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Health Information Exchange Utilization and Inter-hospital Transfer Outcomes

Award Number: R01HS026732
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/01/2019
PERIOD OF PERFORMANCE END DATE: 01/31/2023

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Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Grant Summary Approximately 1.6 million patients are transferred between hospitals yearly, experience a disproportionately high mortality, and cost in excess of $100 billion yearly. Inter-hospital transfers are a representative high risk transition of care that occurs across disparate health care systems wherein health information systems often do not effectively share data. Frequent breakdowns in information handling make this population particularly vulnerable to errors. Improving inter-operability of electronic health records (EHR) such as through adoption of regional Health Information Exchanges (HIE) has the potential to facilitate care coordination throughout the transfer process and improve patient outcomes. The overarching objective of this application are to demonstrate at the population and patient level that interoperability improves mortality and care efficiency. Over the 4 years of the proposed study we will accomplish this goal across 3 complimentary aims: Aim 1: We will perform a large population study linking hospital participation of a health information exchange to outcomes and cost of care following an inter hospital transfer. Aim 2: We will complete an interventional study interventional studies that improves the usability available data sharing tools and determine the impact on patient safety and outcomes. Aim 3: We will investigate the impact of the seamless integration of two EHR systems following the merger of two hospital systems which frequently transfer patients. This project will provide valuable information for both policy makers and hospital administrators as they design interventions to improve EHR interoperability. Additionally, this study will inform best practices on how to coordinate the care of a patent transferred between hospitals and directly improve outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$174,352 )
2023	2022	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	5/4/2023	NON-COMPETING CONTINUATION	-$174,352
														Subtotal = -$174,352

Issue Date FY: 2022 ( Subtotal = $331,702 )
2022	2022	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	1/4/2022	NON-COMPETING CONTINUATION	$331,702
														Subtotal = $331,702

Issue Date FY: 2021 ( Subtotal = $266,252 )
2021	2021	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	1/26/2021	NON-COMPETING CONTINUATION	$266,252
														Subtotal = $266,252

Issue Date FY: 2020 ( Subtotal = $331,702 )
2020	2020	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	1/14/2020	NON-COMPETING CONTINUATION	$331,702
														Subtotal = $331,702

Issue Date FY: 2019 ( Subtotal = $331,702 )
2019	2019	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	3/21/2019	NEW	$331,702
														Subtotal = $331,702

Grand Total All Awards = $1,087,006

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Health Information Exchange Utilization and Inter-hospital Transfer Outcomes

Award Number: R01HS026732

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/01/2019

PERIOD OF PERFORMANCE END DATE: 01/31/2023

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