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Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?

For older adults transitioning from the hospital to home health agencies (HHAs), clinical information exchange is key for optimal transitional care. Hospital and HHA participation in regional health information exchanges (HIEs) could address fragmented communication and improve patient outcomes. We...

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Detalles Bibliográficos
Autores principales: Jones, Christine, Thomas, Jacob, Roczen, Marisa, Ytell, Kate, Gritz, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741783/
http://dx.doi.org/10.1093/geroni/igaa057.3360
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author Jones, Christine
Thomas, Jacob
Roczen, Marisa
Ytell, Kate
Gritz, Mark
author_facet Jones, Christine
Thomas, Jacob
Roczen, Marisa
Ytell, Kate
Gritz, Mark
author_sort Jones, Christine
collection PubMed
description For older adults transitioning from the hospital to home health agencies (HHAs), clinical information exchange is key for optimal transitional care. Hospital and HHA participation in regional health information exchanges (HIEs) could address fragmented communication and improve patient outcomes. We examined differences in characteristics and outcomes for patients with either Medicare or Medicare Advantage (MA) insurance who transitioned from hospitals to HHAs based on HIE participation with 2014-2018 data from the Colorado All Payer Claims Database. We performed analyses including chi square and t tests to compare patient characteristics and 30-day readmission rates for high versus lower HIE use, determined by HIE participation (+) and non-participation (-) among HHAs and hospitals: High HIE use dyads (Hospital+/HHA+) were compared to lower HIE use dyads (Hospital+/HHA-, Hospital-/HHA+, Hospital-/HHA-). We identified 57,998 care transitions from 123 acute care hospitals to 71 HHAs. On average, patients were 75 years old, had a three day hospital length of stay, over half were female (58%), 82% had Medicare and 18% had MA insurance. Although most characteristics were similar between high versus lower HIE use dyads, high HIE use dyads had a higher proportion of Medicare patients compared to the lower HIE use dyads (85% vs 79%, p <0.001). Thirty-day readmissions were 12.4% for care transitions that occurred among high HIE use dyads (n=27,784) compared to 12.8% among lower HIE use dyads (n=32,929, p=0.102). For adults transitioning from hospitals to HHAs among high HIE use dyads, a trend toward lower 30-day readmission rates was identified.
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spelling pubmed-77417832020-12-21 Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates? Jones, Christine Thomas, Jacob Roczen, Marisa Ytell, Kate Gritz, Mark Innov Aging Abstracts For older adults transitioning from the hospital to home health agencies (HHAs), clinical information exchange is key for optimal transitional care. Hospital and HHA participation in regional health information exchanges (HIEs) could address fragmented communication and improve patient outcomes. We examined differences in characteristics and outcomes for patients with either Medicare or Medicare Advantage (MA) insurance who transitioned from hospitals to HHAs based on HIE participation with 2014-2018 data from the Colorado All Payer Claims Database. We performed analyses including chi square and t tests to compare patient characteristics and 30-day readmission rates for high versus lower HIE use, determined by HIE participation (+) and non-participation (-) among HHAs and hospitals: High HIE use dyads (Hospital+/HHA+) were compared to lower HIE use dyads (Hospital+/HHA-, Hospital-/HHA+, Hospital-/HHA-). We identified 57,998 care transitions from 123 acute care hospitals to 71 HHAs. On average, patients were 75 years old, had a three day hospital length of stay, over half were female (58%), 82% had Medicare and 18% had MA insurance. Although most characteristics were similar between high versus lower HIE use dyads, high HIE use dyads had a higher proportion of Medicare patients compared to the lower HIE use dyads (85% vs 79%, p <0.001). Thirty-day readmissions were 12.4% for care transitions that occurred among high HIE use dyads (n=27,784) compared to 12.8% among lower HIE use dyads (n=32,929, p=0.102). For adults transitioning from hospitals to HHAs among high HIE use dyads, a trend toward lower 30-day readmission rates was identified. Oxford University Press 2020-12-16 /pmc/articles/PMC7741783/ http://dx.doi.org/10.1093/geroni/igaa057.3360 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Jones, Christine
Thomas, Jacob
Roczen, Marisa
Ytell, Kate
Gritz, Mark
Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?
title Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?
title_full Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?
title_fullStr Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?
title_full_unstemmed Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?
title_short Is Health Information Exchange Use by Hospitals and Home Health Agencies Associated with Lower Readmission Rates?
title_sort is health information exchange use by hospitals and home health agencies associated with lower readmission rates?
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741783/
http://dx.doi.org/10.1093/geroni/igaa057.3360
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