{"id":"https://openalex.org/W2131103068","doi":"https://doi.org/10.1136/amiajnl-2011-000394","title":"The financial impact of health information exchange on emergency department care","display_name":"The financial impact of health information exchange on emergency department care","publication_year":2011,"publication_date":"2011-11-05","ids":{"openalex":"https://openalex.org/W2131103068","doi":"https://doi.org/10.1136/amiajnl-2011-000394","mag":"2131103068","pmid":"https://pubmed.ncbi.nlm.nih.gov/22058169"},"language":"en","primary_location":{"id":"doi:10.1136/amiajnl-2011-000394","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2011-000394","pdf_url":"https://academic.oup.com/jamia/article-pdf/19/3/328/9516851/19-3-328.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"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":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/jamia/article-pdf/19/3/328/9516851/19-3-328.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056227306","display_name":"Mark E. Frisse","orcid":"https://orcid.org/0000-0003-0382-6222"},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"M. E. Frisse","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee 37203, USA. mark.frisse@vanderbilt.edu","Owen Graduate School of Management, Vanderbilt University, Nashville, Tennessee, USA","Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee 37203, USA. mark.frisse@vanderbilt.edu","institution_ids":["https://openalex.org/I200719446"]},{"raw_affiliation_string":"Owen Graduate School of Management, Vanderbilt University, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]},{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051551743","display_name":"Kevin B. Johnson","orcid":"https://orcid.org/0000-0003-1016-9363"},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K. B. Johnson","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]},{"raw_affiliation_string":"Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102936604","display_name":"Hui Nian","orcid":"https://orcid.org/0000-0003-0047-8330"},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"H. Nian","raw_affiliation_strings":["Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112008724","display_name":"Coda L. Davison","orcid":null},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C. L. Davison","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110889484","display_name":"C S Gadd","orcid":null},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C. S. Gadd","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083860679","display_name":"Kim M. Unertl","orcid":"https://orcid.org/0000-0003-0094-3677"},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K. M. Unertl","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5097433396","display_name":"P. A. Turri","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P. A. Turri","raw_affiliation_strings":["Information Services, Tennessee Hospital Association, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Information Services, Tennessee Hospital Association, Nashville, Tennessee, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108096079","display_name":"Q. Chen","orcid":null},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Q. Chen","raw_affiliation_strings":["Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5056227306"],"corresponding_institution_ids":["https://openalex.org/I200719446"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":{"value":3967,"currency":"USD","value_usd":3967},"fwci":42.2469,"has_fulltext":true,"cited_by_count":236,"citation_normalized_percentile":{"value":0.9979828,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":100},"biblio":{"volume":"19","issue":"3","first_page":"328","last_page":"333"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.3395000100135803,"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":0.3395000100135803,"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":0.31189998984336853,"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/T14400","display_name":"Medical Coding and Health Information","score":0.08089999854564667,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.8607043027877808},{"id":"https://openalex.org/keywords/health-information-exchange","display_name":"Health information exchange","score":0.8181383609771729},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.5761269927024841},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.5291861891746521},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.49991869926452637},{"id":"https://openalex.org/keywords/information-exchange","display_name":"Information exchange","score":0.4971025288105011},{"id":"https://openalex.org/keywords/finance","display_name":"Finance","score":0.44690579175949097},{"id":"https://openalex.org/keywords/health-information","display_name":"Health information","score":0.4228890836238861},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3311203718185425},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.1979570984840393},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.17214980721473694},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.16408082842826843},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.08607253432273865},{"id":"https://openalex.org/keywords/telecommunications","display_name":"Telecommunications","score":0.07724398374557495}],"concepts":[{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8607043027877808},{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.8181383609771729},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5761269927024841},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5291861891746521},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.49991869926452637},{"id":"https://openalex.org/C189693848","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information exchange","level":2,"score":0.4971025288105011},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.44690579175949097},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.4228890836238861},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3311203718185425},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1979570984840393},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.17214980721473694},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16408082842826843},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.08607253432273865},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.07724398374557495}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"D006801","descriptor_name":"Humans","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":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013714","descriptor_name":"Tennessee","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013714","descriptor_name":"Tennessee","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013714","descriptor_name":"Tennessee","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017059","descriptor_name":"Models, Econometric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017059","descriptor_name":"Models, Econometric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017059","descriptor_name":"Models, Econometric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D017721","descriptor_name":"Hospital Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017721","descriptor_name":"Hospital Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017721","descriptor_name":"Hospital Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1136/amiajnl-2011-000394","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2011-000394","pdf_url":"https://academic.oup.com/jamia/article-pdf/19/3/328/9516851/19-3-328.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"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":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:22058169","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22058169","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,"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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:europepmc.org:2353523","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3341788","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1136/amiajnl-2011-000394","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2011-000394","pdf_url":"https://academic.oup.com/jamia/article-pdf/19/3/328/9516851/19-3-328.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"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":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2131103068.pdf","grobid_xml":"https://content.openalex.org/works/W2131103068.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W105789003","https://openalex.org/W636769294","https://openalex.org/W1489819220","https://openalex.org/W1517435425","https://openalex.org/W1587616108","https://openalex.org/W1968385389","https://openalex.org/W1976566530","https://openalex.org/W1978136073","https://openalex.org/W1996225379","https://openalex.org/W1996505604","https://openalex.org/W2006743831","https://openalex.org/W2023248478","https://openalex.org/W2031766987","https://openalex.org/W2034898504","https://openalex.org/W2060188837","https://openalex.org/W2075109167","https://openalex.org/W2092751924","https://openalex.org/W2102501324","https://openalex.org/W2103660738","https://openalex.org/W2106192666","https://openalex.org/W2107228886","https://openalex.org/W2125115221","https://openalex.org/W2127791615","https://openalex.org/W2132841844","https://openalex.org/W2141847884","https://openalex.org/W2154692607","https://openalex.org/W2160771767","https://openalex.org/W2167145975","https://openalex.org/W4247002863"],"related_works":["https://openalex.org/W4384345078","https://openalex.org/W2805708434","https://openalex.org/W2050305294","https://openalex.org/W2244194037","https://openalex.org/W1976038767","https://openalex.org/W2126034072","https://openalex.org/W2625702017","https://openalex.org/W322167246","https://openalex.org/W1833893427","https://openalex.org/W4226054113"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"the":[3,190],"financial":[4,106],"impact":[5],"health":[6],"information":[7],"exchange":[8],"(HIE)":[9],"in":[10,26,32,101,113,142,166,175,236],"emergency":[11,35,237],"departments":[12,36],"(EDs).":[13],"MATERIALS":[14],"AND":[15],"METHODS:":[16],"We":[17],"studied":[18,53],"all":[19,33],"ED":[20,117,153],"encounters":[21],"over":[22],"a":[23,132,140,151,164],"13-month":[24],"period":[25],"which":[27],"HIE":[28,39,50,109,128,159,193,210,235],"data":[29,110,129,233],"were":[30,43,54,96,111],"accessed":[31,112],"major":[34],"Memphis,":[37],"Tennessee.":[38],"access":[40,136,160,194,211],"encounter":[41,47],"records":[42,48],"matched":[44],"with":[45,139,163,197,242],"similar":[46],"without":[49],"access.":[51],"Outcomes":[52],"ED-originated":[55],"hospital":[56,143,167],"admissions,":[57],"admissions":[58,144,168],"for":[59,79,84,222],"observation,":[60],"laboratory":[61,183],"testing,":[62],"head":[63,176],"CT,":[64,66],"body":[65,179],"ankle":[67],"radiographs,":[68,70],"chest":[69],"and":[71,90,104,171,182],"echocardiograms.":[72],"Our":[73],"estimates":[74],"employed":[75],"generalized":[76],"estimating":[77],"equations":[78],"logistic":[80],"regression":[81],"models":[82],"adjusted":[83],"admission":[85,219],"type,":[86],"length":[87],"of":[88,116,202,206,224],"stay,":[89],"Charlson":[91],"co-morbidity":[92],"index.":[93],"Marginal":[94],"probabilities":[95],"used":[97],"to":[98,189,230],"calculate":[99],"changes":[100],"outcome":[102],"variables":[103],"their":[105],"consequences.":[107],"RESULTS:":[108],"approximately":[114],"6.8%":[115],"visits":[118],"across":[119],"12":[120],"EDs":[121,125],"studied.":[122],"In":[123,150],"11":[124],"directly":[126],"accessing":[127],"only":[130,188],"through":[131,234],"secure":[133],"Web":[134],"browser,":[135],"was":[137,161,195],"associated":[138,162,196,241],"decrease":[141,165],"(adjusted":[145],"odds":[146],"ratio":[147],"(OR)=0.27;":[148],"p<0001).":[149],"12th":[152],"relying":[154],"more":[155],"on":[156],"print":[157],"summaries,":[158],"(OR=0.48;":[169],"p<0001)":[170],"statistically":[172],"significant":[173],"decreases":[174],"CT":[177,180],"use,":[178,181],"test":[184],"ordering.":[185],"DISCUSSION:":[186],"Applied":[187],"study":[191],"population,":[192],"an":[198],"annual":[199,207],"cost":[200,226],"savings":[201],"$1.9":[203],"million.":[204,217],"Net":[205],"operating":[208],"costs,":[209],"reduced":[212],"overall":[213],"costs":[214],"by":[215],"$1.07":[216],"Hospital":[218],"reductions":[220],"accounted":[221],"97.6%":[223],"total":[225],"reductions.":[227],"CONCLUSION:":[228],"Access":[229],"additional":[231],"clinical":[232],"department":[238],"settings":[239],"is":[240],"net":[243],"societal":[244],"saving.":[245]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":13},{"year":2020,"cited_by_count":11},{"year":2019,"cited_by_count":20},{"year":2018,"cited_by_count":14},{"year":2017,"cited_by_count":30},{"year":2016,"cited_by_count":23},{"year":2015,"cited_by_count":25},{"year":2014,"cited_by_count":30},{"year":2013,"cited_by_count":30},{"year":2012,"cited_by_count":17}],"updated_date":"2026-06-15T08:34:33.830935","created_date":"2025-10-10T00:00:00"}
