Evidence map›Paper›PMID 25954339›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2014

Adoption of clinical data exchange in community settings: a comparison of two approaches.

Thomas R Campion, Joshua R Vest, Lisa M Kern, Rainu Kaushal, HITEC investigators

Abstract readComparative Study
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Thomas R CampionDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York NY ; Department of Pediatrics, Weill Cornell Medical College, New York NY ; Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York NY ; Health Information Technology Evaluation Collaborative, New York NY.
Joshua R VestDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York NY ; Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York NY ; Health Information Technology Evaluation Collaborative, New York NY.
Lisa M KernDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York NY ; Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York NY ; Health Information Technology Evaluation Collaborative, New York NY ; Department of Medicine, Weill Cornell Medical College, New York NY.
Rainu KaushalDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York NY ; Department of Pediatrics, Weill Cornell Medical College, New York NY ; Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York NY ; Health Information Technology Evaluation Collaborative, New York NY ; Department of Medicine, Weill Cornell Medical College, New York NY ; Komansky Center for Children's Health at NewYork-Presbyterian Hospital, New York NY.
HITEC investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adoption of electronic clinical data exchange (CDE) across disparate healthcare organizations remains low in community settings despite demonstrated benefits. To expand CDE in communities, New York State funded sixteen community-based organizations to implement point-to-point directed exchange (n=8) and multi-site query-based health information exchange (HIE) (n=8). We conducted a cross-sectional study to compare adoption of directed exchange versus query-based HIE. From 2008 to 2011, 66% (n=1,747) of providers targeted for directed exchange and 21% (n=5,427) of providers targeted for query-based HIE adopted CDE. Funding per provider adoptee was almost two times greater for directed exchange (median (interquartile range): $25,535 ($17,391-$42,240)) than query-based HIE ($14,649 ($9,897-$28,078)), although the difference was not statistically significant. Because its infrastructure can cover larger populations using similar levels of public funding, query-based HIE may scale more broadly than directed exchange. To our knowledge, this is among the first studies to compare directed exchange versus query-based HIE.

Indexed as

Electronic Health RecordsHealth Information ExchangeAmerican Recovery and Reinvestment ActCommunity Health CentersCross-Sectional StudiesHospitals, CommunityHumansLong-Term CareNew YorkUnited States

Identifiers

PMID25954339
PMCPMC4419957

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.