This trial is active, not recruiting.

Conditions primary prevention, diabetes mellitus, asthma, cardiovascular diseases, heart failure, mental health, osteoporosis
Sponsor Department of Veterans Affairs
Collaborator Indiana University
Start date December 2012
End date June 2014
Trial size 6747 participants
Trial identifier NCT01446705, IIR 11-058


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 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.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Observational model cohort
Time perspective retrospective
Patients in this arm will represent Veterans seen at the Indianapolis VAMC for whom information exchange has not been activated.
Patients in this arm will represent Veterans seen at the Indianapolis VAMC for whom information exchange has been activated by the patient choosing to "opt-in."

Primary Outcomes

Health Care Quality: Ambulatory Care Performance Measures
time frame: 2 years

Secondary Outcomes

Health Care Quality: Care Sensitive Admissions
time frame: 2 years

Eligibility Criteria

Male or female participants of any age.

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

Additional Information

Official title Evaluation of VLER_Indiana Health Information Exchange Demonstration Project
Principal investigator David A Haggstrom, MD
Description This study will perform a pre-post evaluation of the VA-IHIE implementation, with a concurrent control group, among Veterans seen at the Indianapolis VA. Data on care received by Veterans will be obtained for one year before, and one year after, VA-IHIE enrollment. Patients will be recruited into the VA-IHIE program in a rolling manner over the course of a year, and thus will have different calendar intervals of follow-up. For purposes of evaluation, investigators will approach the VA-IHIE implementation as a patient-directed intervention given that additional information available from the exchange is available only on a patient-by-patient basis, i.e., a provider cannot use exchange information available for one patient in the care of another. Although the VA-IHIE program will be implemented at the site level, patients will be enrolled individually.
Trial information was received from ClinicalTrials.gov and was last updated in April 2015.
Information provided to ClinicalTrials.gov by Department of Veterans Affairs.