

Other

Collaborators

  • New York State Department of Health
  • Taconic Health Information Network and Community (THINC)
  • Taconic Independent Practice Association (TIPA)
  • The Commonwealth Fund

Registry information

Important dates

Study start
2008
Primary completion
2012
Study completion
2012
First posted
Nov 19, 2008
Registry last updated
Feb 23, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.