Perspect Health Inf Manag. 2022 Jul 1;19(3):1b. eCollection 2022 Summer.
This study identifies the type, distribution, and interactions of US hospitals that identify as electronic-data-driven, patient-centric, and learning-focused. Such facilities, termed Health Information Interested (HII) hospitals in this study, meet the defining criteria for one or more of the following designations: learning health systems (LHS), Health Information Technology for Economic and Clinical Health (HITECH) meaningful use stage three compliant (MU3), Patient-Centered Outcomes Research Institute (PCORI) funded, or medical home/safety net (MH/SN) hospital. The American Hospital Association (AHA) IT supplemental survey and other supporting data spanning 2013 to 2018 were used to identify HII hospitals. HII hospitals increased from 19.9 percent to 62.4 percent of AHA reporting hospitals from 2013 to 2018. HII subcategories in 2018 such as the full LHS (37.2 percent) and MU3 (46.9 percent) were dominant, with 33.2 percent having both designations. This indicates increased interest in patient-centric, learning-focused care using electronic health data. This information can enable health information management (HIM) professionals to be aware of programs or approaches that can facilitate learning-focused, patient-centric care using electronic health data within health systems.
本研究确定了将自身定义为电子数据驱动、以患者为中心和以学习为重点的美国医院的类型、分布和相互关系。在本研究中，这类机构被称为健康信息感兴趣（Health Information Interested，HII）医院，它们符合以下一个或多个指定标准的定义标准：学习健康系统（Learning Health Systems，LHS）、符合医疗信息技术经济临床健康（Health Information Technology for Economic and Clinical Health，HITECH）第三阶段有意义使用（Meaningful Use stage three compliant，MU3）、患者为中心的成果研究学会（Patient-Centered Outcomes Research Institute，PCORI）资助，或医疗之家/安全网（Medical Home/Safety Net，MH/SN）医院。美国医院协会（American Hospital Association，AHA）的 IT 补充调查和其他 2013 年至 2018 年的支持数据被用于识别 HII 医院。从 2013 年到 2018 年，HII 医院在 AHA 报告医院中的比例从 19.9%增加到 62.4%。2018 年的 HII 子类别，如完整的 LHS（37.2%）和 MU3（46.9%）占主导地位，其中 33.2%的医院同时具有这两个指定类别。这表明人们对使用电子健康数据的以患者为中心、以学习为重点的护理越来越感兴趣。这些信息可以使健康信息管理（Health Information Management，HIM）专业人员了解在卫生系统内使用电子健康数据促进以学习为重点、以患者为中心的护理的程序或方法。
