Health systems’ use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions
dc.contributor.author | Vest, Joshua R. | |
dc.contributor.author | Unruh, Mark Aaron | |
dc.contributor.author | Freedman, Seth | |
dc.contributor.author | Simon, Kosali | |
dc.contributor.department | Health Policy and Management, School of Public Health | en_US |
dc.date.accessioned | 2022-05-10T15:56:03Z | |
dc.date.available | 2022-05-10T15:56:03Z | |
dc.date.issued | 2019-10-01 | |
dc.description.abstract | Objective: 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. Materials and methods: The association between unplanned 30-day readmissions among adult patients and adoption of enterprise HIE or a single vendor environment was measured in a panel of 211 system-member hospitals from 2010 through 2014 using fixed-effects regression models. Sample hospitals were members of health systems in 7 states. Enterprise HIE was defined as self-reported ability to exchange information with other members of the same health system who used different EHR vendors. A single EHR vendor environment reported exchanging information with other health system members, but all using the same EHR vendor. Results: Enterprise HIE adoption was more common among the study sample than EHR (75% vs 24%). However, adoption of a single EHR vendor environment was associated with a 0.8% reduction in the probability of a readmission within 30 days of discharge. The estimated impact of adopting an enterprise HIE strategy on readmissions was smaller and not statically significant. Conclusion: Reductions in the probability of an unplanned readmission after a hospital adopts a single vendor environment suggests that HIE technologies can better support the aim of higher quality care. Additionally, health systems may benefit more from a single vendor environment approach than attempting to foster exchange across multiple EHR vendors. | en_US |
dc.eprint.version | Final published version | en_US |
dc.identifier.citation | Vest JR, Unruh MA, Freedman S, Simon K. Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions. J Am Med Inform Assoc. 2019;26(10):989-998. doi:10.1093/jamia/ocz116 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/28922 | |
dc.language.iso | en_US | en_US |
dc.publisher | Oxford University Press | en_US |
dc.relation.isversionof | 10.1093/jamia/ocz116 | en_US |
dc.relation.journal | Journal of the American Medical Informatics Association | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | PMC | en_US |
dc.subject | Electronic health records | en_US |
dc.subject | Health information exchange | en_US |
dc.subject | Hospitals | en_US |
dc.subject | Patient readmission policy | en_US |
dc.title | Health systems’ use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions | en_US |
dc.type | Article | en_US |
ul.alternative.fulltext | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7792753/ | en_US |