Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. Executive Summary

10/29/2013

In 2012 the U.S. Department of Health and Human Services (HHS) funded this study to expand the knowledge base related to the state of health information exchange (HIE) to support care for persons receiving long-term and post-acute care (LTPAC) and long-term services and supports (LTSS). LTPAC providers play an important role in the United States health care system, providing care for elderly, frail, and disabled individuals, including persons who require ongoing treatment after an acute health episode. Over a third of all Medicare patients discharged from acute hospitals receive subsequent LTPAC services such as a skilled nursing facility (SNF) or home health services.1 As the United States population ages, the demand for health care services by Americans age 65 and older is expected to dramatically increase.

The focus of this study was as follows:

  • Synthesize evidence-based practices regarding HIE interventions and activities to support transitions in care and shared care by multiple members of the care team.

  • Describe these HIE interventions and activities including electronic HIE.

  • Characterize the HIE interventions, activities, LTPAC and LTSS providers, and external entities who are engaged in HIE to support care coordination and transitions of care, guided by a framework developed for this study.

  • Identify factors that enable or create barriers to implementing these HIE interventions/activities.

  • Describe the availability of process, outcome, and cost measures and metrics to assess the impact of identified HIE interventions.

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