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Search All Research Studies
AHRQ Research Studies Date
Topics
- Children/Adolescents (1)
- Communication (2)
- Data (3)
- Electronic Health Records (EHRs) (5)
- Emergency Department (2)
- Emergency Medical Services (EMS) (2)
- Healthcare Cost and Utilization Project (HCUP) (1)
- (-) Health Information Exchange (HIE) (12)
- (-) Health Information Technology (HIT) (12)
- Health Systems (2)
- Home Healthcare (1)
- Hospital Readmissions (2)
- Hospitals (1)
- Human Immunodeficiency Virus (HIV) (1)
- Outcomes (1)
- Patient-Centered Healthcare (1)
- Quality of Care (1)
- Vaccination (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 12 of 12 Research Studies DisplayedVest JR, Unruh MA, Freedman S
Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions.
Enterprise health information exchange (HIE) and a single electronic health record (EHR) vendor solution are 2 information exchange approaches to improve performance and increase the quality of care. This study sought to determine the association between adoption of enterprise HIE vs a single vendor environment and changes in unplanned readmissions. The investigators concluded that reductions in the probability of an unplanned readmission after a hospital adopts a single vendor environment suggested that HIE technologies can better support the aim of higher quality care.
AHRQ-funded; HS024717.
Citation: Vest JR, Unruh MA, Freedman S .
Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions.
J Am Med Inform Assoc 2019 Oct;26(10):989-98. doi: 10.1093/jamia/ocz116..
Keywords: Health Systems, Health Information Exchange (HIE), Electronic Health Records (EHRs), Health Information Technology (HIT), Hospital Readmissions, Hospitals
Vest JR, Unruh MA, Shapiro JS
The associations between query-based and directed health information exchange with potentially avoidable use of health care services.
This study quantified the impact of directed and query-based approaches to health information exchange (HIE) on potentially avoidable use of health care services. Data from Medicare fee-for-service claims was examined from 2008 to 2014 from providers in the Rochester Regional Health Organization (RHIO). There were very small reductions in the probability of ambulatory care sensitive hospitalization with either approach.
AHRQ-funded; HS024556.
Citation: Vest JR, Unruh MA, Shapiro JS .
The associations between query-based and directed health information exchange with potentially avoidable use of health care services.
Health Serv Res 2019 Oct;54(5):981-93. doi: 10.1111/1475-6773.13169..
Keywords: Health Information Exchange (HIE), Health Systems, Health Information Technology (HIT)
Ayer T, Ayvaci MUS, Karaca Z
AHRQ Author: Karaca Z
Production and Operations Management 2019 Mar 2019;28(3):740–58.
Health information exchanges (HIEs) are expected to improve poor information coordination in emergency departments (EDs); however, whether and when HIEs are associated with better operational outcomes remains poorly understood. In this paper, the authors study HIE and length of stay (LOS) relationship using a large dataset from the Healthcare Cost and Utilization Project consisting of about 7.4 million treat‐and‐release visits made to 63 EDs in Massachusetts.
AHRQ-authored.
Citation: Ayer T, Ayvaci MUS, Karaca Z .
Production and Operations Management 2019 Mar 2019;28(3):740–58.
Production and Operations Management 2019 Mar;28(3):740–58..
Keywords: Emergency Department, Healthcare Cost and Utilization Project (HCUP), Health Information Exchange (HIE), Health Information Technology (HIT)
Ramos SR, Gordon P, Bakken S
Sociotechnical analysis of health information exchange consent processes in an HIV clinic.
The purpose of this study was to describe sociotechnical factors that influence health information exchange (HIE) consent for persons living with HIV (PLWH) at one clinic in New York City. The authors' approach revealed multiple interruptions in clinical workflow, staff and providers' time constraints, and lack of dedicated personnel focused on HIE consent as the major barriers to HIE consent, and they recommended having a dedicated person for facilitating HIE consent.
AHRQ-funded; HS023963.
Citation: Ramos SR, Gordon P, Bakken S .
Sociotechnical analysis of health information exchange consent processes in an HIV clinic.
J Assoc Nurses AIDS Care 2016 Nov - Dec;27(6):792-803. doi: 10.1016/j.jana.2016.08.001.
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Keywords: Electronic Health Records (EHRs), Health Information Exchange (HIE), Health Information Technology (HIT), Human Immunodeficiency Virus (HIV)
Stockwell MS, Natarajan K, Ramakrishnan R
Immunization data exchange with electronic health records.
The researchers assessed the impact of exchange of immunization information between an immunization information system (IIS) and an electronic health record on up-to-date rates, overimmunization, and immunization record completeness for low-income, urban children and adolescents. Their findings demonstrated that data exchange can improve child and adolescent immunization status.
AHRQ-funded; HS022667.
Citation: Stockwell MS, Natarajan K, Ramakrishnan R .
Immunization data exchange with electronic health records.
Pediatrics 2016 Jun;137(6). doi: 10.1542/peds.2015-4335.
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Keywords: Children/Adolescents, Communication, Electronic Health Records (EHRs), Health Information Exchange (HIE), Health Information Technology (HIT), Vaccination
Hassol A, Deitz D, Goldberg H
Health information exchange: perspectives from home healthcare.
Home health agencies (HHAs) often lack the timely and accurate patient information that they require for transition planning. The authors argue that health information exchanges (HIEs) offer information that supports timely visit scheduling, safe and appropriate care planning, coding and documentation, and HHA efficiency.
AHRQ-funded; HS018865.
Citation: Hassol A, Deitz D, Goldberg H .
Health information exchange: perspectives from home healthcare.
Comput Inform Nurs 2016 Apr;34(4):145-50. doi: 10.1097/cin.0000000000000240.
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Keywords: Health Information Exchange (HIE), Health Information Technology (HIT), Home Healthcare
Nelson SD, Del Fiol G, Hanseler H
Software prototyping: a case report of refining user requirements for a health information exchange dashboard.
The researchers describe the design of an health information exchange (HIE) dashboard and the refinement of user requirements through rapid prototyping. Survey results from three users provided useful feedback that was then incorporated into the design. After achieving a stable design, they used the prototype itself as the specification for development of the actual software.
AHRQ-funded; HS021472.
Citation: Nelson SD, Del Fiol G, Hanseler H .
Software prototyping: a case report of refining user requirements for a health information exchange dashboard.
Appl Clin Inform 2016 Jan;7(1):22-32. doi: 10.4338/aci-2015-07-cr-0091.
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Keywords: Health Information Technology (HIT), Health Information Exchange (HIE), Emergency Medical Services (EMS)
Swain MJ, Kharrazi H
Feasibility of 30-day hospital readmission prediction modeling based on health information exchange data.
The researchers conducted a semi-systematic review of readmission predictive factors published prior to March 2013. They found that mapping of these variables with common HL7 segments resulted in an 89.2 percent total coverage, with the DG1 (diagnosis) segment having the highest coverage of 39.4 percent. The PID (patient identification) and OBX (observation results) segments cover 13.9 percent and 9.1 percent of the variables.
AHRQ-funded; HS022578.
Citation: Swain MJ, Kharrazi H .
Feasibility of 30-day hospital readmission prediction modeling based on health information exchange data.
Int J Med Inform 2015 Dec;84(12):1048-56. doi: 10.1016/j.ijmedinf.2015.09.003.
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Keywords: Health Information Exchange (HIE), Hospital Readmissions, Health Information Technology (HIT), Data
Hersh WR, Totten AM, Eden KB
Outcomes from health information exchange: systematic review and future research needs.
The authors systematically reviewed the available research on health information exchange (HIE) outcomes and analyzed future research needs. After analyzing 34 studies on outcomes of HIE, they found that although the evidence supports benefits of HIE in reducing the use of specific resources and improving the quality of care, the full impact of HIE on clinical outcomes and potential harms are inadequately studied.
AHRQ-funded; 290201200014I.
Citation: Hersh WR, Totten AM, Eden KB .
Outcomes from health information exchange: systematic review and future research needs.
JMIR Med Inform 2015 Dec 15;3(4):e39. doi: 10.2196/medinform.5215.
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Keywords: Quality of Care, Health Information Exchange (HIE), Health Information Technology (HIT), Outcomes
Kim KK, Joseph JG, Ohno-Machado L
Comparison of consumers' views on electronic data sharing for healthcare and research.
The researchers surveyed California consumers to learn their views of privacy, security, and consent in electronic data sharing for healthcare and research together. They found considerable concern that health information exchanges will worsen privacy (40.3 percent) and security (42.5 percent). Consumers are in favor of electronic data sharing but elements of transparency are important: individual control, who has access, and the purpose for use of data.
AHRQ-funded; HS019913.
Citation: Kim KK, Joseph JG, Ohno-Machado L .
Comparison of consumers' views on electronic data sharing for healthcare and research.
J Am Med Inform Assoc 2015 Jul;22(4):821-30. doi: 10.1093/jamia/ocv014..
Keywords: Communication, Data, Electronic Health Records (EHRs), Health Information Exchange (HIE), Health Information Technology (HIT), Patient-Centered Healthcare
Rajamani S, Chen ES, Akre ME
Assessing the adequacy of the HL7/LOINC Document Ontology Role axis.
This study assessed the adequacy of the Role axis for representing the type of author documenting care. Experts used a master list of 220 values created from seven resources and established mapping guidelines. Baseline certification, licensure, and didactic training were identified as key parameters that define roles and hence often need to be pre-coordinated. Document Ontology (DO) was inadequate in representing 82 percent of roles, and this gap was primarily due to lack of granularity in DO.
AHRQ-funded; HS022085.
Citation: Rajamani S, Chen ES, Akre ME .
Assessing the adequacy of the HL7/LOINC Document Ontology Role axis.
J Am Med Inform Assoc 2015 May;22(3):615-20. doi: 10.1136/amiajnl-2014-003100..
Keywords: Health Information Exchange (HIE), Electronic Health Records (EHRs), Health Information Technology (HIT)
Del Fiol G, Crouch BI, Cummins MR
Data standards to support health information exchange between poison control centers and emergency departments.
The researchers identified and assessed a set of data standards to enable a standards-based health information exchange process between emergency departments (EDs) and poison control centers (PCCs). They determined that four Consolidated Clinical Document Architecture document types were necessary to support the PCC–ED information exchange process: History & Physical Note, Consultation Note, Progress Note, and Discharge Summary.
AHRQ-funded; HS021472.
Citation: Del Fiol G, Crouch BI, Cummins MR .
Data standards to support health information exchange between poison control centers and emergency departments.
J Am Med Inform Assoc 2015 May;22(3):519-28. doi: 10.1136/amiajnl-2014-003127..
Keywords: Data, Emergency Department, Emergency Medical Services (EMS), Health Information Exchange (HIE), Health Information Technology (HIT)