Appl Clin Inform - State funding for health information technology and selected ambulatory healthcare quality measures.

Tópicos

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Resumo

CKGROUND: Previous studies on the effects of health information technology (health IT) on ambulatory quality have had mixed results. New York State has invested heavily in health IT throughout the State, creating a unique opportunity to assess effects on health care quality across multiple communities.OBJECTIVE: To determine any association between primary care providers' receipt of funding from New York State's Healthcare Efficiency and Affordability Law for New Yorkers Program (HEAL NY) and ambulatory quality of care.METHODS: A statewide, longitudinal cohort study of primary care physicians in New York State was conducted. Data regarding which primary care physicians received funding through the HEAL NY program (Phase 5 or Phase 10) in 2008 or 2009 were obtained from the New York State Department of Health. Health care quality in 2010 was measured using claims data that had been aggregated across 7 commercial health plans across the state. Physicians were divided into 2 groups, based on receipt of HEAL funding (yes/no). Any association was measured between study group and each of 7 quality measures, all of which appear in the Stage 1 federal Meaningful Use program. Negative binomial regression was used, adjusting for provider gender and specialty.RESULTS: The study included 3,988 primary care providers, of whom 863 (22%) had received HEAL NY funding. The HEAL-funded physicians provided higher quality of care on 5 of the 7 measures: breast cancer screening, eye exams in patients with diabetes, nephropathy screening in patients with diabetes, influenza vaccination and pneumococcal vaccination (p<0.0001 for all adjusted comparisons). The HEAL-funded group provided higher quality of care by an absolute 2 to 6 percentage points per measure for those 5 measures.CONCLUSION: Primary care physicians who received state funding for health IT provided higher quality of care than those who did not receive such funding.

Resumo Limpo

ckground previous studi effect health inform technolog health ambulatori qualiti mix result new york state invest heavili health throughout state creat uniqu opportun assess effect health care qualiti across multipl communitiesobject determin associ primari care provid receipt fund new york state healthcar effici afford law new yorker program heal ny ambulatori qualiti caremethod statewid longitudin cohort studi primari care physician new york state conduct data regard primari care physician receiv fund heal ny program phase phase obtain new york state depart health health care qualiti measur use claim data aggreg across commerci health plan across state physician divid group base receipt heal fund yesno associ measur studi group qualiti measur appear stage feder meaning use program negat binomi regress use adjust provid gender specialtyresult studi includ primari care provid receiv heal ny fund healfund physician provid higher qualiti care measur breast cancer screen eye exam patient diabet nephropathi screen patient diabet influenza vaccin pneumococc vaccin p adjust comparison healfund group provid higher qualiti care absolut percentag point per measur measuresconclus primari care physician receiv state fund health provid higher qualiti care receiv fund

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