Gaps in health information exchange between hospitals that treat many shared patients

Journal of the American Medical Informatics Association : JAMIA
Jordan Everson, Julia Adler-Milstein

Abstract

Hospitals that routinely share patients are those that most critically need to engage in electronic health information exchange (HIE) with each other to ensure clinical information is available to inform treatment decisions. We surveyed pairs of hospitals in a nationwide sample to describe whether and how hospitals within each hospital referral region (HRR) that have the highest shared patient (HSP) volume engaged in HIE with each other. We used Medicare's Physician Shared Patient Patterns data to identify hospital pairs with the highest shared patient volume in each hospital referral region. We surveyed a purposeful sample of pairs and then calculated descriptive statistics to compare: (1) HIE with the HSP hospital vs HIE with other hospitals, and (2) HIE with the HSP hospital versus federal measures of HIE engagement that are not partner-specific. We received responses from 25.5% of contacted hospitals and 33.5% of contacted pairs, allowing us to examine information sharing among 68 hospitals in 63 pairs. 23% of respondents reported worse information sharing with their HSP hospital than with other hospitals while 17% indicated better sharing with their HSP hospital and 48% indicated no difference. Our HSP-specific measures of...Continue Reading

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Citations

Feb 13, 2020·Journal of the American Medical Informatics Association : JAMIA·Jordan Everson, Evan Butler
Jul 6, 2020·Journal of the American Medical Informatics Association : JAMIA·Romain BeyRaphaël Porcher
Nov 14, 2019·Health Services Research·Jordan Everson, Julia Adler-Milstein
Jan 8, 2021·Journal of the American Medical Informatics Association : JAMIA·Jordan EversonJulia Adler-Milstein
Nov 18, 2020·Journal of the American Medical Informatics Association : JAMIA·Min ChenRema Padman
Mar 18, 2020·International Journal of Medical Informatics·Emily GillDavid W Bates
Mar 14, 2021·Journal of the American Medical Informatics Association : JAMIA·John D D'AmoreAdam Wright

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