Regional Health Information Organizations: A Vehicle for Transforming Health Care Delivery?
Journal of Medical Systems
A framework for systematic evaluation of health information infrastructure progress in communities
Journal of Biomedical Informatics
Guest Editorial: Developing common methods for evaluating health information exchange
Journal of Biomedical Informatics
Estimated financial savings associated with health information exchange and ambulatory care referral
Journal of Biomedical Informatics
The United Hospital Fund meeting on evaluating health information exchange
Journal of Biomedical Informatics
Health information exchange policy and evaluation
Journal of Biomedical Informatics
Qualitative evaluation of health information exchange efforts
Journal of Biomedical Informatics
Journal of Medical Systems
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Health information exchange (HIE) makes previously inaccessible data available to clinicians, resulting in more complete information. This study tested the hypotheses that HIE information access reduced emergency room visits and inpatient hospitalizations for ambulatory care sensitive conditions among medically indigent adults. HIE access was quantified by how frequently system users' accessed patients' data. Encounter counts were modeled using zero inflated binomial regression. HIE was not accessed for 43% of individuals. Patient factors associated with accessed data included: prior utilization, chronic conditions, and age. Higher levels of information access were significantly associated with increased counts of all encounter types. Results indicate system users were more likely to access HIE for patients for whom the information might be considered most beneficial. Ultimately, these results imply that HIE information access did not transform care in the ways many would expect. Expectations in utilization reductions, however logical, may have to be reevaluated or postponed.