Interspecialty Communication Supported by Health Information Technology Associated with Lower Hospitalization Rates for Ambulatory Care-Sensitive Conditions

O’Malley, Ann S.; Reschovsky, James D.; Saiontz-Martinez, Cynthia

doi:10.3122/jabfm.2015.03.130325

Cited by 27 publications

(25 citation statements)

References 23 publications

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“…More broadly, previous study has shown that increased communication between PCPs and specialists, using health information technology tools such as electronic health records, reduces hospitalizations. 19 Focusing on the posthospital care transition, complete and available summaries have been shown to reduce hospital readmission risk. 10 Despite this recognition, our survey demonstrates that PCPs continue to identify deficits in HDS content and availability; although having access to inpatient medical data increases the likelihood that a clinician will have the HDS available to them, a high level of deficiency in desired content remains.…”

Section: Discussionmentioning

confidence: 99%

Information Transfer and the Hospital Discharge Summary: National Primary Care Provider Perspectives of Challenges and Opportunities

et al. 2017

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Purpose:The hospital discharge summary (HDS) serves as a critical method of patient information transfer between hospitalist and primary care provider (PCP). This study was designed to increase our understanding of PCP preferences for, and perceived deficiencies in, the discharge summary.Methods: We designed a mail survey that was sent to a random sample of 800 American Academy of Family Physicians members nationally. The survey response rate was 59%. We analyzed the availability of summaries at hospital followup, whether all desired information was contained in the summary and whether certain specific items were completed. Provider subgroup analysis was performed.Results: The strongest predictor of discharge summary availability at posthospital followup is direct access to inpatient data. Respondents (27.5%) had a summary available 0% to 40% of the time, 41.4% noted availability 41% to 80% of the time and 31.1% >80% of the time; if a provider had access to inpatient data they tended to have a discharge summary available to them (P < .0001). Providers also described significant content deficits: 26.5% of providers noted the summary contained all information needed 0% to 40% of the time, 48.5% of providers noted this 41% to 80% of the time and only 25% >80% of the time. Specific summary items considered "very important" by providers included medication list (94% of respondents), diagnosis list (89%), and treatment provided (87%).

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Section: Discussionmentioning

confidence: 99%

Information Transfer and the Hospital Discharge Summary: National Primary Care Provider Perspectives of Challenges and Opportunities

et al. 2017

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“…; van Loenen et al. ; O'Malley, Reschovsky, and Saiontz‐Martinez ; Sundmacher and Kopetsch ). People with ADL limitations have greater health care needs while suffering from worse access to care (Gulley, Rasch, and Chan ).…”

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confidence: 99%

Potentially Avoidable Hospitalizations among People at Different Activity of Daily Living Limitation Stages

Rose

Stineman

Pan

et al. 2016

Health Services Research

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“…), and a few recent studies have examined the relationship between health IT use in ambulatory care settings, including EHR use and disease registries, and ACSC admissions (Han et al. ; O'Malley, Reschovsky, and Saiontz‐Martinez ).…”

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confidence: 99%

“…Most nationwide studies of the role of EHRs in improving quality of care, whether in terms of processes of care (McCullough et al 2010;Miller and Tucker 2011;Appari, Johnson, and Anthony 2013;McCullough, Parente, and Town 2013) or outcomes for patients (Miller and Tucker 2011;McCullough, Parente, and Town 2013;Agha 2014), have focused on EHR use by hospitals. Several studies have examined the impact of physician use of interoperable EHRs and electronic health information exchange, usually in one community or region of the United States (Frisse et al 2012;Kaushal, Edwards, and Kern 2015;Vest et al 2015), and a few recent studies have examined the relationship between health IT use in ambulatory care settings, including EHR use and disease registries, and ACSC admissions (Han et al 2014;O'Malley, Reschovsky, and Saiontz-Martinez 2015).…”

mentioning

confidence: 99%

Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiaries: Panel Data Evidence, 2010–2013

Lammers

McLaughlin

2016

Health Services Research

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Objective. To test for correlation between the growth in adoption of ambulatory electronic health records (EHRs) Study Design. Fixed effects model estimated the relationship between hospital referral region (HRR) level measures of physician EHR adoption and ACSC admissions and readmissions. Analyzed rates of admissions and 30-day readmissions per beneficiary at the HRR level (restricting the denominator to beneficiaries in our sample), adjusted for differences across HRRs in Medicare beneficiary age, gender, and race. Calculated physician EHR adoption rates as the percentage of physicians in each HRR who report using EHR in ambulatory care settings. Principal Findings. Each percentage point increase in market-level EHR adoption by physicians is correlated with a statistically significant decline of 1.06 ACSC admissions per 10,000 beneficiaries over the study period, controlling for the overall time trend as well as market fixed effects and characteristics that changed over time. This finding implies 26,689 fewer ACSC admissions in our study population during 2010 to 2013 that were related to physician ambulatory EHR adoption. This represents 3.2 percent fewer ACSC admissions relative to the total number of such admissions in our study population in 2010. We found no evidence of a correlation between EHR use, by either physicians or hospitals, and hospital readmissions at either the market level or hospital level.Conclusions. This study extends knowledge about EHRs' relationship with quality of care and utilization. The results suggest a significant association between EHR use in ambulatory care settings and ACSC admissions that is consistent with policy goals to improve the quality of ambulatory care for patients with chronic conditions. The null findings for readmissions support the need for improved interoperability

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Interspecialty Communication Supported by Health Information Technology Associated with Lower Hospitalization Rates for Ambulatory Care-Sensitive Conditions

Cited by 27 publications

References 23 publications

Information Transfer and the Hospital Discharge Summary: National Primary Care Provider Perspectives of Challenges and Opportunities

Information Transfer and the Hospital Discharge Summary: National Primary Care Provider Perspectives of Challenges and Opportunities

Potentially Avoidable Hospitalizations among People at Different Activity of Daily Living Limitation Stages

Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiaries: Panel Data Evidence, 2010–2013

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