Hospital Electronic Health Information Exchange Grew Substantially In 2008–12
- 1 August 2013
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 32 (8), 1346-1354
- https://doi.org/10.1377/hlthaff.2013.0010
Abstract
Electronic health information exchange can improve care coordination for patients by enabling more timely and complete sharing of clinical information among providers and hospitals. Approaches to health information exchange have expanded in recent years with the growth in entities such as regional health information organizations (HIOs) and the increased adoption of electronic health record (EHR) systems. However, little is known about the extent of exchange activity in US hospitals. Using national surveys of hospitals, we found that between 2008 and 2012, hospitals’ electronic exchange of health information with other providers increased significantly, regardless of provider type, organizational affiliation, or type of clinical information. In 2012 nearly six in ten hospitals actively exchanged electronic health information with providers and hospitals outside their organization, an increase of 41 percent since 2008. EHR adoption and HIO participation were associated with significantly greater hospital exchange activity, but exchanges with providers outside the organization and exchanges of clinical care summaries and medication lists remained limited. New and ongoing policy initiatives and payment reforms may accelerate the electronic exchange of health information by creating new data exchange options, defining standards for interoperability, and creating payment incentives for information sharing across organizational boundaries.Keywords
This publication has 19 references indexed in Scilit:
- Adoption Of Electronic Health Records Grows Rapidly, But Fewer Than Half Of US Hospitals Had At Least A Basic System In 2012Health Affairs, 2013
- Operational Health Information Exchanges Show Substantial Growth, But Long-Term Funding Remains A ConcernHealth Affairs, 2013
- The financial impact of health information exchange on emergency department careJournal of the American Medical Informatics Association, 2012
- From The Office Of The National Coordinator: The Strategy For Advancing The Exchange Of Health InformationHealth Affairs, 2012
- Implementation of the Federal Health Information Technology InitiativeThe New England Journal of Medicine, 2011
- A Survey of Health Information Exchange Organizations in the United States: Implications for Meaningful UseAnnals of Internal Medicine, 2011
- The “Meaningful Use” Regulation for Electronic Health RecordsThe New England Journal of Medicine, 2010
- Health information exchange and patient safetyJournal of Biomedical Informatics, 2007
- Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care PhysiciansJAMA, 2007
- The Value Of Health Care Information Exchange And InteroperabilityHealth Affairs, 2005