Thats a unique idea.You should consider the following idea to enhance your idea so that it would impact uniquely: Objective To assess whether electronic health information exchange (HIE) is associated with improved emergency department (ED) care processes and utilization through more timely clinician viewing of information from outside organizations.#N##N#Materials and Methods Our data included 2163 patients seen in the ED of a large academic medical center for whom clinicians requested and vied outside information from February 14, 2014, to February 13, 2015. Outside information requests w.ere fulfilled via HIE (Epic’s Care Everywhere) or fax/scan to the electronic health record (EHR).  used EHR audit data to capture the time beten the information request and when a clinician accessed the data.  assessed whether the relationship beten method of information return and ED outcomes (length of visit, odds of imaging [computed tomography (CT), magnetic resonance imaging (MRI), radiographs] and hospitalization, and total charges) was mediated by request-to-access time, controlling for patient demographics, case mix, and acuity.#N##N#Results In multivariate analysis, there was no direct association beten return of information via HIE vs fax/scan and ED outcomes. HIE was associated with faster outside information access (58.5 minutes on average), and faster access was associated with changes in ED care. For each 1-hour reduction in access time, visit length was 52.9 minutes shorter, the likelihood of imaging was lor (by 2.5, 1.6, and 2.4 percentage points for CT, MRI, and radiographs, respectively), the likelihood of admission was 2.4 percentage points lor, and average charges re $1187 lor ( P  ≤ .001 for all).#N##N#Conclusion The relationship beten HIE and improved care processes and reduced utilization in the ED is mediated by faster accessing of information from outside organizations.
['Jordan Everson', 'Keith E. Kocher', 'Julia Adler-Milstein']
I am writing a research paper on a idea Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations.
[{"from": "human", "value": "I am writing a research paper on a idea Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations."}, {"from": "gpt", "value": "Thats a unique idea.You should consider the following idea to enhance your idea so that it would impact uniquely: Objective To assess whether electronic health information exchange (HIE) is associated with improved emergency department (ED) care processes and utilization through more timely clinician viewing of information from outside organizations.#N##N#Materials and Methods Our data included 2163 patients seen in the ED of a large academic medical center for whom clinicians requested and vied outside information from February 14, 2014, to February 13, 2015. Outside information requests w.ere fulfilled via HIE (Epic\u2019s Care Everywhere) or fax/scan to the electronic health record (EHR).  used EHR audit data to capture the time beten the information request and when a clinician accessed the data.  assessed whether the relationship beten method of information return and ED outcomes (length of visit, odds of imaging [computed tomography (CT), magnetic resonance imaging (MRI), radiographs] and hospitalization, and total charges) was mediated by request-to-access time, controlling for patient demographics, case mix, and acuity.#N##N#Results In multivariate analysis, there was no direct association beten return of information via HIE vs fax/scan and ED outcomes. HIE was associated with faster outside information access (58.5\u2009minutes on average), and faster access was associated with changes in ED care. For each 1-hour reduction in access time, visit length was 52.9\u2009minutes shorter, the likelihood of imaging was lor (by 2.5, 1.6, and 2.4 percentage points for CT, MRI, and radiographs, respectively), the likelihood of admission was 2.4 percentage points lor, and average charges re $1187 lor ( P \u2009\u2264\u2009.001 for all).#N##N#Conclusion The relationship beten HIE and improved care processes and reduced utilization in the ED is mediated by faster accessing of information from outside organizations."}]