ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2007
Proactive population health management in the context of a regional health information exchange using standards-based decision support.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.Journal of medical systems · 2013Trial
- Health Care Worker Usage of Large-Scale Health Information Exchanges in Japan: User-Level Audit Log Analysis Study.JMIR medical informatics · 2024Article
- Management of adverse events in a Moroccan regional hospital: a state of art and perspectives.The Pan African medical journal · 2024Article
- Hospitals' adoption of intra-system information exchange is negatively associated with inter-system information exchange.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams.Applied clinical informatics · 2018Article
- Health Information Exchange Use (1990-2015): A Systematic Review.EGEMS (Washington, DC) · 2017Article
- Personalized Hypertension Management Using Patient-Generated Health Data Integrated With Electronic Health Records (EMPOWER-H): Six-Month Pre-Post Study.Journal of medical Internet research · 2017Article
- Clinical Decision Support-based Quality Measurement (CDS-QM) Framework: Prototype Implementation, Evaluation, and Future Directions.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014Article
- Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 clinical decision support Work Group.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2010Article
- System-agnostic clinical decision support services: benefits and challenges for scalable decision support.The open medical informatics journal · 2010Article
- Coupling direct collection of health risk information from patients through kiosks with decision support for proactive care management.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
The clinic-based healthcare model does not deliver high quality, cost-effective care to populations of patients. Despite public perception that aggressive investment in information technology will lead to improvements in the safety and quality of healthcare delivery, there is little evidence that health information technology can be used to promote population-based health management. This paper describes the use of a standards-based clinical decision support system to facilitate proactive population health management using data from a regional health information exchange (HIE) network. The initial release of this system was designed to detect ten sentinel health events related to hospitalization, emergency department (ED) utilization, and care coordination in a population of 36,000 individuals. In an analysis of 11,899 continuously enrolled patients from a single county over a six-month period, 2,285 unique patients experienced 7,226 sentinel health events. The most common events were ED utilization for low severity conditions (2,546), two or more missed appointments within a 60-day period (1,728), ED encounters for patients with asthma (1,220), and three or more ED encounters within 90 days (731). Logistic regression analysis identified patients aged 19-64 as the population most likely to have sentinel health events. In addition to presenting data demonstrating the feasibility of population health management in the context of an HIE, this paper also includes lessons learned from the development, implementation, and operational support of the population health management system.
Indexed as
Identifiers
18693881PMC2655792W1538633658What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.