Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. 3.5.3. Care Transition and Coordination Measures Used by Identified HIE Interventions

10/29/2013

Most the identified HIE interventions identified, including the sites visited measure the impact of the care transitions and coordination interventions. Not all of the measures may be directly attributable to the exchange of information nor were they reported to be so. It was also not possible from the environmental scan to separate measures used for electronic HIE interventions from non-electronic HIE, with the exception of a measure of whether transitions of care were accompanied by electronic care of summary. For both electronic and non-electronic HIE, the most common measures reported were the rates of ED visits and walk-in care, and hospital admissions and/or hospital readmissions. Three interventions reported that they monitored discharge disposition and two interventions measured length of hospital stay as a measure of their success. Other areas measured for the HIE interventions were impact on duplication of services; unnecessary tests and treatments; medication reconciliation completion rates; transmission of transition record after discharge; transmission of information within 2 hours of discharge; pending test results followed up after discharge; fall rates; changes in rates of urgent care, if patient self-management of medications goals were met; rates of ADEs; functional outcome measures; customer satisfaction; and efficiency, speed and satisfaction with the transition of care process.

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