HypertensioneheartsNCT00884013
New York City (NYC) Health eHearts Pay for Quality Pilot
An observational study of Hypertension and Diabetes, run by New York City Department of Health and Mental Hygiene at 1 site in United States.
Trial summary
Do monetary incentives in small independent primary care practices improve the delivery of preventive services as recommended by U.S. Preventive Services Task Force (USPSTF) guidelines for cardiovascular health? Read more about this study
- Who is it for?
- Ages 22 years and older, men only
- Conditions the study is for
- Hypertension, Diabetes, Smoking
- How many people
- 84 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2009to not given
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 22 years and older
- Men only
- Adult, Older adult
Study population: Adult Primary Care Providers that have adopted an electronic health record in New York City in non-hospital based practices.
Who may be able to join
- Primary Care Providers
Who cannot join
- Specialists
- Pediatricians
- Obstetricians
- Gynecologists
Trial locations and contacts
1 site in 1 country.
United States1 site
New York City Departemnt of Health and Mental Hygiene
New York, New York, 10038
About this study
Official title: Program Evaluation of New York City Health eHearts Pay for Quality Program
Do monetary incentives in small independent primary care practices improve the delivery of preventive services as recommended by U.S. Preventive Services Task Force (USPSTF) guidelines for cardiovascular health?
Read the detailed description
The NYC DOHMH received a private donation from the Robin Hood Foundation to provide monetary incentives to small practices for improving their delivery of preventive services in neighborhoods experiencing health disparities.
Practices recruited by NYC DOHMH to adopt an electronic health record will be randomized to receive monetary incentives for improving both patient outcomes and delivery of care on: aspirin therapy, blood pressure control, cholesterol control, and smoking cessation intervention. The set of quality measures are referred to the ABCS.
The NYC DOHMH will be collecting provider surveys on their experience on quality measurement and participation in other pay-for-performance programs, as well as transmit aggregated information on their performance on the ABCS to DOHMH on a monthly basis.
- Conditions
- Hypertension, Diabetes, Smoking, Ischemic Cardiovascular Disease
- Keywords
- Pay for Quality, Provider, Clinical Decision Support, Quality Reporting, Quality Measurement
- Medical subject headings
- Hypertension, Diabetes Mellitus, Smoking
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Quality Payment and all clinical reminders turned on | |
| 2 | Quality Payment and ABCS measures reminders turned on | |
| 3 | Quality Payment and non-ABCS measures reminders turned on | |
| 4 | Quality Reporting and Recognition with all clinical reminders turned on | |
| 5 | Quality Reporting and Recognition with ABCS measures reminders turned on | |
| 6 | Quality Reporting and Recognition with non-ABCS measures reminders turned on |
What is being measured
The primary outcome is the main question the study is designed to answer.
percent of patients eligible for quality measures (ABCS)
Measured: 1 year
Secondary outcomes (1)
use of EHR clinical reminders
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2009 (estimated)
- Study startJan 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 84 participants (estimated)
Sponsor and investigators
- Lead sponsor
- New York City Department of Health and Mental Hygiene
- Sponsor type
- Other government
- Collaborators
- Robin Hood Foundation
- Investigators
- Farzad Mostashari, MD, MPH, Principal investigator, NYC DOHMH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00884013
- Sponsor's protocol ID
- PCIP001
- Acronym
- ehearts
- Status last verified
- Apr 2009
- First submitted
- 16 Apr 2009
- Last updated
- 20 Apr 2009
- Results posted
- No
- Data monitoring committee
- No
Publications
Bardach NS, Wang JJ, De Leon SF, Shih SC, Boscardin WJ, Goldman LE, Dudley RA. Effect of pay-for-performance incentives on quality of care in small practices with electronic health records: a randomized trial. JAMA. 2013 Sep 11;310(10):1051-9. doi: 10.1001/jama.2013.277353.
PubMed 24026600
Study at a glance
From the registry record, last updated by the sponsor on 20 Apr 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Program Evaluation of New York City Health eHearts Pay for Quality Program
- ClinicalTrials.gov ID
- NCT00884013
- Acronym / sponsor ID
- ehearts / PCIP001
- Conditions
- Hypertension, Diabetes, Smoking, Ischemic Cardiovascular Disease
- Keywords
- Pay for Quality, Provider, Clinical Decision Support, Quality Reporting, Quality Measurement
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 84 participants (estimated)
- Lead sponsor
- New York City Department of Health and Mental HygieneOther government
- Collaborators
- Robin Hood Foundation
- Study start
- Jan 2009
- First posted
- 20 Apr 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Do monetary incentives in small independent primary care practices improve the delivery of preventive services as recommended by U.S. Preventive Services Task Force (USPSTF) guidelines for cardiovascular health?
Detailed description
The NYC DOHMH received a private donation from the Robin Hood Foundation to provide monetary incentives to small practices for improving their delivery of preventive services in neighborhoods experiencing health disparities.
Practices recruited by NYC DOHMH to adopt an electronic health record will be randomized to receive monetary incentives for improving both patient outcomes and delivery of care on: aspirin therapy, blood pressure control, cholesterol control, and smoking cessation intervention. The set of quality measures are referred to the ABCS.
The NYC DOHMH will be collecting provider surveys on their experience on quality measurement and participation in other pay-for-performance programs, as well as transmit aggregated information on their performance on the ABCS to DOHMH on a monthly basis.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| 1 | – | –Quality Payment and all clinical reminders turned on |
| 2 | – | –Quality Payment and ABCS measures reminders turned on |
| 3 | – | –Quality Payment and non-ABCS measures reminders turned on |
| 4 | – | –Quality Reporting and Recognition with all clinical reminders turned on |
| 5 | – | –Quality Reporting and Recognition with ABCS measures reminders turned on |
| 6 | – | –Quality Reporting and Recognition with non-ABCS measures reminders turned on |
Who may qualify
- Ages
- 22 years and older
- Sex
- Male only
- Age groups
- Adult, Older adult
- Study population
- Adult Primary Care Providers that have adopted an electronic health record in New York City in non-hospital based practices.
Key inclusion criteria (1 listed)
- Primary Care Providers
Key exclusion criteria (4 listed)
- Specialists
- Pediatricians
- Obstetricians
- Gynecologists
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
percent of patients eligible for quality measures (ABCS)
Time frame: 1 year
1 secondary outcome
use of EHR clinical reminders
Time frame: 1 year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Apr 2009.
- Derived from this study: PubMed 24026600Bardach NS, Wang JJ, De Leon SF, Shih SC, Boscardin WJ, Goldman LE, Dudley RA. Effect of pay-for-performance incentives on quality of care in small practices with electronic health records: a randomized trial. JAMA. 2013 Sep 11;310(10):1051-9. doi: 10.1001/jama.2013.277353.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Farzad Mostashari, MD, MPH principal investigator
NYC DOHMH
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hypertension and Diabetes, run by New York City Department of Health and Mental Hygiene at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Apr 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
percent of patients eligible for quality measures (ABCS) (time frame: 1 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00884013, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2009.