The Association Between State-Level Health Information Exchange Laws and Hospital Participation in Community Health Information Organizations

Brittany L. Brown-Podgorski, Katy Ellis Hilts, Bita A. Kash, Cason D. Schmit, Joshua Vest

Research output: Contribution to journalArticle

Abstract

Evidence suggests that health information exchange (HIE) is an effective strategy to improve efficiency and quality of care, as well as reduce costs. A complex patchwork of federal and state legislation has developed over time to encourage HIE activity. Hospitals and health systems have adopted various HIE models to meet the requirements of these statutes and regulations. Given the complexity of HIE laws, it is important to understand how these legal levers influence HIE engagement. We combined data from two unique data sources to examine the association between state-level HIE laws and hospital engagement in community HIEs. Our results identified three legal provisions of state laws (HIE authorization, financial & non-financial incentives, opt-out consent) that increased the likelihood of community HIE engagement. Other provisions decreased the likelihood of engagement. This analysis provides foundational evidence about the utility of HIE laws. More research is needed to determine causal relationships.

Original languageEnglish (US)
Pages (from-to)313-320
Number of pages8
JournalAMIA ... Annual Symposium proceedings. AMIA Symposium
Volume2018
StatePublished - Jan 1 2018

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Health Status
Organizations
Health
Community Participation
Health Information Exchange
Quality of Health Care
Information Storage and Retrieval
Legislation
Motivation
Costs and Cost Analysis
Research

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The Association Between State-Level Health Information Exchange Laws and Hospital Participation in Community Health Information Organizations. / Brown-Podgorski, Brittany L.; Hilts, Katy Ellis; Kash, Bita A.; Schmit, Cason D.; Vest, Joshua.

In: AMIA ... Annual Symposium proceedings. AMIA Symposium, Vol. 2018, 01.01.2018, p. 313-320.

Research output: Contribution to journalArticle

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