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AHRQ Research Studies Date
Topics
- Care Coordination (1)
- Children/Adolescents (1)
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- (-) Health Information Exchange (HIE) (12)
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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, Simon K
Hospitals' adoption of intra-system information exchange is negatively associated with inter-system information exchange.
This study examined hospitals’ adoption of interoperability of health information technology (HIT). The relationship between hospitals’ intra- (within the same organization) and inter-system information exchange capabilities was explored using data from the 2010-2014 American Hospital Association’s Annual Health Information Technology Survey. As expected, there was more intra-system information exchange than inter-system but as time went on inter-system information exchange has increased. During the study period, hospitals were sharing 4.6 types of information by intra-system exchange, but only 2.7 types of information by inter-system exchange.
AHRQ-funded; HS024717.
Citation: Vest JR, Simon K .
Hospitals' adoption of intra-system information exchange is negatively associated with inter-system information exchange.
J Am Med Inform Assoc 2018 Sep;25(9):1189-96. doi: 10.1093/jamia/ocy058..
Keywords: Health Information Exchange (HIE), Health Systems, Health Information Technology (HIT), Hospitals
Walker DM
Does participation in health information exchange improve hospital efficiency?.
This study strives to answer the question: does health information exchange (HIE) network participation improve hospital efficiency? The results of the study suggest that hospital investment in HIE participation may be a useful strategy to improve hospital operational performance, and that policy should continue to support increased participation and use of HIE.
AHRQ-funded; HS023343.
Citation: Walker DM .
Does participation in health information exchange improve hospital efficiency?.
Health Care Manag Sci 2018 Sep;21(3):426-38. doi: 10.1007/s10729-017-9396-4..
Keywords: Care Coordination, Quality of Care, Health Information Technology (HIT), Hospitals, Health Information Exchange (HIE)
Cummins MR, Ranade-Kharkar P, Johansen C
Simple workflow changes enable effective patient identity matching in poison control.
In this study, to increase the documentation of patient identifiers by the Utah Poison Control Center (PCC), the authors (1) adapted documentation practices to enable more complete and consistent documentation, and (2) implemented staff training to improve collection of identifiers. The investigators found that compared with the same time period in 2016, the Utah PCC showed an increase of 27% (p < 0.001) in collection of birth date for cases referred to a health care facility, while improvements in the collection of other identifiers ranged from 0 to 8%.
AHRQ-funded; HS021472.
Citation: Cummins MR, Ranade-Kharkar P, Johansen C .
Simple workflow changes enable effective patient identity matching in poison control.
Appl Clin Inform 2018 Jul;9(3):553-57. doi: 10.1055/s-0038-1667000..
Keywords: Workflow, Health Information Exchange (HIE)
Shy BD, Loo GT, Lowry T
Bouncing back elsewhere: multilevel analysis of return visits to the same or a different hospital after initial emergency department presentation.
In this study, the investigators use a health information exchange network to describe differences between emergency department (ED) visits resulting in 72-hour revisits to the same hospital and those resulting in revisits to a different site. Their analysis describes how ED encounters with early revisits to the same hospital differ from those with revisits to a second hospital.
AHRQ-funded; HS021261.
Citation: Shy BD, Loo GT, Lowry T .
Bouncing back elsewhere: multilevel analysis of return visits to the same or a different hospital after initial emergency department presentation.
Ann Emerg Med 2018 May;71(5):555-63.e1. doi: 10.1016/j.annemergmed.2017.08.023..
Keywords: Emergency Department, Health Information Exchange (HIE), Hospital Readmissions, Quality Improvement
Elysee G, Herrin J, Horwitz LI
An observational study of the relationship between meaningful use-based electronic health information exchange, interoperability, and medication reconciliation capabilities.
Stagnation in hospitals' adoption of data integration functionalities coupled with reduction in the number of operational health information exchanges could become a significant impediment to hospitals' adoption of 3 critical capabilities: electronic health information exchange, interoperability, and medication reconciliation, in which electronic systems are used to assist with resolving medication discrepancies and improving patient safety. This observational study examines the relationship between meaningful use-based electronic health information exchange, interoperability, and medication reconciliation capabilities.
AHRQ-funded; HS022882.
Citation: Elysee G, Herrin J, Horwitz LI .
An observational study of the relationship between meaningful use-based electronic health information exchange, interoperability, and medication reconciliation capabilities.
Medicine 2017 Oct;96(41):e8274. doi: 10.1097/MD.0000000000008274..
Keywords: Electronic Health Records (EHRs), Health Information Exchange (HIE), Health Information Technology (HIT), Hospitals, Medication
Grande SW, Castaldo MG, Carpenter-Song E
A digital advocate? Reactions of rural people who experience homelessness to the idea of recording clinical encounters.
This study examines the reactions of homeless people to the idea of using a smartphone to record their own clinical encounter, either covertly or with permission from their physician. The researchers conducted semi-structured interviews with individuals at a temporary housing shelter in Northern New England. The study found that while many rural, disadvantaged individuals felt marginalized by the wide social distance between themselves and their clinicians, recording technology may serve as an advocate by holding both patients and doctors accountable and by permitting the burden of clinical proof to be shared.
AHRQ-funded; HS021695.
Citation: Grande SW, Castaldo MG, Carpenter-Song E .
A digital advocate? Reactions of rural people who experience homelessness to the idea of recording clinical encounters.
Health Expect 2017 Aug;20(4):618-25. doi: 10.1111/hex.12492..
Keywords: Health Information Exchange (HIE), Clinician-Patient Communication, Rural Health, Vulnerable Populations
Dixon BE, Zhang Z, Lai PTS
Completeness and timeliness of notifiable disease reporting: a comparison of laboratory and provider reports submitted to a large county health department.
This study analyzed patterns of reporting as well as data completeness and timeliness for traditional, passive reporting of notifiable disease by two distinct sources of information: hospital and clinic staff versus clinical laboratory staff. Laboratory reports were received, on average, 2.2 days after diagnosis versus a week for provider reports.
AHRQ-funded; HS020909.
Citation: Dixon BE, Zhang Z, Lai PTS .
Completeness and timeliness of notifiable disease reporting: a comparison of laboratory and provider reports submitted to a large county health department.
BMC Med Inform Decis Mak 2017 Jun 23;17(1):87. doi: 10.1186/s12911-017-0491-8.
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Keywords: Public Health, Health Information Technology (HIT), Health Information Exchange (HIE), Provider
Bush RA, Kuelbs C, Ryu J
Structured data entry in the electronic medical record: perspectives of pediatric specialty physicians and surgeons.
A 35-item questionnaire based on Unified Theory of Acceptance and Use of Technology, was used to measure attitudes, facilitation, and potential incentives for adopting for clinical documentation among 25 pediatric specialty physicians and surgeons. Pediatric surgeons were significantly less positive than specialty physicians about effects on Performance and the effect of Social Influence but in more agreement that use of forms was voluntary.
AHRQ-funded; HS022404.
Citation: Bush RA, Kuelbs C, Ryu J .
Structured data entry in the electronic medical record: perspectives of pediatric specialty physicians and surgeons.
J Med Syst 2017 May;41(5):75. doi: 10.1007/s10916-017-0716-5.
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Keywords: Electronic Health Records (EHRs), Children/Adolescents, Health Information Exchange (HIE)
Kim KK, Sankar P, Wilson MD
Factors affecting willingness to share electronic health data among California consumers.
The objective of the study is to explore factors that affect consumers' willingness to share electronic health information for healthcare and research. It concluded that consumers' choices about electronically sharing health information are affected by their attitudes toward EHRs as well as beliefs about research benefit and individual control.
AHRQ-funded; HS019913.
Citation: Kim KK, Sankar P, Wilson MD .
Factors affecting willingness to share electronic health data among California consumers.
BMC Med Ethics 2017 Apr 4;18(1):25. doi: 10.1186/s12910-017-0185-x.
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Keywords: Communication, Electronic Health Records (EHRs), Health Information Exchange (HIE), Health Information Technology (HIT), Research Methodologies
Vest JR
Geography of community health information organization activity in the United States: implications for the effectiveness of health information exchange.
This study describes the extent of reported community health information organization (HIO) coverage in the United States and explores the practical and policy implications of overlaps and gaps in HIO service areas. Its findings suggests that community HIOs may be inefficiently distributed. Parts of the United States have multiple, overlapping HIOs, while others do not have any providing health information exchange services.
AHRQ-funded; HS020304.
Citation: Vest JR .
Geography of community health information organization activity in the United States: implications for the effectiveness of health information exchange.
Health Care Manage Rev 2017 Apr/Jun;42(2):132-41. doi: 10.1097/hmr.0000000000000103.
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Keywords: Community-Based Practice, Health Information Exchange (HIE), Health Information Technology (HIT), Policy
Everson J, Kocher KE, Adler-Milstein J
Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations.
This study assessed whether electronic health information exchange (HIE) is associated with improved emergency department (ED) care processes and utilization through more timely clinician viewing of information from outside organizations. It concluded that the relationship between HIE and improved care processes and reduced utilization in the ED is mediated by faster accessing of information from outside organizations.
AHRQ-funded; HS024160.
Citation: Everson J, Kocher KE, Adler-Milstein J .
Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations.
J Am Med Inform Assoc 2017 Apr 1;24(e1):e103-e10. doi: 10.1093/jamia/ocw116.
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Keywords: Electronic Health Records (EHRs), Emergency Department, Emergency Medical Services (EMS), Quality of Care, Health Information Exchange (HIE)
Revere D, Hills RH, Dixon BE
Notifiable condition reporting practices: implications for public health agency participation in a health information exchange.
The researchers sought to better understand the barriers to and burden of notifiable condition reporting from the perspectives of clinic physicians, interviews with clinic reporters, and interviews with public health workers involved in reporting workflow. A strong recommendation generated by their findings is that, given their central role in reporting, clinic reporters are a significant target audience for public health outreach and education that aims to alleviate perceived reporting burden and improve reporting knowledge.
AHRQ-funded; HS020909.
Citation: Revere D, Hills RH, Dixon BE .
Notifiable condition reporting practices: implications for public health agency participation in a health information exchange.
BMC Public Health 2017 Mar 11;17(1):247. doi: 10.1186/s12889-017-4156-4.
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Keywords: Health Information Exchange (HIE), Public Health, Infectious Diseases, Electronic Health Records (EHRs), Health Information Technology (HIT), Provider: Physician, Provider: Clinician, Provider