Evidence map›Paper›PMID 32479237›Full record

ArticleHealth affairs (Project Hope)2020

Electronic Health Information Exchange At Discharge From Inpatient Psychiatric Care In Acute Care Hospitals.

Morgan C Shields, Grant Ritter, Alisa B Busch

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Observational
  7. Review
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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

3 authors.

Morgan C ShieldsMorgan C. Shields (mshields@brandeis.edu) is a PhD candidate and NIAAA fellow at the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, in Waltham, Massachusetts, and a research assistant in the Department of Health Care Policy, Harvard Medical School, in Boston, Massachusetts.
Grant RitterGrant Ritter is an associate research professor at the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University.
Alisa B BuschAlisa B. Busch is an associate professor of psychiatry and health care policy at McLean Hospital and the Department of Health Care Policy, Harvard Medical School. She is also the chief medical information officer at McLean Hospital.

Funding

Research Support CoreP30DA035772 · NIDA · BRANDEIS UNIVERSITY · PI Haiden A Huskamp, SHARON REIF · 2015 to 2026
$11.3M
TRAINING PROGRAM IN HEALTH SERVICES RES. ON ALCOHOL-RELAT32AA007567 · NIAAA · BRANDEIS UNIVERSITY · PI SHARON REIF · 1994 to 2026
$9.7M
The academic-community experience (ACE): A postdoctoral training fellowship in implementation science to promote mental healthT32MH109433 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI David S Mandell · 2017 to 2026
$2.4M
NIAAA NIH HHS T32 AA007567NIDA NIH HHS P30 DA035772NIMH NIH HHS T32 MH109433
6 · The paper itself

Abstract

To address the complex health care needs of patients with mental illness-who commonly have co-occurring medical conditions and substance use disorders-it is critically important for providers to use electronic health records (EHRs) for health information exchange (HIE) when patients are transferred from inpatient psychiatric units in acute care hospitals. Efficient and timely HIE is necessary to ensure that patients receive adequate and informed follow-up care. This study examined the percentage of inpatient psychiatric units that reported using EHRs for HIE at transfers of care and hospital characteristics associated with that use. We linked national data from the Inpatient Psychiatric Facility Quality Reporting Program of the Centers for Medicare and Medicaid Services, the American Hospital Association Annual Survey, and state mental health privacy laws. In 2016 the use of electronic HIE upon transfer from psychiatric units lagged behind the corresponding overall use rates from acute care hospitals (56.3 percent versus 88 percent), with wide variation across states. Hospital size and accountable care organization participation were associated with electronic HIE, but a state's having mental health privacy laws more stringent than the Health Insurance Portability and Accountability Act did not. Given these results, policy efforts to incentivize the use of electronic HIE in psychiatric settings should be strengthened.

Indexed as

Health Information ExchangeAgedElectronic Health RecordsElectronicsHospitalsHumansInpatientsMedicarePatient DischargeUnited Statesaccountable care organizationsAcute care hospitalsBehavioral healthElectronic medical recordsHealth information exchangeHealth information technologyHealth policyHeath care providersHospital qualityInpatient psychiatric careMental healthPost-discharge care coordinationPrivacyPsychiatric hospitals

Identifiers

PMID32479237
PMCPMC7460782

What OpenQuestion holds

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Registered trials

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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.