ArticleApplied clinical informatics2014
Association between use of a health information exchange system and hospital admissions.
Article in Applied clinical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The role of information systems in emergency department decision-making-a literature review.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- Health Outcomes and Healthcare Efficiencies Associated with the Use of Electronic Health Records in Hospital Emergency Departments: a Systematic Review.Journal of medical systems · 2020Pooled it
- Effect of Health Information Exchange Plus a Care Transitions Intervention on Post-Hospital Outcomes Among VA Primary Care Patients: a Randomized Clinical Trial.Journal of general internal medicine · 2022Trial
- Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.Journal of the American Medical Informatics Association : JAMIA · 2017Trial
- Novel Use of Electronic Admission Notifications for Timely Care Management of Accountable Care Organization Clients in Emergency Departments.Journal of the American Geriatrics Society · 2026Article
- Professional perspectives on roles and structural gaps in interprofessional collaboration for suicide prevention: a qualitative study.Frontiers in psychiatry · 2026Article
- Recommendations for Successful Development and Implementation of Digital Health Technology Tools.Journal of medical Internet research · 2025Article
- Article
- Dentists' Information Needs and Opinions on Accessing Patient Information via Health Information Exchange: Survey Study.JMIR formative research · 2024Article
- Retrospective Study of the Reasons and Time Involved for Dental Providers' Medical Consults.Frontiers in digital health · 2022Article
- How Do Dental Clinicians Obtain Up-To-Date Patient Medical Histories? Modeling Strengths, Drawbacks, and Proposals for Improvements.Frontiers in digital health · 2022Article
- Emergency care access to primary care records: an observational study.BMJ health & care informatics · 2020Observational
- The associations between query-based and directed health information exchange with potentially avoidable use of health care services.Health services research · 2019Article
- Regional data exchange to improve care for veterans after non-VA hospitalization: a randomized controlled trial.BMC medical informatics and decision making · 2019Article
- Usage of and Attitudes Toward Health Information Exchange Before and After System Implementation in a VA Medical Center.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019Article
- Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Improving performance in the ED through laboratory information exchange systems.International journal of emergency medicine · 2018Article
- Patients Visiting Multiple Emergency Departments: Patterns, Costs, and Risk Factors.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Article
- Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- The implications and impact of 3 approaches to health information exchange: community, enterprise, and vendor-mediated health information exchange.Learning health systems · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveRelevant patient information is frequently difficult to obtain in emergency department (ED) visits. Improved provider access to previously inaccessible patient information may improve the quality of care and reduce hospital admissions. Health information exchange (HIE) systems enable access to longitudinal, community-wide patient information at the point of care. However, the ability of HIE to avert admissions is not well demonstrated. We sought to determine if HIE system usage is correlated with a reduction in admissions via the ED.
methodsWe identified 15,645 adults from New York State with an ED visit during a 6-month period, all of whom consented to have their information accessible in the HIE system, and were continuously enrolled in two area health plans. Using claims we determined if the ED encounter resulted in an admission. We used the HIE's system log files to determine usage during the encounter. We determined the association between HIE system use and the likelihood of admission to the hospital from the ED and potential cost savings.
resultsThe HIE system was accessed during 2.4% of encounters. The odds of an admission were 30% lower when the system was accessed after controlling for confounding (odds ratio = 0.70; 95%C I= 0.52, 0.95). The annual savings in the sample was $357,000.
conclusionThese findings suggest that the use of an HIE system may reduce hospitalizations from the ED with resultant cost savings. This is an important outcome given the substantial financial investment in interventions designed to improve provider access to patient information in the US.
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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.