Hassol Andrea, Goodman Laura, Younkin Jim, Honicker Mary, Chaundy Kimberly, Walker James M
Andrea Hassol, MSPH, is a principal associate at Abt Associates, Inc., in Cambridge, MA.
Laura Goodman was an associate analyst at Abt Associates, Inc., in Cambridge, MA.
Perspect Health Inf Manag. 2014 Oct 1;11(Fall):1g. eCollection 2014.
This study aimed to measure awareness and interest among state health information exchanges (HIEs) in a tool that translates long-term post-acute care (LTPAC) patient assessment information to a Continuity of Care Document (CCD) format for sharing; whether any state HIEs currently integrate patient information from LTPAC providers; and the anticipated benefits and barriers to using such a tool.
The study consisted of an online survey of state HIEs.
Responses were received from representatives of 29 of the 51 HIEs (57 percent). Eleven of the 29 respondents (38 percent) were aware of the LTPAC-to-CCD translation tool, and 24 (83 percent of respondents) were interested in it or felt LTPAC providers in their state would be interested. Twenty-one of the 24 interested respondents (88 percent) indicated a desire for more information about this technology.
Skilled nursing facilities and home health agencies receive no incentives for adoption of electronic health record systems and are not commonly included in HIEs. These organizations do, however collect extensive structured data about their patients (Minimum Data Set for nursing facilities, Outcome and Assessment Information Set for home health agencies) and transmit the data electronically to the Centers for Medicare and Medicaid Services (CMS). A tool is now available that will intercept the transmissions to CMS, transform content extracted from patient assessments into CCDs, and send the CCDs to a designated HIE.
Responding HIEs reported almost no experience exchanging patient assessment information from LTPAC providers. Anticipated benefits include safer care transitions; anticipated barriers include information technology constraints in LTPAC settings.
本研究旨在衡量州级健康信息交换机构（HIEs）对一种工具的认知度和兴趣，该工具可将长期急性后护理（LTPAC）患者评估信息转换为连续性护理文档（CCD）格式以便共享；了解目前是否有州级HIEs整合了来自LTPAC提供者的患者信息；以及使用此类工具的预期益处和障碍。
该研究包括对州级HIEs的在线调查。
收到了51个HIEs中29个（57%）的代表的回复。29名受访者中有11名（38%）知晓LTPAC到CCD的转换工具，24名（占受访者的83%）对此感兴趣或认为他们所在州的LTPAC提供者会感兴趣。24名感兴趣的受访者中有21名（88%）表示希望获得更多关于这项技术的信息。
熟练护理机构和家庭健康机构在采用电子健康记录系统方面没有受到激励，并且通常不被纳入HIEs。然而，这些组织确实收集了有关其患者的大量结构化数据（护理机构的最低数据集、家庭健康机构的结果和评估信息集），并以电子方式将数据传输给医疗保险和医疗补助服务中心（CMS）。现在有一种工具可以拦截发往CMS的传输数据，将从患者评估中提取的内容转换为CCD，并将CCD发送到指定的HIE。
做出回应的HIEs报告称，在交换来自LTPAC提供者的患者评估信息方面几乎没有经验。预期益处包括更安全的护理过渡；预期障碍包括LTPAC环境中的信息技术限制。
