|Title||The associations between query-based and directed health information exchange with potentially avoidable use of health care services.|
|Publication Type||Journal Article|
|Year of Publication||2019|
|Authors||Vest JR, Unruh MAaron, Shapiro JS, Casalino LP|
|Journal||Health Serv Res|
|Date Published||2019 May 21|
OBJECTIVE: To quantify the impact of two approaches (directed and query-based) to health information exchange (HIE) on potentially avoidable use of health care services.
DATA SOURCES/STUDY SETTING: Data on ambulatory care providers' adoption of HIE were merged with Medicare fee-for-service claims from 2008 to 2014. Providers were from 13 counties in New York served by the Rochester Regional Health Information Organization (RHIO).
STUDY DESIGN: Linear regression models with provider and year fixed effects were used to estimate changes in the probability of utilization outcomes for Medicare beneficiaries attributed to providers adopting directed and/or query-based HIE compared with beneficiaries attributed to providers who had not adopted HIE.
DATA COLLECTION: Providers' HIE adoption status was determined through Rochester RHIO registration records. RHIO and claims data were linked via National Provider Identifiers.
PRINCIPAL FINDINGS: Query-based HIE adoption was associated with a 0.2 percentage point reduction in the probability of an ambulatory care sensitive hospitalization and a 1.1 percentage point decrease in the likelihood of an unplanned readmission. Directed HIE adoption was not associated with any outcome.
CONCLUSIONS: The Centers for Medicare & Medicaid Services' (CMS) EHR certification criteria includes requirements for directed HIE, but not query-based HIE. Pending further research, certification criteria should place equal weight on facilitating query-based and directed exchange.
|Alternate Journal||Health Serv Res|
|Grant List||1R01HS024556-01A1 / / Agency for Healthcare Research and Quality / |
CNS-0521433 / / National Science Foundation /