AMIA Annu Symp Proc - Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data.

Tópicos

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Resumo

NTEXT: For people with epilepsy, the potential value of health information exchange (HIE) is unknown.METHODS: We reviewed two years of clinical encounters for 8055 people with epilepsy from seven Manhattan hospitals. We created network graphs illustrating crossover among these hospitals for multiple encounter types, and calculated a novel metric of care fragmentation: "encounters at risk for missing clinical data."RESULTS: Given two hospitals, a median of 109 [range 46 - 588] patients with epilepsy had visited both. Due to this crossover, recent, relevant clinical data may be missing at the time of care frequently (44.8% of ED encounters, 34.5% inpatient, 24.9% outpatient, and 23.2% radiology). Though a smaller percentage of outpatient encounters were at risk for missing data than ED encounters, the absolute number of outpatient encounters at risk was three times higher (14,579 vs. 5041).CONCLUSION: People with epilepsy may benefit from HIE. Future HIE initiatives should prioritize outpatient access.

Resumo Limpo

ntext peopl epilepsi potenti valu health inform exchang hie unknownmethod review two year clinic encount peopl epilepsi seven manhattan hospit creat network graph illustr crossov among hospit multipl encount type calcul novel metric care fragment encount risk miss clinic dataresult given two hospit median rang patient epilepsi visit due crossov recent relev clinic data may miss time care frequent ed encount inpati outpati radiolog though smaller percentag outpati encount risk miss data ed encount absolut number outpati encount risk three time higher vs conclus peopl epilepsi may benefit hie futur hie initi priorit outpati access

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