ArticleJournal of the American Medical Informatics Association : JAMIA2019
Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of Health Information Exchanges in the Adult Inpatient Setting: a Systematic Review.Journal of general internal medicine · 2023Pooled it
- Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange.Yearbook of medical informatics · 2022Pooled it
- Does System Choice Matter? Influence of Hospital Information Systems on Digital Maturity.Journal of medical systems · 2026Article
- Hospital health information exchange participation and heart failure discharges to skilled nursing facilities: a cohort study.BMC health services research · 2025Article
- Data-driven insights into interhospital care fragmentation: Implications for health policy and equity among older adults.PloS one · 2025Article
- A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region.Journal of medical Internet research · 2024Article
- Harnessing the Power of Complementarity Between Smart Tracking Technology and Associated Health Information Technologies: Longitudinal Study.JMIR formative research · 2024Article
- Impact of electronic information exchange on repeat imaging during 30-day readmissions among Medicare beneficiaries.The American journal of managed care · 2024Article
- From "Local Control" to "Dependency": Transitions to Single-Vendor Integrated Electronic Health Record Systems and Their Implications for the EHR Workforce.Journal of general internal medicine · 2023Article
- Association of Fragmented Readmissions and Electronic Information Sharing With Discharge Destination Among Older Adults.JAMA network open · 2023Article
- Article
- Hospital's adoption of multiple methods of obtaining outside information and use of that information.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Relationship between electronic health records strategy and user satisfaction: a longitudinal study using clinicians' online reviews.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Single-Vendor Electronic Health Record Use Is Associated With Greater Opportunities for Organizational and Clinical Care Improvements.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022Article
- How Do Dental Clinicians Obtain Up-To-Date Patient Medical Histories? Modeling Strengths, Drawbacks, and Proposals for Improvements.Frontiers in digital health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveEnterprise health information exchange (HIE) and a single electronic health record (EHR) vendor solution are 2 information exchange approaches to improve performance and increase the quality of care. This study sought to determine the association between adoption of enterprise HIE vs a single vendor environment and changes in unplanned readmissions. MATERIALS AND
methodsThe association between unplanned 30-day readmissions among adult patients and adoption of enterprise HIE or a single vendor environment was measured in a panel of 211 system-member hospitals from 2010 through 2014 using fixed-effects regression models. Sample hospitals were members of health systems in 7 states. Enterprise HIE was defined as self-reported ability to exchange information with other members of the same health system who used different EHR vendors. A single EHR vendor environment reported exchanging information with other health system members, but all using the same EHR vendor.
resultsEnterprise HIE adoption was more common among the study sample than EHR (75% vs 24%). However, adoption of a single EHR vendor environment was associated with a 0.8% reduction in the probability of a readmission within 30 days of discharge. The estimated impact of adopting an enterprise HIE strategy on readmissions was smaller and not statically significant.
conclusionReductions in the probability of an unplanned readmission after a hospital adopts a single vendor environment suggests that HIE technologies can better support the aim of higher quality care. Additionally, health systems may benefit more from a single vendor environment approach than attempting to foster exchange across multiple EHR vendors.
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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.