{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:34:10Z","timestamp":1777962850833,"version":"3.51.4"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Background Hospital readmissions are common, costly, and offer opportunities for utilization reduction. Electronic health information exchange (HIE) systems may help prevent readmissions by improving access to clinical data by ambulatory providers after discharge from the hospital.<\/jats:p>\n               <jats:p>Objective We sought to determine the association between HIE system usage and 30-day same-cause hospital readmissions among patients who consented and participated in an operational community-wide HIE during a 6-month period in 2009\u20132010.<\/jats:p>\n               <jats:p>Methods We identified a retrospective cohort of hospital readmissions among adult patients in the Rochester, New York area. We analyzed claims files from two health plans that insure more than 60% of the area population. To be included in the dataset, patients needed to be continuously enrolled in the health plan with at least one encounter with a participating provider in the 6\u2009months following consent to be included in the HIE system. Each patient appeared in the dataset only once and each discharge could be followed for at least 30\u2009days.<\/jats:p>\n               <jats:p>Results We found that accessing patient information in the HIE system in the 30\u2009days after discharge was associated with a 57% lower adjusted odds of readmission (OR 0.43; 95% CI 0.27 to 0.70). The estimated annual savings in the sample from averted readmissions associated with HIE usage was $605\u2009000.<\/jats:p>\n               <jats:p>Conclusions These findings indicate that usage of an electronic HIE system in the ambulatory setting within 30\u2009days after hospital discharge may effectively prevent hospital readmissions, thereby supporting the need for ongoing HIE efforts.<\/jats:p>","DOI":"10.1136\/amiajnl-2014-002760","type":"journal-article","created":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T05:13:06Z","timestamp":1407388386000},"page":"435-442","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":77,"title":["The potential for community-based health information exchange systems to reduce hospital readmissions"],"prefix":"10.1093","volume":"22","author":[{"given":"Joshua R","family":"Vest","sequence":"first","affiliation":[{"name":"Center for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA"},{"name":"Health Information Technology Evaluation Collaborative, New York, New York, USA"}]},{"given":"Lisa M","family":"Kern","sequence":"additional","affiliation":[{"name":"Center for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA"},{"name":"Health Information Technology Evaluation Collaborative, New York, New York, USA"},{"name":"Department of Medicine, Weill Cornell Medical College, New York, New York, USA"}]},{"given":"Michael D","family":"Silver","sequence":"additional","affiliation":[{"name":"Center for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA"},{"name":"Health Information Technology Evaluation Collaborative, New York, New York, USA"}]},{"given":"Rainu","family":"Kaushal","sequence":"additional","affiliation":[{"name":"Center for Healthcare Informatics & Policy, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA"},{"name":"Health Information Technology Evaluation Collaborative, New York, New York, USA"},{"name":"Department of Medicine, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Pediatrics, Weill Cornell Medical College, New York, New York, USA"}]},{"name":"for the HITEC investigators","sequence":"additional","affiliation":[]}],"member":"286","published-online":{"date-parts":[[2014,8,6]]},"reference":[{"key":"2020110612585783200_R1","first-page":"96","article-title":"Hospital readmission rates in Medicare advantage plans","volume":"18","author":"Lemieux","year":"2012","journal-title":"Am J Manag Care"},{"key":"2020110612585783200_R2","author":"Centers for Medicare & Medicaid Services"},{"key":"2020110612585783200_R3","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/1077558704263799","article-title":"The rate and cost of hospital readmissions for preventable conditions","volume":"61","author":"Friedman","year":"2004","journal-title":"Med Care Res Rev"},{"key":"2020110612585783200_R4","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1056\/NEJMsa0803563","article-title":"Rehospitalizations among patients in the Medicare fee-for-service program","volume":"360","author":"Jencks","year":"2009","journal-title":"N Engl J Med"},{"key":"2020110612585783200_R5","doi-asserted-by":"crossref","first-page":"161","DOI":"10.7326\/0003-4819-138-3-200302040-00007","article-title":"The incidence and severity of adverse events affecting patients after discharge from the hospital","volume":"138","author":"Forster","year":"2003","journal-title":"Ann Intern Med"},{"key":"2020110612585783200_R6","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1046\/j.1525-1497.2002.10741.x","article-title":"Effect of discharge summary availability during post-discharge visits on hospital readmission","volume":"17","author":"Walraven","year":"2002","journal-title":"J Gen Intern Med"},{"issue":"(hlthaff.w4.487)","key":"2020110612585783200_R7","first-page":"w487","article-title":"Primary care and health system performance: adults\u2019 experiences in five countries","volume":"23","author":"Schoen","year":"2004","journal-title":"Health Aff"},{"key":"2020110612585783200_R8","doi-asserted-by":"crossref","DOI":"10.1377\/hlthaff.W5.509","article-title":"Taking the pulse of health care systems: experiences of patients with health problems in six countries","author":"Schoen","year":"2005","journal-title":"Health Aff"},{"issue":"(6 S1)","key":"2020110612585783200_R9","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.jbi.2007.08.002","article-title":"The United Hospital Fund meeting on evaluating health information exchange","volume":"40","author":"Hripcsak","year":"2007","journal-title":"J Biomed Inform"},{"key":"2020110612585783200_R10","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/jama.297.8.831","article-title":"Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care","volume":"297","author":"Kripalani","year":"2007","journal-title":"JAMA"},{"key":"2020110612585783200_R11","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1136\/amiajnl-2010-000021","article-title":"Health-information exchange: why are we doing it, and what are we doing?","volume":"18","author":"Kuperman","year":"2011","journal-title":"J Am Med Inform Assoc"},{"key":"2020110612585783200_R12","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1136\/amiajnl-2011-000394","article-title":"The financial impact of health information exchange on emergency department care","volume":"19","author":"Frisse","year":"2012","journal-title":"J Am Med Inform Assoc"},{"key":"2020110612585783200_R13","doi-asserted-by":"crossref","first-page":"219","DOI":"10.4338\/ACI-2013-10-RA-0083","article-title":"Association between use of a health information exchange system and hospital admissions","volume":"5","author":"Vest","year":"2014","journal-title":"Appl Clin Inform"},{"key":"2020110612585783200_R14","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/1472-6947-13-49","article-title":"The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses","volume":"13","author":"Ben-Assuli","year":"2013","journal-title":"BMC Med Inform Decis Mak"},{"key":"2020110612585783200_R15","first-page":"644","article-title":"Health information exchange, Health Information Technology use, and hospital readmission rates","volume":"2011","author":"Jones","year":"2011","journal-title":"AMIA Annu Symp Proc"},{"key":"2020110612585783200_R16","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1067\/mem.2002.120794","article-title":"A randomized, controlled trial of clinical information shared from another institution","volume":"39","author":"Overhage","year":"2002","journal-title":"Ann Emerg Med"},{"key":"2020110612585783200_R17","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s10916-008-9183-3","article-title":"Health information exchange and healthcare utilization","volume":"33","author":"Vest","year":"2009","journal-title":"J Med Syst"},{"key":"2020110612585783200_R18","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/PHH.0b013e3181df78b9","article-title":"A randomized controlled trial of health information exchange between human immunodeficiency virus institutions","volume":"16","author":"Proeschold-Bell","year":"2010","journal-title":"J Public Health Manag Pract"},{"key":"2020110612585783200_R19","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1503\/cmaj.050698","article-title":"Impact of an electronic link between the emergency department and family physicians: a randomized controlled trial","volume":"174","author":"Lang","year":"2006","journal-title":"CMAJ"},{"key":"2020110612585783200_R20","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/1748-5908-5-88","article-title":"Determinants of preventable readmissions in the United States: a systematic review","volume":"5","author":"Vest","year":"2010","journal-title":"Implement Sci"},{"key":"2020110612585783200_R21","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1377\/hlthaff.28.2.493","article-title":"HEAL NY: promoting interoperable health information technology in New York State","volume":"28","author":"Kern","year":"2009","journal-title":"Health Aff"},{"key":"2020110612585783200_R22","author":"Greater Rochester Regional Health Information Organization"},{"key":"2020110612585783200_R23","author":"Greater Rochester Regional Health Information Organization"},{"key":"2020110612585783200_R24","article-title":"NYeC July 2012 Board Meeting","author":"New York eHealth Collaborative","year":"2012"},{"key":"2020110612585783200_R25","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.ijmedinf.2013.05.001","article-title":"Health information exchange system usage patterns in three communities: practice sites, users, patients, and data","volume":"82","author":"Campion","year":"2013","journal-title":"Int J Med Inform"},{"key":"2020110612585783200_R26","author":"Agency for Healthcare Research and Quality"},{"key":"2020110612585783200_R27","article-title":"Readmissions Reduction Program","author":"Centers for Medicare & Medicaid Services","year":"2012"},{"key":"2020110612585783200_R28","author":"The Health Services Research & Development Center at The Johns Hopkins University, Bloomberg School of Public Health","year":"2011"},{"key":"2020110612585783200_R29","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1097\/01.mlr.0000223475.70440.07","article-title":"In search of the perfect comorbidity measure for use with administrative claims data: does it exist?","volume":"44","author":"Baldwin","year":"2006","journal-title":"Med Care"},{"key":"2020110612585783200_R30","article-title":"AHA Dataviewer Glossary","author":"Health Forum,","year":"2012"},{"key":"2020110612585783200_R31","author":"StataCorp","year":"2011"},{"key":"2020110612585783200_R32","author":"Agency for Healthcare Research Quality"},{"key":"2020110612585783200_R33","volume-title":"Reducing hospital readmissions in New York state: a simulation analysis of alternative payment incentives","author":"Chollet","year":"2011"},{"key":"2020110612585783200_R34","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1002\/jhm.228","article-title":"Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists","volume":"2","author":"Kripalani","year":"2007","journal-title":"J Hosp Med"},{"key":"2020110612585783200_R35","doi-asserted-by":"crossref","first-page":"121","DOI":"10.7326\/0003-4819-143-2-200507190-00011","article-title":"Patient safety concerns arising from test results that return after hospital discharge","volume":"143","author":"Roy","year":"2005","journal-title":"Ann Intern Med"},{"key":"2020110612585783200_R36","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s11606-012-2229-8","article-title":"Hospital performance measures and 30-day readmission rates","volume":"28","author":"Stefan","year":"2013","journal-title":"J Gen Intern Med"},{"key":"2020110612585783200_R37","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1136\/jamia.2010.004812","article-title":"Factors motivating and affecting health information exchange usage","volume":"18","author":"Vest","year":"2011","journal-title":"J Am Med Inform Assoc"},{"key":"2020110612585783200_R38","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/1472-6947-11-78","article-title":"Use of a health information exchange system in the emergency care of children","volume":"11","author":"Vest","year":"2011","journal-title":"BMC Med Inform Decis Mak"},{"key":"2020110612585783200_R39","author":"US Department of Health & Human Services"},{"key":"2020110612585783200_R40","volume-title":"Health information technology in the United States 2013: better information systems for better care","author":"Mathematica Policy Research, Harvard School of Public Health, Robert Wood Johnson Foundation","year":"2013"},{"key":"2020110612585783200_R41","doi-asserted-by":"crossref","first-page":"9987","DOI":"10.1007\/s10916-013-9987-7","article-title":"Challenges, alternatives, and paths to sustainability for health information exchange efforts","volume":"37","author":"Vest","year":"2013","journal-title":"J Med Syst"},{"key":"2020110612585783200_R42","first-page":"77","article-title":"Push and pull: physician usage of and satisfaction with health information exchange","volume":"2012","author":"Campion","year":"2012","journal-title":"AMIA Annu Symp Proc"},{"key":"2020110612585783200_R43","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1007\/s11606-012-2092-7","article-title":"Does health information exchange reduce unnecessary neuroimaging and improve quality of headache care in the emergency department?","volume":"28","author":"Bailey","year":"2013","journal-title":"J Gen Intern Med"},{"key":"2020110612585783200_R44","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.annemergmed.2013.01.006","article-title":"Health information exchange reduces repeated diagnostic imaging for back pain","volume":"62","author":"Bailey","year":"2013","journal-title":"Ann Emerg Med"},{"key":"2020110612585783200_R45","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/01974520-200901000-00002","article-title":"Improving transitions to reduce readmissions","volume":"25","author":"Bisognano","year":"2009","journal-title":"Front Health Serv Manage"},{"key":"2020110612585783200_R46","volume-title":"Geisinger health system: achieving the potential of system integration through innovation, leadership, measurement, and incentives","author":"McCarthy","year":"2009"},{"key":"2020110612585783200_R47","author":"Fredericks"},{"key":"2020110612585783200_R48","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1136\/jamia.2010.003673","article-title":"Health information exchange: persistent challenges & new strategies","volume":"17","author":"Vest","year":"2010","journal-title":"J Am Med Inform Assoc"},{"key":"2020110612585783200_R49","first-page":"290","article-title":"Community-based health information technology alliances: potential predictors of early sustainability","volume":"17","author":"Kern","year":"2011","journal-title":"Am J Manag Care"},{"issue":"Suppl","key":"2020110612585783200_R50","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1016\/j.jbi.2007.08.010","article-title":"Health information technology and health information exchange in New York state: new initiatives in implementation and evaluation","volume":"40","author":"Kern","year":"2007","journal-title":"J Biomed Inform"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/22\/2\/435\/34145374\/amiajnl-2014-002760.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/22\/2\/435\/34145374\/amiajnl-2014-002760.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T18:34:33Z","timestamp":1604687673000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/22\/2\/435\/694158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,6]]},"references-count":50,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2014,8,6]]},"published-print":{"date-parts":[[2015,3,1]]}},"URL":"https:\/\/doi.org\/10.1136\/amiajnl-2014-002760","relation":{},"ISSN":["1527-974X","1067-5027"],"issn-type":[{"value":"1527-974X","type":"electronic"},{"value":"1067-5027","type":"print"}],"subject":[],"published-other":{"date-parts":[[2015,3]]},"published":{"date-parts":[[2014,8,6]]}}}