Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges
Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data. However, under pressure to form accountable care organizations, medical groups ma...
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| Format: | Article |
| Language: | en_US |
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Project HOPE
2013
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| Online Access: | http://hdl.handle.net/1721.1/79389 https://orcid.org/0000-0001-8411-6403 |
| _version_ | 1826190415048474624 |
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| author | Rudin, Robert S. Schneider, Eric C. Volk, Lynn A. Szolovits, Peter Salzberg, Claudia A. Simon, Steven R. Bates, David W. |
| author2 | Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science |
| author_facet | Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science Rudin, Robert S. Schneider, Eric C. Volk, Lynn A. Szolovits, Peter Salzberg, Claudia A. Simon, Steven R. Bates, David W. |
| author_sort | Rudin, Robert S. |
| collection | MIT |
| description | Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data. However, under pressure to form accountable care organizations, medical groups may merge and support private health information exchanges. Such activity could reduce the potential utility of community exchanges—that is, the exchanges’ capacity to share patient data across hospitals and physician practices that are independent. Simulations of care transitions based on data from ten Massachusetts communities suggest that there would have to be many such mergers to undermine the potential utility of health information exchanges. At the same time, because hospitals and the largest medical groups account for only 10–20 percent of care transitions in a community, information exchanges will still need to recruit a large proportion of the medical groups in a given community for the exchanges to maintain their usefulness in fostering information exchange across independent providers. |
| first_indexed | 2024-09-23T08:39:55Z |
| format | Article |
| id | mit-1721.1/79389 |
| institution | Massachusetts Institute of Technology |
| language | en_US |
| last_indexed | 2024-09-23T08:39:55Z |
| publishDate | 2013 |
| publisher | Project HOPE |
| record_format | dspace |
| spelling | mit-1721.1/793892022-09-30T10:20:20Z Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges Rudin, Robert S. Schneider, Eric C. Volk, Lynn A. Szolovits, Peter Salzberg, Claudia A. Simon, Steven R. Bates, David W. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science Massachusetts Institute of Technology. Engineering Systems Division Szolovits, Peter Rudin, Robert S. Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data. However, under pressure to form accountable care organizations, medical groups may merge and support private health information exchanges. Such activity could reduce the potential utility of community exchanges—that is, the exchanges’ capacity to share patient data across hospitals and physician practices that are independent. Simulations of care transitions based on data from ten Massachusetts communities suggest that there would have to be many such mergers to undermine the potential utility of health information exchanges. At the same time, because hospitals and the largest medical groups account for only 10–20 percent of care transitions in a community, information exchanges will still need to recruit a large proportion of the medical groups in a given community for the exchanges to maintain their usefulness in fostering information exchange across independent providers. National Library of Medicine (U.S.) (Boston Informatics Research and Training fellowship (Grant No. LM007092) 2013-07-01T15:09:09Z 2013-07-01T15:09:09Z 2012-03 Article http://purl.org/eprint/type/JournalArticle 0278-2715 1544-5208 http://hdl.handle.net/1721.1/79389 Rudin, R. S., E. C. Schneider, L. A. Volk, P. Szolovits, C. A. Salzberg, S. R. Simon, and D. W. Bates. Simulation Suggests That Medical Group Mergers Won t Undermine The Potential Utility Of Health Information Exchanges. Health Affairs 31, no. 3 (March 5, 2012): 548-559. https://orcid.org/0000-0001-8411-6403 en_US http://dx.doi.org/10.1377/hlthaff.2011.0799 Health Affairs Creative Commons Attribution-Noncommercial-Share Alike 3.0 http://creativecommons.org/licenses/by-nc-sa/3.0/ application/pdf Project HOPE Szolovits via Amy Stout |
| spellingShingle | Rudin, Robert S. Schneider, Eric C. Volk, Lynn A. Szolovits, Peter Salzberg, Claudia A. Simon, Steven R. Bates, David W. Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges |
| title | Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges |
| title_full | Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges |
| title_fullStr | Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges |
| title_full_unstemmed | Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges |
| title_short | Simulation Suggests That Medical Group Mergers Won't Undermine The Potential Utility Of Health Information Exchanges |
| title_sort | simulation suggests that medical group mergers won t undermine the potential utility of health information exchanges |
| url | http://hdl.handle.net/1721.1/79389 https://orcid.org/0000-0001-8411-6403 |
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