Improving Rural Healthcare Transitions Through Health Information Exchange (Pennsylvania)

Project Final Report (PDF, 659.26 KB) Disclaimer

Project Details - Ended

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Summary:

The transition of patients between care locations has repeatedly been characterized by serious quality gaps that can compromise medical safety. To address these gaps, this project enhanced an existing health-information exchange (HIE), the Keystone Health Information Exchange (KeyHIE), to enable clinicians to work more effectively and efficiently and to utilize the HIE more fully when managing care transitions. At the time of this project, KeyHIE connected 20 hospitals, 173 physician practices, 28 home health agencies, 70 long-term care facilities, and one pharmacy in central and northeastern Pennsylvania.

Enhancements to KeyHIE included adding critical transitions-of-care clinicians as exchange users including case managers, home-health nurses, emergency responders, and long-term care facility clinicians. The ability of these users to improve patients' transitions of care was expected to be improved by providing them instant notifications of patient admissions to and discharges from regional hospitals and emergency rooms. The exchange's clinical content was expanded by adding additional laboratory and radiology reports' medication lists from pharmacy benefit management companies and retail pharmacies, problem lists, allergy lists, electrocardiogram traces, and consult reports. Finally, the investigators worked to automate the distribution of patient information from participants' electronic health records (EHRs) to KeyHIE and from KeyHIE to the EHRs of other care providers.

The project team examined the impact of the enhanced KeyHIE on exchange utilization, care-process and patient outcomes, and care-process efficiencies over the five-year study period using surveys with clinicians to understand their motivations for using the exchange, and with clinicians and patients to understand their perceptions of the exchange's usefulness; collected detailed data from a subset of high-use clinicians about whether and how their diagnostic and care plans were affected by information available in the exchange and how their patients' outcomes change with exchange use; and conducted pre- and post-sub-studies of care efficiency at selected provider facilities.

This project does not have any related annual summary.

Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report

Citation:
Wood K. Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report. (Prepared by Geisinger Health System under Grant No. R18 HS018865). Rockville, MD: Agency for Healthcare Research and Quality, 2015. (PDF, 659.26 KB)

The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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Baseline Survey: Patients with Chronic Health Conditions and Case Managers

This is a questionnaire designed to be completed by patients across a health care system setting. The tool includes questions to assess attitudes of health information exchange.

Year of Survey: 
2011
Survey Link: 
Baseline Survey: Patients with Chronic Health Conditions and Case Managers (PDF, 1 MB) (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact Corey Mackison)
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Copyright Status: 
Permission has been obtained from the survey developers for unrestricted use of this survey; it may be modified or used as is without additional permission from the authors.

Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE)

This is a questionnaire designed to be completed by clinical staff across a health care system setting. The tool includes questions to assess perception of health information exchange.

Year of Survey: 
2011
Survey Link: 
Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE) (PDF, 251.02 KB) (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact Corey Mackison)
Document Type: 
Research Method: 
Population: 
Copyright Status: 
Permission has been obtained from the survey developers for unrestricted use of this survey; it may be modified or used as is without additional permission from the authors.
This project does not have any related project spotlight.
This project does not have any related survey.
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This project does not have any related emerging lesson.