Assessing the Benefits of Integrating Health Information Exchange Services into the Medical Practices’ Workflow

Fecher, Kim; McCarthy, Lauren; Porreca, Daniel E.; Yaraghi, Niam

doi:10.1007/s10796-019-09979-x

Cited by 8 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent research has shown that appropriate integration of HIE technology into the practices' workflows can significantly reduce the amount of administrative work (Fecher et al 2020). Specifically, HIE helps to decrease the paperwork involved in a referral process (Fontaine et al, 2010) by improving the access to test results and facilitating the processing of medical claims.…”

Section: Hie Impact On Referral Processesmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Health Information Exchange Adoption on Referral Patterns

et al. 2023

Self Cite

View full text Add to dashboard Cite

Efforts to promote Health Information Exchanges (HIEs) on a nationwide scale are beset with major challenges, and one of them is its meaningful use for both physicians and patients. Referrals potentially provide a context for the meaningful use of HIE, and we are yet to understand how HIEs affect referrals. This research studies the impact of HIE on referral patterns. We establish that participation in an HIE network increases the referrals sent to and received from other HIE participants. We investigate this relationship using both econometric and network-analytic methods. Whereas the econometric analysis focuses on the underlying associations between HIE adoption and referral patterns, the network analysis addresses the transformation process by which HIE adoption and referrals coevolve over time. This study has significant implications for healthcare policy making, development of innovative HIE business models, and management of healthcare organizations. This paper was accepted by Anindya Ghose, information systems.

show abstract

Section: Hie Impact On Referral Processesmentioning

confidence: 99%

“…The ADT notification is sent to concerned HIE members as soon as their patients visit an Emergency Department, or get admitted, discharged or transferred from a hospital in the region. The ADT notification can be managed and customized by the HIE members according to their own workflow needs and preferences (Fecher et al, 2020).…”

Section: Proposed Mechanismmentioning

confidence: 99%

Impact of Health Information Exchange Adoption on Referral Patterns

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…Exchange of information by HIEs has been timely, comprehensive, and addresses threats to quality, safety, and efficiency ( 20 ). HIE benefits include reduced duplicate procedures, improved patient safety, and lower costs ( 12 , 20 ). Regional HIEs expanded the scope of exchanging health data electronically but are still limited to regions and states.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to the lack of information at the beginning of a visit, studies indicate only half of patients in the emergency rooms receive timely follow-up after discharge. Patients who do not receive follow-up care are more likely to have worsening conditions and return to the emergency department (6)(7)(8)(9)(10)(11)(12)(13). Additionally, because all health care is not local, patches in patient information are inadequate for proper patient-centered care.…”

Section: Introductionmentioning

confidence: 99%

Patient-Centered Data Home: A Path Towards National Interoperability

Williams

Grannis

2022

Front. Digit. Health

View full text Add to dashboard Cite

ObjectiveNational interoperability is an agenda that has gained momentum in health care. Although several attempts to reach national interoperability, an alerting system through interconnected network of Health Information Exchange (HIE) organizations, Patient-Centered Data Home (PCDH), has seen preliminary success. The aim was to characterize the PCDH initiative through the Indiana Health Information Exchange's participation in the Heartland Region Pilot, which includes HIEs in Indiana, Ohio, Michigan, Kentucky, and Tennessee.Materials and MethodsAdmission, Discharge, and Transfer (ADT) transactions were collected between December 2016 and December 2017 among the seven HIEs in the Heartland Region. ADTs were parsed and summarized. Overlap analyses and patient matching software were used to characterize the PCDH patients. R software and Microsoft Excel were used to populate descriptive statistics and visualization.ResultsApproximately 1.5 million ADT transactions were captured. Majority of patients were female, ages 56–75 years, and were outpatient visits. Top noted reasons for visit were labs, screening, and abdominal pain. Based on the overlap analysis, Eastern Tennessee HIE was the only HIE with no duplicate service areas. An estimated 80 percent of the records were able to be matched with other records.DiscussionThe high volume of exchange in the Heartland Region Pilot established that PCDH is practical and feasible to exchange data. PCDH has the posture to build better comprehensive medical histories and continuity of care in real time.ConclusionThe value of the data gained extends beyond clinical practitioners to public health workforce for improved interventions, increased surveillance, and greater awareness of gaps in health for needs assessments. This existing interconnection of HIEs has an opportunity to be a sustainable path toward national interoperability.

show abstract

“…It is very important to provide the patients with the proper diagnosis in order to avoid future readmissions or minimize their number as well as reduce the healthcare spending. There has been an increasing interest in the use of information systems to tackle healthcare problems (Kankanhalli et al 2016;Cabitza et al 2018;Fecher et al 2020;Huang et al 2018;Yang et al 2012). In this paper, we propose a knowledge-based recommender system to accurately identify the primary procedure for a newly admitted patient.…”

mentioning

confidence: 99%

Discovering Primary Medical Procedures and their Associations with Other Procedures in HCUP Data

Mardini

Raś

2020

Inf Syst Front

View full text Add to dashboard Cite

In recent years, healthcare spending has risen and become a burden on governments especially in the US. The selection of the primary medical procedure by physicians is the first step in the patient treatment process and is considered to be one of the main causes for hospital readmissions if it is not done correctly. In this paper, we propose a system that can identify with high accuracy the primary medical procedure for a newly admitted patient. We propose three approaches to anticipate which medical procedure should be primary. Additionally, we propose the procedure graph, which shows all possible paths that a new patient may undertake during the course of treatment. Finally, we extract the possible associations between the primary procedure and other procedures in the same hospital visit. The results show the ability of our proposed system to identify which procedure should be primary and extract its associations with other procedures.

show abstract

Assessing the Benefits of Integrating Health Information Exchange Services into the Medical Practices’ Workflow

Cited by 8 publications

References 15 publications

Impact of Health Information Exchange Adoption on Referral Patterns

Impact of Health Information Exchange Adoption on Referral Patterns

Patient-Centered Data Home: A Path Towards National Interoperability

Discovering Primary Medical Procedures and their Associations with Other Procedures in HCUP Data

Contact Info

Product

Resources

About