Objective

The purpose of this study is to examine the relationship between the greater need for information generated by bundled payment reimbursement and the use of Health Information Exchange (HIE).

Methods

The study is based on a secondary data analysis using theAmerican Hospital Association (AHA) Healthcare IT Database and the AHA Annual Survey. A logistic regression was used to test the likelihood of hospitals participating in HIE if they were involved in bundled payment reimbursement. Negative binomial, ordered logistic and Poisson regression models were used to determine the associations between bundled payment reimbursement and health information sharing in terms of breadth, volume, and diversity, respectively.

Results

Hospitals in bundled payment programs were more likely to send and receive information through HIE and tosend information to different types of health providers but not to receive. They were also more likely to exchange different types of health information and to use HIE more often.

Conclusions

The greater need for collaboration of hospitals participating in bundled payment programs was associated with greater information sharing among organizations through HIE, but different providers involved in the episode of care play different roles in HIE.

中文翻译：

---

组织间信息共享和捆绑式报销：美国的医院是否使用健康信息交换进行协作？

目的

这项研究的目的是检查捆绑式报销产生的对信息的更大需求与使用健康信息交换（HIE）之间的关系。

方法

该研究基于使用美国医院协会（AHA）医疗保健IT数据库和AHA年度调查进行的二次数据分析。使用逻辑回归检验医院参与HIE的可能性（如果医院参与捆绑式报销）。负二项式，有序逻辑和Poisson回归模型分别用于确定捆绑式报销与健康信息共享之间的联系，分别涉及宽度，数量和多样性。

结果

捆绑支付计划的医院更可能通过HIE发送和接收信息，并且将信息发送到不同类型的卫生提供者，但不会接收。他们也更有可能交换不同类型的健康信息并更频繁地使用HIE。

结论

参与捆绑支付计划的医院对协作的更大需求与通过HIE在组织之间共享更多信息有关，但是参与医疗服务的不同提供者在HIE中扮演着不同的角色。