New York City (NYC) Health eHearts Pay for Quality Pilot (ehearts)

New York City Department of Health and Mental Hygiene

Status: Completed

Conditions: Hypertension; Diabetes; Ischemic Cardiovascular Disease; Smoking

Study type: Observational

Funder types: Other

Identifiers

NCT00884013

PCIP001

Details and patient eligibility

About

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?

Full 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.

Enrollment: 84 estimated patients

Sex: Male

Ages: 22+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Primary Care Providers

Exclusion criteria

• Specialists
• Pediatricians
• Obstetricians
• Gynecologists

Trial design

84 participants in 6 patient groups

1

Description:

Quality Payment and all clinical reminders turned on

2

Description:

Quality Payment and ABCS measures reminders turned on

3

Description:

Quality Payment and non-ABCS measures reminders turned on

4

Description:

Quality Reporting and Recognition with all clinical reminders turned on

5

Description:

Quality Reporting and Recognition with ABCS measures reminders turned on

6

Description:

Quality Reporting and Recognition with non-ABCS measures reminders turned on