N/A
N=57,073
Evaluation of VLER-Indiana Health Information Exchange Demonstration Project
Diabetes Mellitus · Asthma · Cardiovascular Diseases · Heart Failure · Osteoporosis
Bottom Line
View on ClinicalTrials.gov: NCT01446705 ↗Enrolled (actual)
57,073
Serious AEs
0.0%
Results posted
Jan 2016
Primary outcome: Primary: Understanding Utilization of Healthcare Procedures by Veterans According to Source of Data — 41982; 5073; 8358; 1497 participants
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- Active Health Information Exchange (Other); Non-Active Health Information exchange (Other)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Understanding Utilization of Healthcare Procedures by Veterans According to Source of Data |
41982; 5073; 8358; 1497; 20; 37 | — |
| PRIMARY Effect of Health Information Exchange on Cost |
6,529; 9,915 | — |
| PRIMARY Health Care Quality: Affect of HIE on LDL Levels of Participants. |
86.308; 85.263; 83.957; 82.640 | — |
| SECONDARY Health Care Quality: Care Sensitive Admissions |
2083; 3229; 2194; 3350 | — |
Summary
Three out of four Veterans receive a portion of their care from non-VA providers. On April 9, 2009, President Barack Obama directed the Department of Veterans Affairs and the Department of Defense to create the Virtual Lifetime Electronic Record (VLER). On August 2010, Secretary of Veterans Affairs Eric K. Shinseki visited Indianapolis, and after visiting with leaders from the VA Health Services Research & Development (HSR&D) Center of Excellence and the Regenstrief Institute, he made the following public comments regarding the latest partnership between the two institutions: "This new technology allows safer, more secure, and private access to electronic health information which, in turn, enhances our ability to continue providing Veterans with the quality care that they have earned."
This new technology refers to the VLER HEALTH program that the Indianapolis VA is now implementing in partnership with the Regenstrief Institute and Indiana Health Information Exchange (IHIE). This VA-IHIE demonstration project is intended to create the capacity for VA institutions to exchange health information with community partners.
Investigators from the VA HSR&D Center on Implementing Evidence-Based Practice are active collaborators in building and implementing this program. The VA-IHIE program provides the bi-directional exchange of health information between VA and non-VA providers. Based on our pilot study of linked VA-IHIE data, investigators are conducting an evaluation of the impact of the VA-IHIE demonstration project upon health care quality and cost of Veterans by taking advantage of the initiation of the implementation as a natural experiment.
Eligibility Criteria
Inclusion Criteria
- Veteran's receiving care at the Indianapolis VAMC at least one year prior and one year post VA-IHIE enrollment
- Veteran's receiving care from a facility other than the Indianapolis VAMC one year prior and one year post VA-IHIE enrollment
Exclusion Criteria
None
Data sourced from ClinicalTrials.gov (NCT01446705). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.