Sahil Sandhu, Michael Liu, Laura M Gottlieb, A Jay Holmgren, Lisa S Rotenstein, Matthew S Pantell
{"title":"美国医院健康相关社会需求数据的互操作性。","authors":"Sahil Sandhu, Michael Liu, Laura M Gottlieb, A Jay Holmgren, Lisa S Rotenstein, Matthew S Pantell","doi":"10.1093/jamia/ocaf049","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To measure hospital engagement in interoperable exchange of health-related social needs (HRSN) data.</p><p><strong>Materials and methods: </strong>This study combined national data from the 2022 American Hospital Association (AHA) Annual Survey, AHA IT Supplement, and the Centers for Medicare and Medicaid Services Impact File. Multivariable logistic regression was used to identify hospital characteristics associated with receiving HRSN data from external organizations.</p><p><strong>Results: </strong>Of 2502 hospitals, 61.4% reported electronically receiving HRSN data from external sources, most commonly from health information exchange organizations. Hospitals participating in accountable care organizations or patient-centered medical homes and hospitals using Epic or Cerner electronic health records (EHRs) were more likely to receive external HRSN data. In contrast, for-profit hospitals and public hospitals were less likely to participate in HRSN data exchange.</p><p><strong>Discussion: </strong>Hospital ownership, participation in value-based care models, and EHR vendor capabilities are important drivers in advancing HRSN data exchange.</p><p><strong>Conclusion: </strong>Additional policy and technological support may be needed to enhance HRSN data interoperability.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":" ","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Interoperability of health-related social needs data at US hospitals.\",\"authors\":\"Sahil Sandhu, Michael Liu, Laura M Gottlieb, A Jay Holmgren, Lisa S Rotenstein, Matthew S Pantell\",\"doi\":\"10.1093/jamia/ocaf049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To measure hospital engagement in interoperable exchange of health-related social needs (HRSN) data.</p><p><strong>Materials and methods: </strong>This study combined national data from the 2022 American Hospital Association (AHA) Annual Survey, AHA IT Supplement, and the Centers for Medicare and Medicaid Services Impact File. Multivariable logistic regression was used to identify hospital characteristics associated with receiving HRSN data from external organizations.</p><p><strong>Results: </strong>Of 2502 hospitals, 61.4% reported electronically receiving HRSN data from external sources, most commonly from health information exchange organizations. Hospitals participating in accountable care organizations or patient-centered medical homes and hospitals using Epic or Cerner electronic health records (EHRs) were more likely to receive external HRSN data. In contrast, for-profit hospitals and public hospitals were less likely to participate in HRSN data exchange.</p><p><strong>Discussion: </strong>Hospital ownership, participation in value-based care models, and EHR vendor capabilities are important drivers in advancing HRSN data exchange.</p><p><strong>Conclusion: </strong>Additional policy and technological support may be needed to enhance HRSN data interoperability.</p>\",\"PeriodicalId\":50016,\"journal\":{\"name\":\"Journal of the American Medical Informatics Association\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2025-03-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Medical Informatics Association\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://doi.org/10.1093/jamia/ocaf049\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"COMPUTER SCIENCE, INFORMATION SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Medical Informatics Association","FirstCategoryId":"91","ListUrlMain":"https://doi.org/10.1093/jamia/ocaf049","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
Interoperability of health-related social needs data at US hospitals.
Objective: To measure hospital engagement in interoperable exchange of health-related social needs (HRSN) data.
Materials and methods: This study combined national data from the 2022 American Hospital Association (AHA) Annual Survey, AHA IT Supplement, and the Centers for Medicare and Medicaid Services Impact File. Multivariable logistic regression was used to identify hospital characteristics associated with receiving HRSN data from external organizations.
Results: Of 2502 hospitals, 61.4% reported electronically receiving HRSN data from external sources, most commonly from health information exchange organizations. Hospitals participating in accountable care organizations or patient-centered medical homes and hospitals using Epic or Cerner electronic health records (EHRs) were more likely to receive external HRSN data. In contrast, for-profit hospitals and public hospitals were less likely to participate in HRSN data exchange.
Discussion: Hospital ownership, participation in value-based care models, and EHR vendor capabilities are important drivers in advancing HRSN data exchange.
Conclusion: Additional policy and technological support may be needed to enhance HRSN data interoperability.
期刊介绍：
JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.
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