How do you define regional? The geography of health information exchange.

地域如何定义？

• 批准号: 8581942
• 负责人: Joshua Ryan Vest
• 金额: $ 10万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8581942
• 关键词: How; do; define; regional; geography

Project Summary/Abstract The exchange of patient information between different healthcare organizations and can help improve the coordination, cost and quality of patient care. Improving provider access to patient information is a critical aspect of both federal and state healthcare policy. A common feature of health information exchange efforts (HIEs) across the U.S. is operation within a specific geographical area (e.g. a city, region or state). We don't actually know the extent of HIE coverage across the country, meaning individuals may be included in more than one effort or providers may have no local exchange in which to participate. This raises the questions of 1) how to define HIE exchange service areas and 2) what are implications of HIEs' actual exchange service areas on patient health, practice, policy and evaluation? This proposal seeks to establish and clarify the concept of geography that is a fundamental component of HIE activity and explore the practical and policy implications of how exchange service areas are defined through three aims. The first is to use geographic information systems (GIS) analyses to determine and compare the extent of health information exchange activity as defined by HIE themselves and by the healthcare markets of member organizations. In addition, through GIS this proposal aims to merge multiple healthcare related datasets to create new measures to help evaluate HIE efforts. Lastly, through qualitative GIS techniques, this project proposes to interview representatives of HIEs, participating healthcare organizations and non-participating healthcare organizations about the role of geography and cooperation in the effectiveness of HIE functionality and the effect on patient health. This proposal addresses the AHRQ research area of health information technology to support patient-centered care, the coordination of care across transitions in care settings, and the use of electronic exchange of health information to improve quality of care.

项目总结/文摘

项目成果

Geography of community health information organization activity in the United States: Implications for the effectiveness of health information exchange.

美国社区健康信息组织活动的地理：对健康信息交换有效性的影响。

• DOI: 10.1097/hmr.0000000000000103
• 发表时间: 2017
• 期刊: Health care management review
• 影响因子: 2.5
• 作者: Vest,JoshuaR

Diverging views on health information exchange organizations.

对健康信息交换组织的不同看法。

• DOI: 10.1002/lrh2.10031
• 发表时间: 2017
• 期刊: Learning health systems
• 影响因子: 3.1
• 作者: Vest,JoshuaR;Greenberger,MariF;Garnatz,Audrey
• 通讯作者: Garnatz,Audrey