Exploring the Utilization of and Outcomes from Health Information Exchange in Emergency Settings

探索紧急情况下健康信息交换的利用和成果

• 批准号: 9375534
• 负责人: Brian E. Dixon
• 金额: $ 14.95万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9375534
• 关键词: Exploring; Utilization; Outcomes; Health; Information

Project Summary Health information exchange (HIE) involves the electronic exchange of clinical or administrative health data across the boundaries of health care institutions, health data repositories, and states. Widespread HIE has the potential to improve health care, and HIE has been described as a critical component of recent health reform initiatives including value-based care and patient centered medical homes. Despite its potential, the evidence base for HIE is weak. Additional studies employing robust methods are necessary to strengthen the evidence base and enable examination of HIE across the myriad environments in which it is used. The purpose of the proposed study is to examine HIE use among emergency department staff using longitudinal log files from an operational HIE network involving dozens of hospitals. The specific aims focus on: 1) characterizing HIE usage patterns across multiple organizations; 2) interviewing emergency department staff about the facilitators and barriers to using HIE in the context of patient care; and 3) evaluating the relationship between HIE use and outcomes (e.g., admissions, laboratory testing) over time. Knowledge gained from the proposed study will provide evidence for or against the use of HIE. Furthermore, the research will create generalizable methods and a theoretical framework for understanding HIE use and the impact of use on health care delivery as well as clinical and population health outcomes.

项目摘要 健康信息交换（HIE）涉及临床或行政信息的电子交换。 跨越医疗保健机构、健康数据存储库边界的健康数据， states.广泛的HIE有可能改善医疗保健， 作为最近卫生改革举措的一个重要组成部分， 中心医疗之家尽管有潜力，但HIE的证据基础薄弱。额外 采用稳健方法的研究是必要的，以加强证据基础， 在使用它的无数环境中检查HIE。的目的 拟议的研究是使用纵向日志检查急诊科工作人员中HIE的使用情况 涉及数十家医院的HIE网络的文件具体目标侧重于： 1)表征多个组织中的HIE使用模式; 2）采访紧急情况 部门工作人员关于在患者护理背景下使用HIE的促进者和障碍; 和3）评估HIE使用和结果之间的关系（例如，招生，实验室 测试）。从拟议研究中获得的知识将为以下方面提供证据或 反对使用HIE。此外，本研究还将建立一种可推广的方法， 理解HIE使用及其对医疗服务影响的理论框架 以及临床和人群健康结果。