Health Information Exchange Reduces Repeated Diagnostic Imaging for Back Pain

Bailey, James E.; Pope, Rebecca; Elliott, Elizabeth C.; Wan, Jim Y.; Waters, Teresa M.; Frisse, Mark E.

doi:10.1016/j.annemergmed.2013.01.006

Cited by 100 publications

(69 citation statements)

References 28 publications

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“…However, this study suggests that the community-wide lookup approach offered by many HIE efforts could have clinical and economic value, particularly in the transition from inpatient to outpatient settings. This approach to exchange has already been associated with reductions in utilization in areas of care such as repeat imaging 43,44 and admissions via the ED. 12,13 These findings also suggest an avenue for hospitals and healthcare systems to respond to current changes in US healthcare policy.…”

Section: Discussionmentioning

confidence: 99%

The potential for community-based health information exchange systems to reduce hospital readmissions

Vest

Kern

Silver

et al. 2014

Journal of the American Medical Informatics Association

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Background Hospital readmissions are common, costly, and offer opportunities for utilization reduction. Electronic health information exchange (HIE) systems may help prevent readmissions by improving access to clinical data by ambulatory providers after discharge from the hospital. Objective We sought to determine the association between HIE system usage and 30-day same-cause hospital readmissions among patients who consented and participated in an operational community-wide HIE during a 6-month period in 2009–2010. Methods We identified a retrospective cohort of hospital readmissions among adult patients in the Rochester, New York area. We analyzed claims files from two health plans that insure more than 60% of the area population. To be included in the dataset, patients needed to be continuously enrolled in the health plan with at least one encounter with a participating provider in the 6 months following consent to be included in the HIE system. Each patient appeared in the dataset only once and each discharge could be followed for at least 30 days. Results We found that accessing patient information in the HIE system in the 30 days after discharge was associated with a 57% lower adjusted odds of readmission (OR 0.43; 95% CI 0.27 to 0.70). The estimated annual savings in the sample from averted readmissions associated with HIE usage was $605 000. Conclusions These findings indicate that usage of an electronic HIE system in the ambulatory setting within 30 days after hospital discharge may effectively prevent hospital readmissions, thereby supporting the need for ongoing HIE efforts.

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Section: Discussionmentioning

confidence: 99%

The potential for community-based health information exchange systems to reduce hospital readmissions

Vest

Kern

Silver

et al. 2014

Journal of the American Medical Informatics Association

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“…Time spent by the hospital staff in verifying information could be reduced, which includes that of medical tests, results and diagnoses of patients (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016). Zaidan et al (2015) also found that the costs could be reduced by using HIE; for example, reducing the duplication of tests and results as well as less usage of paper in hospitals (Yaraghi, 2015;Zaidan et al, 2015;Bailey et al, 2013;Miller & Tucker, 2014).…”

Section: Benefits Of Hospital Information Exchangementioning

confidence: 99%

“…(Kaelber & Bates, 2007;Hyppönen et al, 2014;Thorn et al, 2014;Zaidan et al, 2015) Timeliness (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016) Assessing quality of care (Iezzoni, 1997;Zaidan et al, 2015;Vest & Gamm, 2010;AdlerMilstein et al, 2011;Parker et al, 2016). Research resource (Safran et al, 2007;Nissinen et al, 2016;Groves et al, 2016;Miller & Tucker, 2014) Organizational benefits (Vest, 2012;Friedberg et al, 2014;Byrne et al, 2014;Otte-Trojel et al, 2014;Rittenhouse et al, 2017) Patient perception (Park, 2013;Hsieh, 2015;Geissbuhler, 2013) Security and privacy (Gritzalis & Lambrinoudakis, 2004;Ibrahim & Singhal, 2016;Kruse et al, 2014;Huang et al, 2014) Cost reduction (Yaraghi, 2015;Zaidan et al, 2015;Bailey et al, 2013;Miller & Tucker, 2014) Patient perceptions of health information sharing are important as discovered by Park (2013). In this study, the respondents indicated their acceptance of the new information system or willingness to endorse HIE technology.…”

Section: Benefits Of Hospital Information Exchangementioning

confidence: 99%

Malaysia Health Information Exchange: A systematic review

Ismail¹,

Abdullah²

2017

BEH

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Abstract:Malaysia Health Information Exchange (MyHiX) is part of Health Transformation System, which is a national agenda to improve the healthcare service using ICT as an enabler. Its main focus is to share patients' discharge summary or clinical summary among healthcare facilities. This initiative was launched in November 2008. However, nine years after its launch, MyHiX has been successfully implemented only in eight healthcare institutions in Malaysia. Therefore, this paper presents a systematic review of the existing literatures related to Health Information Exchange or MyHiX, with the aim of exploring the empirical gaps and issues associated with its implementation. Six databases were used to locate relevant studies, namely IEEE, Proquest, Emerald, Science Direct, Google Scholar and Scopus. In total, 70 studies met the inclusion criteria. Further thematic analysis of these studies revealed that issues of MyHIX implementation could be categorized into technological, organizational, environmental and human contexts. JEL Classifications: I10

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“…Their findings showed that any cost reduction was related to health information sharing because of would be diminish Radiograph Computed Tomography (CT) imaging when healthcare providers used health information sharing [1].…”

Section: Dear Editormentioning

confidence: 99%