Perspect Health Inf Manag - Survey of state health information exchanges regarding inclusion of Continuity of Care Documents for long-term post-acute care (LTPAC) patient assessment.

Tópicos

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Resumo

JECTIVES: This study aimed to measure awareness and interest among state health information exchanges (HIEs) in a tool that translates long-term post-acute care (LTPAC) patient assessment information to a Continuity of Care Document (CCD) format for sharing; whether any state HIEs currently integrate patient information from LTPAC providers; and the anticipated benefits and barriers to using such a tool.MATERIALS AND METHODS: The study consisted of an online survey of state HIEs.RESULTS: Responses were received from representatives of 29 of the 51 HIEs (57 percent). Eleven of the 29 respondents (38 percent) were aware of the LTPAC-to-CCD translation tool, and 24 (83 percent of respondents) were interested in it or felt LTPAC providers in their state would be interested. Twenty-one of the 24 interested respondents (88 percent) indicated a desire for more information about this technology.DISCUSSION: Skilled nursing facilities and home health agencies receive no incentives for adoption of electronic health record systems and are not commonly included in HIEs. These organizations do, however collect extensive structured data about their patients (Minimum Data Set for nursing facilities, Outcome and Assessment Information Set for home health agencies) and transmit the data electronically to the Centers for Medicare and Medicaid Services (CMS). A tool is now available that will intercept the transmissions to CMS, transform content extracted from patient assessments into CCDs, and send the CCDs to a designated HIE.CONCLUSION: Responding HIEs reported almost no experience exchanging patient assessment information from LTPAC providers. Anticipated benefits include safer care transitions; anticipated barriers include information technology constraints in LTPAC settings.

Resumo Limpo

jectiv studi aim measur awar interest among state health inform exchang hie tool translat longterm postacut care ltpac patient assess inform continu care document ccd format share whether state hie current integr patient inform ltpac provid anticip benefit barrier use toolmateri method studi consist onlin survey state hiesresult respons receiv repres hie percent eleven respond percent awar ltpactoccd translat tool percent respond interest felt ltpac provid state interest twentyon interest respond percent indic desir inform technologydiscuss skill nurs facil home health agenc receiv incent adopt electron health record system common includ hie organ howev collect extens structur data patient minimum data set nurs facil outcom assess inform set home health agenc transmit data electron center medicar medicaid servic cms tool now avail will intercept transmiss cms transform content extract patient assess ccds send ccds design hieconclus respond hie report almost experi exchang patient assess inform ltpac provid anticip benefit includ safer care transit anticip barrier includ inform technolog constraint ltpac set

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