AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches.

Tópicos

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Resumo

Adoption of electronic clinical data exchange (CDE) across disparate healthcare organizations remains low in community settings despite demonstrated benefits. To expand CDE in communities, New York State funded sixteen community-based organizations to implement point-to-point directed exchange (n=8) and multi-site query-based health information exchange (HIE) (n=8). We conducted a cross-sectional study to compare adoption of directed exchange versus query-based HIE. From 2008 to 2011, 66% (n=1,747) of providers targeted for directed exchange and 21% (n=5,427) of providers targeted for query-based HIE adopted CDE. Funding per provider adoptee was almost two times greater for directed exchange (median (interquartile range): $25,535 ($17,391-$42,240)) than query-based HIE ($14,649 ($9,897-$28,078)), although the difference was not statistically significant. Because its infrastructure can cover larger populations using similar levels of public funding, query-based HIE may scale more broadly than directed exchange. To our knowledge, this is among the first studies to compare directed exchange versus query-based HIE.

Resumo Limpo

adopt electron clinic data exchang cde across dispar healthcar organ remain low communiti set despit demonstr benefit expand cde communiti new york state fund sixteen communitybas organ implement pointtopoint direct exchang n multisit querybas health inform exchang hie n conduct crosssect studi compar adopt direct exchang versus querybas hie n provid target direct exchang n provid target querybas hie adopt cde fund per provid adopte almost two time greater direct exchang median interquartil rang querybas hie although differ statist signific infrastructur can cover larger popul use similar level public fund querybas hie may scale broad direct exchang knowledg among first studi compar direct exchang versus querybas hie

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