{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T22:04:51Z","timestamp":1760997891003,"version":"3.37.3"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"8","funder":[{"name":"US Department of Veterans Affairs Health Services Research and Development Service","award":["#s IIR-10-146","I01 HX001563"],"award-info":[{"award-number":["#s IIR-10-146","I01 HX001563"]}]},{"name":"VHA"},{"name":"US government"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess primary care teams\u2019 perceptions of a health information exchange (HIE) event notification intervention for geriatric patients in 2 Veterans Health Administration (VHA) medical centers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We conducted a qualitative evaluation of an event notification alerting primary care teams to non-VHA hospital admissions and emergency department visits. Data were collected through semistructured interviews (n\u2009=\u200923) of primary care team physicians, nurses and medical assistants. Study design and analysis were guided by the Consolidated Framework for Implementation Research (CFIR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Team members found the alerts necessary, helpful for filling information gaps, and effective in supporting timely follow-up care, although some expressed concern over scheduling capacity and distinguishing alerts from other VHA notices. Participants also suggested improvements including additional data on patients\u2019 diagnosis and discharge instructions, timing alerts to patients\u2019 discharge (including clear next steps), including additional team members to ensure alerts were acted upon, and implementing a single sign-on.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Primary care team members perceived timely event notification of non-VHA emergency department visits and hospital admissions as potentially improving post-discharge follow-up and patient outcomes. However, they were sometimes unsure of next steps and suggested the alerts and platform could be streamlined for easier use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Event notifications may be a valuable tool in coordinating care for high-risk older patients. Future intervention research should explore the optimal amount and types of information and delivery method across sites and test the integration of alerts into broader care coordination efforts.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocab074","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T19:26:54Z","timestamp":1617996414000},"page":"1728-1735","source":"Crossref","is-referenced-by-count":11,"title":["Perceptions of event notification following discharge to improve geriatric care: qualitative interviews of care team members from a 2-site cluster randomized trial"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7590-0316","authenticated-orcid":false,"given":"Emily","family":"Franzosa","sequence":"first","affiliation":[{"name":"Geriatric Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, USA"},{"name":"Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}]},{"given":"Morgan","family":"Traylor","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Health Services Research & Development Service, Center for Health Information and Communication, Indianapolis, Indiana, USA"}]},{"given":"Kimberly M","family":"Judon","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, USA"}]},{"given":"Vivian","family":"Guerrero Aquino","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, USA"}]},{"given":"Ashley L","family":"Schwartzkopf","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Health Services Research & Development Service, Center for Health Information and Communication, Indianapolis, Indiana, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-5558","authenticated-orcid":false,"given":"Kenneth S","family":"Boockvar","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, USA"},{"name":"Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1121-0607","authenticated-orcid":false,"given":"Brian E","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Health Services Research & Development Service, Center for Health Information and Communication, Indianapolis, Indiana, USA"},{"name":"Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA"},{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"year":"2020","key":"2021073020265137900_ocab074-B1"},{"issue":"8","key":"2021073020265137900_ocab074-B2","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1001\/jamainternmed.2014.2488","article-title":"Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use","volume":"174","author":"Nelson","year":"2014","journal-title":"JAMA Intern Med"},{"key":"2021073020265137900_ocab074-B3","doi-asserted-by":"crossref","first-page":"5140","DOI":"10.1111\/1475-6773.13029","article-title":"Fee-for-service Medicare-enrolled elderly veterans are increasingly voting with their feet to use more VA and less Medicare, 2003\u20132014","volume":"53","author":"Liu","year":"2018","journal-title":"Health Serv 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