TY - JOUR
T1 - Utilizing a health information exchange to facilitate COVID-19 VA primary care follow-up for Veterans diagnosed in the community
AU - Sherman, Rachel L.
AU - Judon, Kimberly M.
AU - Koufacos, Nicholas S.
AU - Guerrero Aquino, Vivian M.
AU - Raphael, Shaniqua M.
AU - Hollander, Judith T.
AU - Boockvar, Kenneth S.
N1 - Publisher Copyright:
© 2021 Published by Oxford University Press on behalf of the American Medical Informatics Association 2019.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - The use of alerts from the Bronx RHIO, a health information exchange (HIE) to identify James J. Peters VAMC patients diagnosed with COVID-19 in the community was described to facilitate COVID-19 VA primary care follow-up. COVID-19 hospitalization and testing alerts were delivered on a Bronx RHIO facility report. VA COVID-19 follow-up care by telephone and video was guided by local COVID-19 clinical pathways, electronic health record (EHR) templates, and tracking through a database. VA received 180 RHIO alerts for 111 unique patients, and 88 had positive non-VA testing from March to June 2020. 41% of the 88 had non-VA admissions and 23% died. 63% received VA primary care follow-up of COVID-19 symptoms documented by custom EHR templates. The HIE identified 11% of the facility COVID-19 patients. HIE alerts can be used to identify facility COVID-19 patients diagnosed in the community and facilitate follow-up by their VA primary care teams.
AB - The use of alerts from the Bronx RHIO, a health information exchange (HIE) to identify James J. Peters VAMC patients diagnosed with COVID-19 in the community was described to facilitate COVID-19 VA primary care follow-up. COVID-19 hospitalization and testing alerts were delivered on a Bronx RHIO facility report. VA COVID-19 follow-up care by telephone and video was guided by local COVID-19 clinical pathways, electronic health record (EHR) templates, and tracking through a database. VA received 180 RHIO alerts for 111 unique patients, and 88 had positive non-VA testing from March to June 2020. 41% of the 88 had non-VA admissions and 23% died. 63% received VA primary care follow-up of COVID-19 symptoms documented by custom EHR templates. The HIE identified 11% of the facility COVID-19 patients. HIE alerts can be used to identify facility COVID-19 patients diagnosed in the community and facilitate follow-up by their VA primary care teams.
KW - COVID-19
KW - coronavirus
KW - health information exchange
KW - health information interoperability
KW - veterans health
UR - http://www.scopus.com/inward/record.url?scp=85134145267&partnerID=8YFLogxK
U2 - 10.1093/jamiaopen/ooab020
DO - 10.1093/jamiaopen/ooab020
M3 - Article
AN - SCOPUS:85134145267
SN - 2574-2531
VL - 4
JO - JAMIA Open
JF - JAMIA Open
IS - 1
M1 - ooab020
ER -