Are there differences in health information exchange by health system type?

William Opoku-Agyeman, Nir Menachemi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. Purpose: The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Methods: Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Results: Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p G.001). Overall, 62.2% of hospitals were part of a health system, and among system hospitals, 125 (8.0%) were in centralized health systems, 75 (4.8%) were in centralized physician/insurance health system, 284 (18.3%) were in moderately centralized health system, 391 (25.2%) were in decentralized health system, and 91 (5.9%) were in independent health system. In regression analyses, hospitals belonging to a health system were more likely to exchange patient health data with other hospitals in the same system (OR = 3.94, p G.001) but not with hospitals outside their system (OR = 1.89, p =.445). Across health system types, there was no significant difference in the exchange of patient health data. Practice Implications: Hospital engagement in HIE is associated with health system membership. These findings will assist hospital leaders and managers to better understand how the structure and nature of their system may influence what their individual hospital can and cannot do in their decision to engage in HIE and other decisions that support the overall system objectives.

Original languageEnglish (US)
Pages (from-to)325-333
Number of pages9
JournalHealth Care Management Review
Volume41
Issue number4
DOIs
StatePublished - Jan 1 2016

Fingerprint

Health
Health Information Exchange
Information exchange
Health information
Regression Analysis
Hospital Costs
Health Insurance
Radiology
Health Status
Logistic Models
Demography
Physicians
Safety

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management

Cite this

Are there differences in health information exchange by health system type? / Opoku-Agyeman, William; Menachemi, Nir.

In: Health Care Management Review, Vol. 41, No. 4, 01.01.2016, p. 325-333.

Research output: Contribution to journalArticle

@article{b43f0a5b72a041279924d17f7fdfeb9d,
title = "Are there differences in health information exchange by health system type?",
abstract = "Background: Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30{\%} of U.S. hospitals doing so in 2012. Purpose: The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Methods: Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Results: Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p G.001). Overall, 62.2{\%} of hospitals were part of a health system, and among system hospitals, 125 (8.0{\%}) were in centralized health systems, 75 (4.8{\%}) were in centralized physician/insurance health system, 284 (18.3{\%}) were in moderately centralized health system, 391 (25.2{\%}) were in decentralized health system, and 91 (5.9{\%}) were in independent health system. In regression analyses, hospitals belonging to a health system were more likely to exchange patient health data with other hospitals in the same system (OR = 3.94, p G.001) but not with hospitals outside their system (OR = 1.89, p =.445). Across health system types, there was no significant difference in the exchange of patient health data. Practice Implications: Hospital engagement in HIE is associated with health system membership. These findings will assist hospital leaders and managers to better understand how the structure and nature of their system may influence what their individual hospital can and cannot do in their decision to engage in HIE and other decisions that support the overall system objectives.",
author = "William Opoku-Agyeman and Nir Menachemi",
year = "2016",
month = "1",
day = "1",
doi = "10.1097/HMR.0000000000000081",
language = "English (US)",
volume = "41",
pages = "325--333",
journal = "Health Care Management Review",
issn = "0361-6274",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Are there differences in health information exchange by health system type?

AU - Opoku-Agyeman, William

AU - Menachemi, Nir

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background: Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. Purpose: The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Methods: Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Results: Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p G.001). Overall, 62.2% of hospitals were part of a health system, and among system hospitals, 125 (8.0%) were in centralized health systems, 75 (4.8%) were in centralized physician/insurance health system, 284 (18.3%) were in moderately centralized health system, 391 (25.2%) were in decentralized health system, and 91 (5.9%) were in independent health system. In regression analyses, hospitals belonging to a health system were more likely to exchange patient health data with other hospitals in the same system (OR = 3.94, p G.001) but not with hospitals outside their system (OR = 1.89, p =.445). Across health system types, there was no significant difference in the exchange of patient health data. Practice Implications: Hospital engagement in HIE is associated with health system membership. These findings will assist hospital leaders and managers to better understand how the structure and nature of their system may influence what their individual hospital can and cannot do in their decision to engage in HIE and other decisions that support the overall system objectives.

AB - Background: Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. Purpose: The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Methods: Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Results: Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p G.001). Overall, 62.2% of hospitals were part of a health system, and among system hospitals, 125 (8.0%) were in centralized health systems, 75 (4.8%) were in centralized physician/insurance health system, 284 (18.3%) were in moderately centralized health system, 391 (25.2%) were in decentralized health system, and 91 (5.9%) were in independent health system. In regression analyses, hospitals belonging to a health system were more likely to exchange patient health data with other hospitals in the same system (OR = 3.94, p G.001) but not with hospitals outside their system (OR = 1.89, p =.445). Across health system types, there was no significant difference in the exchange of patient health data. Practice Implications: Hospital engagement in HIE is associated with health system membership. These findings will assist hospital leaders and managers to better understand how the structure and nature of their system may influence what their individual hospital can and cannot do in their decision to engage in HIE and other decisions that support the overall system objectives.

UR - http://www.scopus.com/inward/record.url?scp=84944348347&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944348347&partnerID=8YFLogxK

U2 - 10.1097/HMR.0000000000000081

DO - 10.1097/HMR.0000000000000081

M3 - Article

C2 - 26317301

AN - SCOPUS:84944348347

VL - 41

SP - 325

EP - 333

JO - Health Care Management Review

JF - Health Care Management Review

SN - 0361-6274

IS - 4

ER -