{"id":"https://openalex.org/W4294091136","doi":"https://doi.org/10.1097/mlr.0000000000001773","title":"Electronic Connectivity Among US Hospitals Treating Shared Patients","display_name":"Electronic Connectivity Among US Hospitals Treating Shared Patients","publication_year":2022,"publication_date":"2022-09-01","ids":{"openalex":"https://openalex.org/W4294091136","doi":"https://doi.org/10.1097/mlr.0000000000001773","pmid":"https://pubmed.ncbi.nlm.nih.gov/36049157","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9645543"},"language":"en","primary_location":{"id":"doi:10.1097/mlr.0000000000001773","doi":"https://doi.org/10.1097/mlr.0000000000001773","is_oa":true,"landing_page_url":"https://doi.org/10.1097/mlr.0000000000001773","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1097/mlr.0000000000001773","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054591856","display_name":"Jordan Everson","orcid":"https://orcid.org/0000-0001-5355-6043","observed_orcids":["https://orcid.org/0000-0001-5355-6043"]},"institutions":[{"id":"https://openalex.org/I2802377633","display_name":"Office of the National Coordinator for Health Information Technology","ror":"https://ror.org/02fm3sv87","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I2802377633"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jordan Everson","raw_affiliation_strings":["Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC","institution_ids":["https://openalex.org/I2802377633"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023154530","display_name":"Julia Adler\u2010Milstein","orcid":"https://orcid.org/0000-0002-0262-6491","observed_orcids":["https://orcid.org/0000-0002-0262-6491"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julia Adler-Milstein","raw_affiliation_strings":["Department of Medicine, University of California, San Francisco, CA"],"raw_orcid":"https://orcid.org/0000-0002-0262-6491","affiliations":[{"raw_affiliation_string":"Department of Medicine, University of California, San Francisco, CA","institution_ids":["https://openalex.org/I180670191"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5054591856"],"corresponding_institution_ids":["https://openalex.org/I2802377633"],"apc_list":null,"apc_paid":null,"fwci":0.9354,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.78618531,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"60","issue":"12","first_page":"880","last_page":"887"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.007799999788403511,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.006000000052154064,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-information-exchange","display_name":"health information exchange","score":0.9769999980926514},{"id":"https://openalex.org/keywords/medicare-beneficiaries","display_name":"Medicare beneficiaries","score":0.656000018119812},{"id":"https://openalex.org/keywords/for-profit-hospitals","display_name":"for-profit hospitals","score":0.7120000123977661},{"id":"https://openalex.org/keywords/market-competition","display_name":"market competition","score":0.7749999761581421},{"id":"https://openalex.org/keywords/hospital-networks","display_name":"hospital networks","score":0.414000004529953},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.5879999995231628},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.4399999976158142}],"concepts":[{"id":"https://openalex.org/C2777338717","wikidata":"https://www.wikidata.org/wiki/Q1762621","display_name":"Vendor","level":2,"score":0.6476312875747681},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5299457311630249},{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.4558180868625641},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4496154189109802},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44426408410072327},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.44125986099243164},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3280631899833679},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32202816009521484},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.22313693165779114},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.09906214475631714},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004581","descriptor_name":"Electronics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1097/mlr.0000000000001773","doi":"https://doi.org/10.1097/mlr.0000000000001773","is_oa":true,"landing_page_url":"https://doi.org/10.1097/mlr.0000000000001773","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9645543","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9645543","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Med Care","raw_type":"Text"},{"id":"pmid:36049157","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36049157","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical care","raw_type":"Journal Article"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt653348gk","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/653348gk","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Medical Care, vol 60, iss 12","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1097/mlr.0000000000001773","doi":"https://doi.org/10.1097/mlr.0000000000001773","is_oa":true,"landing_page_url":"https://doi.org/10.1097/mlr.0000000000001773","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/17","score":0.5400000214576721,"display_name":"Partnerships for the goals"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G8373427964","display_name":"Health Information Exchange to Improve Outcomes in Complex Older Patients","funder_award_id":"R01AG062563","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W1833893427","https://openalex.org/W1893930827","https://openalex.org/W1993591050","https://openalex.org/W1996543203","https://openalex.org/W2085136814","https://openalex.org/W2111190884","https://openalex.org/W2148351912","https://openalex.org/W2276374684","https://openalex.org/W2568130990","https://openalex.org/W2591836596","https://openalex.org/W2799688878","https://openalex.org/W2879251118","https://openalex.org/W2988272273","https://openalex.org/W3047292941","https://openalex.org/W3112075143","https://openalex.org/W3118919254","https://openalex.org/W3159929130"],"related_works":["https://openalex.org/W2879251118","https://openalex.org/W2746550345","https://openalex.org/W4416323475","https://openalex.org/W2988272273","https://openalex.org/W4406410553","https://openalex.org/W6671949","https://openalex.org/W2953336174","https://openalex.org/W2160528017","https://openalex.org/W2941115221","https://openalex.org/W3112075143"],"abstract_inverted_index":{"BACKGROUND:":[0],"Increasing":[1],"electronic":[2,28,36],"health":[3,37],"information":[4],"exchange":[5],"(HIE)":[6],"between":[7],"provider":[8],"organizations":[9],"is":[10],"a":[11,109,114],"top":[12],"policy":[13],"priority":[14],"that":[15,57,92,168,252],"has":[16],"been":[17],"pursued":[18],"by":[19,31,48,113,154,165,175,189,197,206,218,238,246],"establishing":[20],"varied":[21],"types":[22,249],"of":[23,51,64,87,99,116,149,225,250,257],"networks.":[24],"OBJECTIVES:":[25],"To":[26],"measure":[27],"connectivity":[29],"enabled":[30],"these":[32],"networks,":[33,43,137,173],"including":[34],"community,":[35],"record":[38],"vendor,":[39],"and":[40,54,71,81,187,205,245],"national":[41,82],"HIE":[42,124,172,185,240],"across":[44],"US":[45,88],"hospitals":[46,66,91,117,133,251],"weighted":[47],"the":[49,100,122,132,158,223],"volume":[50],"shared":[52,73,150,160,226],"patients":[53,74,151,227],"identify":[55],"characteristics":[56],"predict":[58],"connectivity.":[59],"RESEARCH":[60],"DESIGN:":[61],"Cross-sectional":[62],"analysis":[63],"1721":[65],"comprising":[67],"16,344":[68],"hospital":[69,83,166,181],"pairs":[70,167,176,190,198,207],"6,492,232":[72],"from":[75,230],"2018":[76],"CareSet":[77],"Labs":[78],"HOP":[79],"data":[80],"surveys.":[84],"SUBJECTS:":[85],"Pairs":[86],"acute":[89],"care":[90,94,229],"delivered":[93],"to":[95,215,242],"11":[96],"or":[97,128,141],"more":[98],"same":[101,123],"fee-for-service":[102],"Medicare":[103],"beneficiaries":[104],"in":[105,121,135,170,177,183,191,209],"2018.":[106],"MEASURES:":[107],"Whether":[108],"patient":[110],"was":[111],"treated":[112,153,164,196,217],"pair":[115],"connected":[118,130,155,219,231],"through":[119],"participation":[120],"network":[125],"(\"connected":[126],"hospitals\")":[127],"not":[129,144,254],"because":[131,256],"participated":[134,169,182],"different":[136,171],"only":[138,179],"1":[139,180,202],"participated,":[140],"both":[142],"did":[143],"participate.":[145],"RESULTS:":[146],"Sixty-four":[147],"percent":[148],"were":[152,163,212],"hospitals.":[156,220],"Of":[157],"remaining":[159,233],"patients,":[161],"14%":[162],"21%":[174],"which":[178,192],"an":[184],"network,":[186],"2%":[188],"neither":[193],"participated.":[194],"Patients":[195],"with":[199],"at":[200],"least":[201],"for-profit":[203],"hospital,":[204],"located":[208],"competitive":[210,258],"markets,":[211],"less":[213],"likely":[214],"be":[216,236],"CONCLUSIONS:":[221],"While":[222],"majority":[224],"received":[228],"hospitals,":[232],"gaps":[234],"could":[235],"filled":[237],"connecting":[239],"networks":[241],"each":[243],"other":[244],"incentivizing":[247],"certain":[248],"may":[253],"participate":[255],"concerns.":[259]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-09-01T00:00:00"}
