Evidence map›Paper›PMID 25024772›Full record

ArticleApplied clinical informatics2014

State funding for health information technology and selected ambulatory healthcare quality measures.

L M Kern, M Silver, R Kaushal, HITEC Investigators

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.0field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

L M KernCenter for Healthcare Informatics and Policy, Weill Cornell Medical College , New York, NY ; Department of Healthcare Policy and Research, Weill Cornell Medical College , New York, NY ; Department of Medicine, Weill Cornell Medical College , New York, NY ; Health Information Technology Evaluation Collaborative , New York, NY.
M SilverDepartment of Healthcare Policy and Research, Weill Cornell Medical College , New York, NY ; Health Information Technology Evaluation Collaborative , New York, NY.
R KaushalCenter for Healthcare Informatics and Policy, Weill Cornell Medical College , New York, NY ; Department of Healthcare Policy and Research, Weill Cornell Medical College , New York, NY ; Department of Medicine, Weill Cornell Medical College , New York, NY ; Health Information Technology Evaluation Collaborative , New York, NY ; Department of Pediatrics, Weill Cornell Medical College , New York, NY ; New York-Presbyterian Hospital , New York, NY.
HITEC Investigators
Cornell University · USNewYork–Presbyterian Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious 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.

objectiveTo 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.

methodsA 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.

resultsThe 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.

conclusionPrimary care physicians who received state funding for health IT provided higher quality of care than those who did not receive such funding.

Indexed as

Capital FinancingAmbulatory CareElectronic Health RecordsMedical InformaticsPhysicians, Primary CareQuality of Health CareElectronic health recordsprimary health carequality of health care

Identifiers

PMID25024772
PMCPMC4081759
OpenAlexW1965661218

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.