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Item The Association Between State-Level Health Information Exchange Laws and Hospital Participation in Community Health Information Organizations(AMIA, 2018) Brown-Podgorski, Brittany L.; Hilts, Katy Ellis; Kash, Bita A.; Schmit, Cason D.; Vest, Joshua R.; Health Policy and Management, School of Public HealthEvidence suggests that health information exchange (HIE) is an effective strategy to improve efficiency and quality of care, as well as reduce costs. A complex patchwork of federal and state legislation has developed over time to encourage HIE activity. Hospitals and health systems have adopted various HIE models to meet the requirements of these statutes and regulations. Given the complexity of HIE laws, it is important to understand how these legal levers influence HIE engagement. We combined data from two unique data sources to examine the association between state-level HIE laws and hospital engagement in community HIEs. Our results identified three legal provisions of state laws (HIE authorization, financial & non-financial incentives, opt-out consent) that increased the likelihood of community HIE engagement. Other provisions decreased the likelihood of engagement. This analysis provides foundational evidence about the utility of HIE laws. More research is needed to determine causal relationships.Item The case for hospital-based palliative care(2005) Center to Advance Palliative CareDescribes how hospitals are delivering improved palliative care.Item Collaborating hospice relationships(2006-11) Twaddle, MarthaPresentation about cooperation between hospice programs and hospitals for improved palliative care.Item Comptracker: Research Administration Tool(Office of the Vice Chancellor for Research, 2016-04-08) Mallikarjuna, Gaurav; Pannala, Nitya Reddy; Comer, Robert SkipworthComptracker is a project to research and develop a platform that can be used by hospitals and educational institutions to track effort and compensation of research personnel working on multiple grant accounts and income sources. The platform is expected to streamline the process of tracking researchers' effort and periodic changes in salary and salary caps. The project is focused on IU School of Medicine (IUSOM) faculty who practice at IU Health to ensure compliance with NIH requirements for institutions recovering clinical salaries on NIH grant accounts. Comptracker is designed to replace a system of spreadsheets which is nearing its capacity to handle the data involved. A web application with a database will be used. The following functionalities have been identified to make this a viable platform: Method for calculating variance in effort. Actual effort from payroll and labor ledger data is compared with projected effort. Variances are highlighted, and records requiring intervention are flagged. Method for tracking Purchase Orders (PO's). All accounts must have PO's set up, and accounts without PO's are flagged. PO's that have expected effort, but no actual effort are flagged. Method for generating monthly invoice data. Where salaries are cost-shared between IUSOM and IU Health, monthly invoices must allocate the cost between institutions. Method for reconciling effort and invoices. Where discrepancies occur, a method to certify actual effort and salary costs must allow corrections to be made. Method for calculating cost-sharing effort report. Where personnel are shared between institutions, a method to resolve discrepancies in effort allocation is required. Method for accommodating changes. Salary changes and NIH salary cap requirements must be accommodated by the system.Item Daily Situational Brief, December 26, 2014(MESH Coalition, 12/26/14) MESH CoalitionItem Daily Situational Brief, January 29, 2015(MESH Coalition, 1/29/2015) MESH CoalitionItem Daily Situational Brief, May 13, 2011(MESH Coalition, 5/13/2011) MESH CoalitionItem Hospital-hospice partnerships in palliative care: creating a continuum of service(2001-12) National Hospice and Palliative Care Organization (U.S.); Center to Advance Palliative CareReports on the cooperation of hospitals with hospices to provide palliative care.Item Hospitals’ adoption of intra-system information exchange is negatively associated with inter-system information exchange(Oxford Academic, 2018-09) Vest, Joshua R.; Simon, Kosali; Health Policy and Management, School of Public HealthIntroduction U.S. policy on interoperable HIT has focused on increasing inter-system (ie, between different organizations) health information exchange. However, interoperable HIT also supports the movement of information within the same organization (ie, intra-system exchange). Methods We examined the relationship between hospitals’ intra- and inter-system information exchange capabilities among health system hospitals included in the 2010-2014 American Hospital Association’s Annual Health Information Technology Survey. We described the factors associated with hospitals that adopted more intra-system than inter-system exchange capability, and explored the extent of new capability adoption among hospitals that reported neither intra- or inter-system information capabilities at baseline. Results The prevalence of exchange increased over time, but the adoption of inter-system information exchange was slower; when hospitals adopt information exchange, adoption of intra-system exchange was more common. On average during our study period, hospitals could share 4.6 types of information by intra-system exchange, but only 2.7 types of information by inter-system exchange. Controlling for other factors, hospitals exchanged more types of information in an intra-system manner than inter-system when the number of different inpatient EHR vendors in use in health system is larger. Conclusion Consistent with the U.S. goals for more widely accessible patient information, hospitals’ ability to share information has increased over time. However, hospitals are prioritizing within-organizational information exchange over exchange between different organizations. If increasing inter-system exchanges is a desired goal, current market incentives and government policies may be insufficient to overcome hospitals’ motivations for pursuing an intra-system-information-exchange-first strategy.Item How wired are U.S. hospitals? A study of patient-oriented interactive tools(Taylor & Francis, 2020) Huang, Edgar; Knittle, Clark; Wantuch, Gordon; Francis, Teresa; Human-Centered Computing, School of Informatics and ComputingThis study examined U.S. hospital websites to find out how they have used interactive tools to engage and serve their patients. The findings and recommendations from this study will provide guidance to the development of the U.S. hospitals and even beyond for at least the next decade. A content analysis was conducted to compare The Most Wired Hospitals with the total U.S. hospital population and compare the 2018 data and the 2011 data so as to observe the horizontal and vertical differences. The study has found that, in 2018, U.S. hospitals have adopted significantly more interactive tools and reached an average of 8.5 tools; core e-business tools have gained the biggest increase; most of such tools almost reached ubiquity among the Most Wired Hospitals. The study concludes that using interactive tools to serve patients on U.S. hospital websites and on social media is becoming a norm, that the majority of U.S. hospitals were adequately equipped to interact with their patients through their websites, and that whether to make a hospital website action-driven is more determined by the hospital administration’s awareness, determination, and strategic planning than by hospital size.