Short-term medical costs of a VHA health information exchange: A CHEERS-compliant article

Dustin D. French, Brian Dixon, Susan Perkins, Laura J. Myers, Michael Weiner, Allan J. Zillich, David Haggstrom

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans' electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bidirectional health information exchange (HIE) between VHA and non- VHA providers. The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs. A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation. Patientswere enrolled in theVLERprogram onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office. VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment. Therewere 6104 patients enrolled inVLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95% CI: $807- 1433) (P

Original languageEnglish (US)
Article numbere2481
JournalMedicine (United States)
Volume95
Issue number2
DOIs
StatePublished - Jan 1 2016

Fingerprint

Veterans Health
United States Department of Veterans Affairs
Costs and Cost Analysis
Electronic Health Records
Health Care Costs
Health Information Exchange
Propensity Score
Control Groups
Ambulatory Care Facilities
Checklist

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Short-term medical costs of a VHA health information exchange : A CHEERS-compliant article. / French, Dustin D.; Dixon, Brian; Perkins, Susan; Myers, Laura J.; Weiner, Michael; Zillich, Allan J.; Haggstrom, David.

In: Medicine (United States), Vol. 95, No. 2, e2481, 01.01.2016.

Research output: Contribution to journalArticle

@article{9b35336ee1b84513a0ee330e6e2e6293,
title = "Short-term medical costs of a VHA health information exchange: A CHEERS-compliant article",
abstract = "The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans' electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bidirectional health information exchange (HIE) between VHA and non- VHA providers. The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs. A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation. Patientswere enrolled in theVLERprogram onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office. VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment. Therewere 6104 patients enrolled inVLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95{\%} CI: $807- 1433) (P",
author = "French, {Dustin D.} and Brian Dixon and Susan Perkins and Myers, {Laura J.} and Michael Weiner and Zillich, {Allan J.} and David Haggstrom",
year = "2016",
month = "1",
day = "1",
doi = "10.1097/MD.0000000000002481",
language = "English (US)",
volume = "95",
journal = "Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries",
issn = "0025-7974",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Short-term medical costs of a VHA health information exchange

T2 - A CHEERS-compliant article

AU - French, Dustin D.

AU - Dixon, Brian

AU - Perkins, Susan

AU - Myers, Laura J.

AU - Weiner, Michael

AU - Zillich, Allan J.

AU - Haggstrom, David

PY - 2016/1/1

Y1 - 2016/1/1

N2 - The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans' electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bidirectional health information exchange (HIE) between VHA and non- VHA providers. The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs. A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation. Patientswere enrolled in theVLERprogram onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office. VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment. Therewere 6104 patients enrolled inVLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95% CI: $807- 1433) (P

AB - The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans' electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bidirectional health information exchange (HIE) between VHA and non- VHA providers. The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs. A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation. Patientswere enrolled in theVLERprogram onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office. VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment. Therewere 6104 patients enrolled inVLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95% CI: $807- 1433) (P

UR - http://www.scopus.com/inward/record.url?scp=84958213377&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958213377&partnerID=8YFLogxK

U2 - 10.1097/MD.0000000000002481

DO - 10.1097/MD.0000000000002481

M3 - Article

C2 - 26765453

AN - SCOPUS:84958213377

VL - 95

JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

SN - 0025-7974

IS - 2

M1 - e2481

ER -