Patient Encounters and Care Transitions in One Community Supported by Automated QueryBased Health Information Exchange

AMIA 2013 Annual Symposium

Thomas R. Campion ; Jr. ; PhD1 ; 2 ; 3 ; 4 ; Joshua R. Vest ; PhD ; MPH1 ; 2 ; 4 ; Jessica S. Ancker ; MPH ; PhD1 ; 2 ; 3 ; 4 ; Rainu Kaushal ; MD ; MPH1 ; 2 ; 3 ; 4 ; 5 ; 6 and the HITEC Investigators1Center for Healthcare Informatics and Policy ; Weill Cornell Medical College ; New York

PID  :  122594

来源: CEUR

【 摘 要 】

Care transitions from one facility to another threaten patient safety due to the potential loss of critical clinicalinformation.Electronic clinical data exchange may address the problem.Approaches to exchange range frommanual directed exchange, or sending pointtopoint messages, to automated querybased health informationexchange (HIE), or aggregating data from multiple sources.In this study, we measured the extent to whichautomated querybased HIE supported patient encounters and care transitions in one community.During the 23 month study period, 41% (n=33,219) of affirmatively consented patients had at least one encounter supported byautomated querybased HIE.Of these patients, 41% (n=13,685) visited two or more facilities and accounted for68% of total encounters.Of total encounters, 28% (n=40,828) were care transitions from one facility to another. Findings suggest that automated querybased HIE may support care transitions with efficient information sharing