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This research will integrate cross-sector care alerts and interoperable personalized care planning into the existing Coordinating Transitions Intervention (CTI) tool and evaluate the impact of the revised tool on patient burden, care team collaboration, and utilization value for high-need, high-cost patients.
This study aimed to improve care transitions for low-income patients with multiple chronic conditions using health information exchange, and found significant reductions in inpatient and emergency department utilization.
This project examined the concept of geographical area that is fundamental to health information exchange activity, and explored the practical and policy implications of how exchange service areas are defined and measured.
This project sought to identify existing, and create new, clinical quality of care metrics able to be reliably retrieved from electronic systems, such as electronic health records and health information exchanges.