ArticleAmerican health & drug benefits2011
The business case for payer support of a community-based health information exchange: a humana pilot evaluating its effectiveness in cost control for plan members seeking emergency department care.
Article in American health & drug benefits, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- 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
- Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis.Journal of the American College of Radiology : JACR · 2015Pooled it
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- The Effect of Access to Electronic Health Records on Throughput Efficiency and Imaging Utilization in the Emergency Department.Health services research · 2018Article
- 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
- Assessment of the usability and impact of the Idaho Health Data Exchange (IHDE).Journal of medical systems · 2016Article
- Assessing payer perspectives on health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Outcomes From Health Information Exchange: Systematic Review and Future Research Needs.JMIR medical informatics · 2015Article
- An empirical analysis of the financial benefits of health information exchange in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Factors related to health information exchange participation and use.Journal of medical systems · 2014Article
- People with epilepsy who use multiple hospitals; prevalence and associated factors assessed via a health information exchange.Epilepsia · 2014Article
- Adoption of clinical data exchange in community settings: a comparison of two approaches.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014Article
- Enhancing a geriatric emergency department care coordination intervention using automated health information exchange-based clinical event notifications.EGEMS (Washington, DC) · 2014Article
- Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED.Applied clinical informatics · 2014Article
- Patient encounters and care transitions in one community supported by automated query-based health information exchange.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- Using a health information exchange system for imaging information: patterns and predictors.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- "Hidden" value: how indirect benefits of health information exchange further promote sustainability.American health & drug benefits · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs emergency department utilization continues to increase, health plans must limit their cost exposure, which may be driven by duplicate testing and a lack of medical history at the point of care. Based on previous studies, health information exchanges (HIEs) can potentially provide health plans with the ability to address this need.
objectiveTo assess the effectiveness of a community-based HIE in controlling plan costs arising from emergency department care for a health plan's members. Albert Tzeel.
methodsThe study design was observational, with an eligible population (N = 1482) of fully insured plan members who sought emergency department care on at least 2 occasions during the study period, from December 2008 through March 2010. Cost and utilization data, obtained from member claims, were matched to a list of persons utilizing the emergency department where HIE querying could have occurred. Eligible members underwent propensity score matching to create a test group (N = 326) in which the HIE database was queried in all emergency department visits, and a control group (N = 325) in which the HIE database was not queried in any emergency department visit.
resultsPost-propensity matching analysis showed that the test group achieved an average savings of $29 per emergency department visit compared with the control group. Decreased utilization of imaging procedures and diagnostic tests drove this cost-savings.
conclusionsWhen clinicians utilize HIE in the care of patients who present to the emergency department, the costs borne by a health plan providing coverage for these patients decrease. Although many factors can play a role in this finding, it is likely that HIEs obviate unnecessary service utilization through provision of historical medical information regarding specific patients at the point of care.
Identifiers
25126351PMC4125755W2187233636What 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.