Electronic Health Records Communication among Team Members and Quality of Care and Costs for Patients with Cardiovascular Disease in Primary Care

Date
2019-01-08
Authors
Mundt, Marlon
Zakletskaia, Larissa
Contributor
Advisor
Department
Instructor
Depositor
Speaker
Researcher
Consultant
Interviewer
Annotator
Journal Title
Journal ISSN
Volume Title
Publisher
Volume
Number/Issue
Starting Page
Ending Page
Alternative Title
Abstract
This study determines how changes in electronic health record (EHR) communication patterns in primary care teams are related to quality of care and costs for patients with cardiovascular disease. Counts of EHR messages routed between any two team members were extracted from the EHR system, and flow betweenness, the proportion of information passed indirectly within the team, was calculated. The analysis related changes in team flow betweenness to changes in acute care visits and associated medical costs for the teams’ patients with cardiovascular disease. The results indicated that patient hospital visits increased by 7% (SE 3%) for every 1% increase in team EHR flow betweenness. Medical costs increased by $141 (SE $67) per patient for every 1% increase in team EHR flow betweenness. EHR team communication flow patterns may be an important avenue to explore for raising quality of care and lowering costs for primary care patients with cardiovascular disease.
Description
Keywords
IT Adoption, Diffusion and Evaluation in Healthcare, Information Technology in Healthcare, Communication, Cardiovascular disease, Electronic health records, Primary care, Social network, Team
Citation
Extent
9 pages
Format
Geographic Location
Time Period
Related To
Proceedings of the 52nd Hawaii International Conference on System Sciences
Table of Contents
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
Rights Holder
Local Contexts
Email libraryada-l@lists.hawaii.edu if you need this content in ADA-compliant format.