Ignite Creation Date:
2024-05-05 @ 4:59 PM
Last Modification Date:
2024-10-26 @ 9:27 AM
Study NCT ID:
NCT00365885
Status:
COMPLETED
Last Update Posted:
2014-07-11
First Post:
2006-08-16
Brief Title:
Showing Health Information Value in a Community Network
Sponsor:
Duke University
Organization:
Duke University
Study Overview
Official Title:
Showing Health Information Value in a Community Network
Status:
COMPLETED
Status Verified Date:
2012-12
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 purpose of this study is to determine the value of shared health information on care quality and costs when this information is used to notify care providers about concerning health events for patients cared for by a community-based network of providers
Detailed Description:
Project Abstract This three-year project will assess the costs and benefits of health information technology HIT in an established community-wide network of academic private and public healthcare facilities created to share clinical information for the purpose of population-based care management of over 16000 Medicaid beneficiaries in Durham County North Carolina The area of interest for this project is the impact of information-driven interventions on care quality patient safety and healthcare costs across the diverse stakeholders participating in this collaborative partnership In order to asses HIT value rigorously in the context of a production information system that is under continual development we propose to conduct a randomized controlled trial Specifically we will randomly assign patients by family unit to either a control group or to an intervention group in which they will initially receive one of 3 information-driven interventions The interventions include clinical alerts sent to care providers performance feedback reports presented to clinic managers and care reminders sent directly to patients The content of the interventions will address concerning events eg an emergency room encounter for asthma and care deficiencies eg delinquency on biannual mammogram identified from the composite set of clinical data in our information system To assess the benefits and burdens of the interventions combinations of the 3 interventions will be sequentially introduced into the study groups over the course of the project The analysis will compare groups receiving various combinations of interventions as well as those receiving no interventions At baseline and at six-month intervals throughout the course of the study we will measure emergency department encounter rates hospitalization rates HEDIS Healthcare Effectiveness Data and Information Set scores missed appointment rates glycated hemoglobin levels in diabetics and patient satisfaction Our assessment will look at the societal value of HIT as well as the value for individual stakeholders including patients providers payers purchasers and policy makers From these measures we will assess the costs and benefits of this community-wide effort to promote interoperability of clinical data exchange in order to increase the understanding of HIT value in a community setting In our preliminary studies we have observed a statistically significant 3-fold reduction in repeat ED Emergency Department encounter rates using email alerts alone The approach used in this project is able to be generalized across geographic areas and healthcare settings and can therefore serve to promote the dissemination of HIT to other communities
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
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HS015057 | AHRQ | None | httpsreporternihgovquickSearchR01HS015057 |