Evidence map›Paper›PMID 25100447›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

The potential for community-based health information exchange systems to reduce hospital readmissions.

Joshua R Vest, Lisa M Kern, Michael D Silver, Rainu Kaushal, HITEC investigators

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The benefits of health information exchange: an updated systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018
    Pooled it
  2. Pooled it
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  13. An HIT-Supported Care Coordination Framework for Reducing Structural Racism and Discrimination for Patients With ADRD.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Review
  14. Review
  15. Article
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  18. Trends in user-initiated health information exchange in the inpatient, outpatient, and emergency settings.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  19. Racial differences in patient consent policy preferences for electronic health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joshua R VestCenter for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA Health Information Technology Evaluation Collaborative, New York, New York, USA.
Lisa M KernCenter for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA Health Information Technology Evaluation Collaborative, New York, New York, USA Department of Medicine, Weill Cornell Medical College, New York, New York, USA.
Michael D SilverCenter for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA Health Information Technology Evaluation Collaborative, New York, New York, USA.
Rainu KaushalCenter for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA Health Information Technology Evaluation Collaborative, New York, New York, USA Department of Medicine, Weill Cornell Medical College, New York, New York, USA Department of Pediatrics, Weill Cornell Medical College, New York, New York, USA NewYork-Presbyterian Hospital, New York, New York, USA.
HITEC investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital readmissions are common, costly, and offer opportunities for utilization reduction. Electronic health information exchange (HIE) systems may help prevent readmissions by improving access to clinical data by ambulatory providers after discharge from the hospital.

objectiveWe sought to determine the association between HIE system usage and 30-day same-cause hospital readmissions among patients who consented and participated in an operational community-wide HIE during a 6-month period in 2009-2010.

methodsWe identified a retrospective cohort of hospital readmissions among adult patients in the Rochester, New York area. We analyzed claims files from two health plans that insure more than 60% of the area population. To be included in the dataset, patients needed to be continuously enrolled in the health plan with at least one encounter with a participating provider in the 6 months following consent to be included in the HIE system. Each patient appeared in the dataset only once and each discharge could be followed for at least 30 days.

resultsWe found that accessing patient information in the HIE system in the 30 days after discharge was associated with a 57% lower adjusted odds of readmission (OR 0.43; 95% CI 0.27 to 0.70). The estimated annual savings in the sample from averted readmissions associated with HIE usage was $605 000.

conclusionsThese findings indicate that usage of an electronic HIE system in the ambulatory setting within 30 days after hospital discharge may effectively prevent hospital readmissions, thereby supporting the need for ongoing HIE efforts.

Indexed as

Health Information ExchangeHealth Information SystemsAdolescentAdultAgedDatasets as TopicHospitalsHumansInsurance Claim ReviewInsurance, HealthMiddle AgedNew YorkPatient ReadmissionRetrospective StudiesYoung AdultAmerican Recovery and Reinvestment ActHealth information exchangeHealth PolicyPatient AdmissionPatient Readmission

Identifiers

PMID25100447
PMCPMC11749186

What OpenQuestion holds

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Registered trials

None linked

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.