Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions.

ABSTRACT:

Objective

To assess whether an electronic health record (EHR) portal to enable health information exchange (HIE) between a hospital and three skilled nursing facilities (SNFs) reduced likelihood of patient readmission.

Setting/data

Secondary data; all discharges from a large academic medical center to SNFs between July 2013 and March 2017, combined with portal usage records from SNFs with HIE access.

Design

We use difference-in-differences to determine whether portal implementation reduced likelihood of readmission over time for patients discharged to HIE-enabled SNFs, relative to those discharged to nonenabled facilities. Additional descriptive analyses of audit log data characterize portal use within enabled facilities.

Data collection

Encounter-level clinica

SUBMITTER: Cross DA 

PROVIDER: S-EPMC6863235 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature