Clinical trial NCT01250288: Usage of Health Information Exchange (HIE) Technologies
Official title: Patient Adoption and Use of Health Information Exchange (HIE) Technologies
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Health Records, Personal
Keywords: Health Information Technology
Health Records, Personal
Hospital Information Systems
Patient Access to Records
Medical Records
Medical Record Systems, Computerized
Lead sponsor: Weill Medical College of Cornell University
Sponsor class: OTHER
Collaborators: name: New York State Department of Health
name: Maimonides Medical Center
First posted: 2010-11-30
Enrollment: 7800
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Consumers (patients and their proxies) and their healthcare providers who are being exposed to a novel interoperable personal health management system in the Brooklyn community.

Brief summary: The purpose of this research study is to describe the usage of consumers and providers when using a novel technology designed to give consumers the ability to manage and access their health information. This is a quantitative descriptive analysis study.

Detailed description: New York State has awarded grants to several regional health information exchange organizations (RHIOs), organizations established to create the technical and policy infrastructure needed to exchange health data between providers, payers, and public health agencies within a particular geographic region, to build an interoperable system for people to manage their own health information. Two of these grant recipients are the Brooklyn Health Information Exchange (BHIX) and Long Island Patient Information Xchange (LIPIX).

Since no off-the shelf technology currently exists to create such a system, BHIX is working with a commercial vendor to develop a unique system that is tailored toward the needs of their consumers and providers, while LIPIX is developing their own unique system in-house. Both BHIX's and LIPIX's interoperable personal health management systems will offer various features to consumers and providers in their community. Consumers may be able to perform tasks such as viewing their lab results, scheduling an appointment, or sending a message directly to their physician through a SMS. Conversely, the PHR can also allow physicians to engage in communications with their patient, release data to their patient(s) (e.g. lab test result); and view patient inputted-data.

The usage patterns of these personal health managements systems is not well understood (Ralson et al., 2009; Kim et al., 2007). Understanding consumers and providers' use of these interoperable systems can help aid in improving current systems and developing future systems.

Specific Aims

The specific aims of this study are to describe the usage of BHIX's and LIPIX's novel interoperable personal health management systems, specifically:

1. To quantify adoption of and frequency of use of novel technological platforms designed to give consumers (patients) access to RHIO-based health information exchange (HIE) data;
2. To quantify usage of HIE-specific data elements within these platforms;
3. To explore associations between usage and user demographics/clinical characteristics;
4. To explore trends in usage over time.

Eligibility criteria: Inclusion Criteria:

* Consumers: Consumers (patients or their designated proxies)who are 18 years of age or older and who have registered for either BHIX's personal health record system or LIPIX's secure messaging system.
* Providers: Healthcare Providers who are authorized to view Health Information Exchange data of BHIX or LIPIX.

Exclusion Criteria:

* Anyone that does not fall into the above inclusion category.

Primary outcomes:
measure: Understand Usage Patterns of a Novel Health Information Exchange (HIE) Technology Platform
timeFrame: 1 year
Secondary outcomes:
measure: Understand Trends in Usage over Time
timeFrame: 1 year
Other outcomes:
Locations:
city: Brooklyn
country: United States
facility: Brooklyn Health Information Exchange (BHIX)
state: New York
city: New York
country: United States
facility: Weill Cornell Medical College
state: New York
city: Rockville Centre
country: United States
facility: Long Island Patient Information Xchange (LIPIX)
state: New York
Study officials:
affiliation: Weill Medical College of Cornell University
name: Jessica S Ancker, MPH, PhD
role: STUDY_CHAIR
affiliation: Weill Medical College of Cornell University
name: Rainu Kaushal, MD, MPH
role: STUDY_DIRECTOR
affiliation: Weill Medical College of Cornell University
name: Melissa C Miller, MPH
role: PRINCIPAL_INVESTIGATOR
affiliation: Weill Medical College of Cornell University
name: Alison Edwards, MStat
role: PRINCIPAL_INVESTIGATOR
affiliation: Weill Medical College of Cornell University
name: Yolanda Barron, MS
role: PRINCIPAL_INVESTIGATOR
References: