AMIA Annu Symp Proc - Validating Health Information Exchange (HIE) Data For Quality Measurement Across Four Hospitals.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ visual(1396) interact(850) tool(830) }
{ treatment(1704) effect(941) patient(846) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ case(1353) use(1143) diagnosi(1136) }
{ model(2656) set(1616) predict(1553) }
{ decis(3086) make(1611) patient(1517) }
{ data(1737) use(1416) pattern(1282) }
{ care(1570) inform(1187) nurs(1089) }
{ risk(3053) factor(974) diseas(938) }
{ import(1318) role(1303) understand(862) }
{ blood(1257) pressur(1144) flow(957) }
{ age(1611) year(1155) adult(843) }
{ use(2086) technolog(871) perceiv(783) }
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{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ method(2212) result(1239) propos(1039) }
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{ studi(1410) differ(1259) use(1210) }
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{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Health information exchange (HIE) provides an essential enhancement to electronic health records (EHR), allowing information to follow patients across provider organizations. There is also an opportunity to improve public health surveillance, quality measurement, and research through secondary use of HIE data, but data quality presents potential barriers. Our objective was to validate the secondary use of HIE data for two emergency department (ED) quality measures: identification of frequent ED users and early (72-hour) ED returns. We compared concordance of various demographic and encounter data from an HIE for four hospitals to data provided by the hospitals from their EHRs over a two year period, and then compared measurement of our two quality measures using both HIE and EHR data. We found that, following data cleaning, there was no significant difference in the total counts for frequent ED users or early ED returns for any of the four hospitals (p<0.001).

Resumo Limpo

health inform exchang hie provid essenti enhanc electron health record ehr allow inform follow patient across provid organ also opportun improv public health surveil qualiti measur research secondari use hie data data qualiti present potenti barrier object valid secondari use hie data two emerg depart ed qualiti measur identif frequent ed user earli hour ed return compar concord various demograph encount data hie four hospit data provid hospit ehr two year period compar measur two qualiti measur use hie ehr data found follow data clean signific differ total count frequent ed user earli ed return four hospit p

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