{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:07:05Z","timestamp":1740136025629,"version":"3.37.3"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Merit Review","award":["I01 HX001563"],"award-info":[{"award-number":["I01 HX001563"]}]},{"name":"US Department of Veterans Affairs (VA) Health Services Research & Development Service of the VA Office of Research and Development"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To examine the effectiveness of event notification service (ENS) alerts on health care delivery processes and outcomes for older adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and methods<\/jats:title>\n                  <jats:p>We deployed ENS alerts in 2 Veterans Affairs (VA) medical centers using regional health information exchange (HIE) networks from March 2016 to December 2019. Alerts targeted VA-based primary care teams when older patients (aged 65+ years) were hospitalized or attended emergency departments (ED) outside the VA system. We employed a concurrent cohort study to compare postdischarge outcomes between patients whose providers received ENS alerts and those that did not (usual care). Outcome measures included: timely follow-up postdischarge (actual phone call within 7 days or an in-person primary care visit within 30 days) and all-cause inpatient or ED readmission within 30 days. Generalized linear mixed models, accounting for clustering by primary care team, were used to compare outcomes between groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Compared to usual care, veterans whose primary care team received notification of non-VA acute care encounters were 4 times more likely to have phone contact within 7 days (AOR\u2009=\u20094.10, P\u2009&amp;lt;\u2009.001) and 2 times more likely to have an in-person visit within 30 days (AOR\u2009=\u20091.98, P\u2009=\u2009.007). There were no significant differences between groups in hospital or ED utilization within 30 days of index discharge (P\u2009=\u2009.057).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>ENS was associated with increased timely follow-up following non-VA acute care events, but there was no associated change in 30-day readmission rates. Optimization of ENS processes may be required to scale use and impact across health systems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Given the importance of ENS to the VA and other health systems, this study provides guidance for future research on ENS for improving care coordination and population outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial Registration<\/jats:title>\n                  <jats:p>ClinicalTrials.gov NCT02689076. \u201cRegional Data Exchange to Improve Care for Veterans After Non-VA Hospitalization.\u201d Registered February 23, 2016.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocab189","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T19:17:33Z","timestamp":1629487053000},"page":"2593-2600","source":"Crossref","is-referenced-by-count":5,"title":["Impact of event notification services on timely follow-up and rehospitalization among primary care patients at two Veterans Affairs Medical Centers"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1121-0607","authenticated-orcid":false,"given":"Brian E","family":"Dixon","sequence":"first","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"}]},{"given":"Kimberly M","family":"Judon","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, 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"}]},{"given":"Vivian M","family":"Guerrero","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, James J. Peters VA Medical Center, Bronx, New York, USA"}]},{"given":"Nicholas S","family":"Koufacos","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, James J. Peters VA Medical Center, Bronx, New York, USA"}]},{"given":"Justine","family":"May","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Health Services Research & Development Service, Center for Health Information and Communication, Indianapolis, Indiana, USA"}]},{"given":"Cathy C","family":"Schubert","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Health Services Research & Development Service, Center for Health Information and Communication, Indianapolis, Indiana, USA"},{"name":"Division of Geriatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-5558","authenticated-orcid":false,"given":"Kenneth S","family":"Boockvar","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, James J. Peters VA Medical Center, Bronx, New York, USA"},{"name":"Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"issue":"8","key":"2021120106310102800_ocab189-B1","doi-asserted-by":"crossref","first-page":"579","DOI":"10.7326\/M16-2238","article-title":"Allocation of internal medicine resident time in a Swiss hospital: a time and motion study of day and evening shifts","volume":"166","author":"Wenger","year":"2017","journal-title":"Ann Intern Med"},{"issue":"12","key":"2021120106310102800_ocab189-B2","doi-asserted-by":"crossref","first-page":"2437","DOI":"10.1377\/hlthaff.2011.0923","article-title":"New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated","volume":"30","author":"Schoen","year":"2011","journal-title":"Health Aff (Millwood)"},{"issue":"1","key":"2021120106310102800_ocab189-B3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1186\/s12875-020-01197-8","article-title":"General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research","volume":"21","author":"Damarell","year":"2020","journal-title":"BMC Fam Pract"},{"issue":"3","key":"2021120106310102800_ocab189-B4","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1111\/j.1532-5415.2005.53159.x","article-title":"Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgery","volume":"53","author":"Hamel","year":"2005","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"2021120106310102800_ocab189-B5","first-page":"172","article-title":"Operative mortality with elective surgery in older adults","volume":"4","author":"Finlayson","year":"2001","journal-title":"Eff Clin Pract"},{"key":"2021120106310102800_ocab189-B6","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/B978-0-12-803135-3.00001-3","volume-title":"Health Information Exchange: Navigating and Managing a Network of Health Information Systems","author":"Dixon","year":"2016"},{"key":"2021120106310102800_ocab189-B7","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/B978-0-12-803135-3.00008-6","volume-title":"Health Information Exchange","author":"Hosseini","year":"2016","edition":"1st ed."},{"key":"2021120106310102800_ocab189-B8","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/978-3-030-41215-9_4","volume-title":"Public Health Informatics and Information Systems","author":"Edmunds","year":"2020"},{"key":"2021120106310102800_ocab189-B9","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/978-3-030-41215-9_18","volume-title":"Public Health Informatics and Information Systems","author":"Dixon","year":"2020"},{"key":"2021120106310102800_ocab189-B10","first-page":"635","article-title":"Event detection: a clinical notification service on a health information exchange platform","volume":"2012","author":"Moore","year":"2012","journal-title":"AMIA Annu Symp Proc"},{"issue":"9","key":"2021120106310102800_ocab189-B11","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1093\/jamia\/ocy035","article-title":"The benefits of health information exchange: an updated systematic review","volume":"25","author":"Menachemi","year":"2018","journal-title":"J Am Med Inform Assoc"},{"issue":"3","key":"2021120106310102800_ocab189-B12","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1377\/hlthaff.2014.0729","article-title":"Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care","volume":"34","author":"Rahurkar","year":"2015","journal-title":"Health Aff (Millwood)"},{"issue":"e1","key":"2021120106310102800_ocab189-B13","doi-asserted-by":"crossref","first-page":"e150","DOI":"10.1093\/jamia\/ocw139","article-title":"Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York","volume":"24","author":"Unruh","year":"2017","journal-title":"J Am Med Inform Assoc"},{"issue":"3","key":"2021120106310102800_ocab189-B14","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1093\/tbm\/ibx086","article-title":"Information technologies that facilitate care coordination: provider and patient perspectives","volume":"8","author":"Dixon","year":"2018","journal-title":"Transl Behav Med"},{"issue":"1","key":"2021120106310102800_ocab189-B15","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/s12911-019-0849-1","article-title":"Regional data exchange to improve care for veterans after non-VA hospitalization: a randomized controlled trial","volume":"19","author":"Dixon","year":"2019","journal-title":"BMC Med Inform Decis Mak"},{"key":"2021120106310102800_ocab189-B16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/B978-0-12-803135-3.00027-X","volume-title":"Health Information Exchange: Navigating and Managing a Network of Health Information Systems","author":"Overhage","year":"2016","edition":"1st ed."},{"issue":"2","key":"2021120106310102800_ocab189-B17","doi-asserted-by":"crossref","first-page":"e19249","DOI":"10.2196\/19249","article-title":"Leadership perspectives on implementing health information exchange: a qualitative study in a tertiary VA medical center","volume":"9","author":"Dixon","year":"2021","journal-title":"JMIR Med Inform"},{"year":"2021","key":"2021120106310102800_ocab189-B18"},{"issue":"7","key":"2021120106310102800_ocab189-B19","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1111\/jgs.14179","article-title":"Implementing geriatric resources for assessment and care of elders team care in a Veterans Affairs Medical Center: lessons learned and effects observed","volume":"64","author":"Schubert","year":"2016","journal-title":"J Am Geriatr Soc"},{"issue":"7","key":"2021120106310102800_ocab189-B20","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1111\/j.1532-5415.2006.00791.x","article-title":"Geriatric Resources for Assessment and Care of Elders (GRACE): a new model of primary care for low-income seniors","volume":"54","author":"Counsell","year":"2006","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"2021120106310102800_ocab189-B21","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1093\/jamiaopen\/ooaa065","article-title":"Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange","volume":"3","author":"Wiley","year":"2020","journal-title":"JAMIA Open"},{"issue":"5","key":"2021120106310102800_ocab189-B22","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1111\/1475-6773.13169","article-title":"The associations between query-based and directed health information exchange with potentially avoidable use of health care services","volume":"54","author":"Vest","year":"2019","journal-title":"Health Serv Res"},{"issue":"1","key":"2021120106310102800_ocab189-B23","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1186\/s12913-019-4528-9","article-title":"Effect of single follow-up home visit on readmission in a group of frail elderly patients: a Danish randomized clinical trial","volume":"19","author":"Lembeck","year":"2019","journal-title":"BMC Health Serv Res"},{"issue":"11","key":"2021120106310102800_ocab189-B24","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.7205\/MILMED-D-13-00342","article-title":"Non-VA primary care providers\u2019 perspectives on comanagement for rural veterans","volume":"179","author":"Gaglioti","year":"2014","journal-title":"Mil Med"},{"issue":"4","key":"2021120106310102800_ocab189-B25","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1093\/jamia\/ocv019","article-title":"Implications for informatics given expanding access to care for veterans and other populations","volume":"22","author":"Dixon","year":"2015","journal-title":"J Am Med Inform Assoc"},{"year":"2020","key":"2021120106310102800_ocab189-B26"},{"issue":"8","key":"2021120106310102800_ocab189-B27","doi-asserted-by":"crossref","first-page":"1728","DOI":"10.1093\/jamia\/ocab074","article-title":"Perceptions of event notification following discharge to improve geriatric care: qualitative interviews of care team members from a 2-site cluster randomized trial","volume":"28","author":"Franzosa","year":"2021","journal-title":"J Am Med Inform Assoc"},{"issue":"2","key":"2021120106310102800_ocab189-B28","doi-asserted-by":"crossref","first-page":"301","DOI":"10.3122\/jabfm.2021.02.200251","article-title":"Characteristics of Veterans with non-VA encounters enrolled in a trial of standards-based, interoperable event notification, and care coordination","volume":"34","author":"Kartje","year":"2021","journal-title":"J Am Board Fam Med"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/28\/12\/2593\/41325347\/ocab189.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/28\/12\/2593\/41325347\/ocab189.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T10:03:35Z","timestamp":1638353015000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/28\/12\/2593\/6378995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,1]]},"references-count":28,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,10,1]]},"published-print":{"date-parts":[[2021,11,25]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocab189","relation":{},"ISSN":["1527-974X"],"issn-type":[{"type":"electronic","value":"1527-974X"}],"subject":[],"published-other":{"date-parts":[[2021,12,1]]},"published":{"date-parts":[[2021,10,1]]}}}