Ignite Creation Date:
2024-05-05 @ 12:02 PM
Last Modification Date:
2024-10-26 @ 9:19 AM
Study NCT ID:
NCT00224224
Status:
COMPLETED
Last Update Posted:
2008-04-03
First Post:
2005-09-20
Brief Title:
A Comparison of Primary Care and Traditional Internal Medicine Residents
Sponsor:
Weill Medical College of Cornell University
Organization:
Weill Medical College of Cornell University
Study Overview
Official Title:
A Comparison of Primary Care and Traditional Internal Medicine Residents
Status:
COMPLETED
Status Verified Date:
2008-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this study is to identify objective differences between primary care and traditional medicine residents in clinical performance continuity of care and utilization of resources Specifically this retrospective study will analyze the database collected by CLIMACS the computer system at Cornell Internal Medicine Associates CIMA This system is used for clinical and administrative purposes it manages and tracks patients information and demographics appointment booking clinical diagnosis prescriptions and medications laboratory and radiology test and consults In our study we will analyze a subset of the CLIMACS database from previous years
Detailed Description:
Three areas will be examined
1 Clinical performance
2 Continuity of care
3 Utilization of resources
Clinical performance will be assessed using Health Plan Employer data and Information Set HEDIS performance standards These standards were developed for the purposes of quality assessment and in our study we will examine the following HEDIS standards
1 Breast Cancer Screening- the proportion of women between the ages of 52 and 64 who have had a mammogram within a two year period
2 Cervical Cancer Screening- the proportion of women between the ages of 21 and 64 who had a Pap test in the preceding 3 years
3 Cholesterol Screening- the proportion of patients ages 20 to 39 and 40-59 who have had their cholesterol tested at least once in the past five years
4 Asthma admission rate- the proportion of asthmatics admitted to the hospital for the care of asthma per year
5 Diabetic Standards-
1 Admission for cellulitis 1000 diabetics per year
2 Admission for diabetes 1000 diabetics per year
3 Inpatient days per 100 diabetics per year
4 Prevalence of ischemic heart disease
5 Prevalence of severe renal disease
6 Diabetics with 2 hemoglobin A1C drawn per year
Continuity of Care will be assessed by 3 different indicators
1 The proportion of visits that are made to the designated primary care provider of the number of visits made
2 The proportion of missed appointments of the total number of appointments
3 The proportion of walk in visits of the total number of appointments
Resource utilization will be assessed by examining the following
1 Number of lab test per year per patient
2 Number of specialty consults per year per patient
3 Hospital admission rates per patient per year
4 Cost to medications Confidentiality will be maintained throughout the study In clinical practice access to CLIMACS is limited to the medical providers and administrators by individuals access codes Furthermore our study will remove specific identifiers to maintain the anonymity of both the patients and residents
1 Clinical performance
2 Continuity of care
3 Utilization of resources
Clinical performance will be assessed using Health Plan Employer data and Information Set HEDIS performance standards These standards were developed for the purposes of quality assessment and in our study we will examine the following HEDIS standards
1 Breast Cancer Screening- the proportion of women between the ages of 52 and 64 who have had a mammogram within a two year period
2 Cervical Cancer Screening- the proportion of women between the ages of 21 and 64 who had a Pap test in the preceding 3 years
3 Cholesterol Screening- the proportion of patients ages 20 to 39 and 40-59 who have had their cholesterol tested at least once in the past five years
4 Asthma admission rate- the proportion of asthmatics admitted to the hospital for the care of asthma per year
5 Diabetic Standards-
1 Admission for cellulitis 1000 diabetics per year
2 Admission for diabetes 1000 diabetics per year
3 Inpatient days per 100 diabetics per year
4 Prevalence of ischemic heart disease
5 Prevalence of severe renal disease
6 Diabetics with 2 hemoglobin A1C drawn per year
Continuity of Care will be assessed by 3 different indicators
1 The proportion of visits that are made to the designated primary care provider of the number of visits made
2 The proportion of missed appointments of the total number of appointments
3 The proportion of walk in visits of the total number of appointments
Resource utilization will be assessed by examining the following
1 Number of lab test per year per patient
2 Number of specialty consults per year per patient
3 Hospital admission rates per patient per year
4 Cost to medications Confidentiality will be maintained throughout the study In clinical practice access to CLIMACS is limited to the medical providers and administrators by individuals access codes Furthermore our study will remove specific identifiers to maintain the anonymity of both the patients and residents
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None