title: Survey of state health information exchanges regarding inclusion of Continuity of Care Documents for long-term post-acute care (LTPAC) patient assessment.
abstract: OBJECTIVE
  This study aimed to measure awareness and interest among state health information exchanges (HIEs) in a tool that translates long-term post-acute care (LTPAC) patient assessment information to a Continuity of Care Document (CCD) format for sharing; whether any state HIEs currently integrate patient information from LTPAC providers; and the anticipated benefits and barriers to using such a tool.
  
  
  METHODS
  The study consisted of an online survey of state HIEs.
  
  
  RESULTS
  Responses were received from representatives of 29 of the 51 HIEs (57 percent). Eleven of the 29 respondents (38 percent) were aware of the LTPAC-to-CCD translation tool, and 24 (83 percent of respondents) were interested in it or felt LTPAC providers in their state would be interested. Twenty-one of the 24 interested respondents (88 percent) indicated a desire for more information about this technology.
  
  
  CONCLUSIONS
  Skilled nursing facilities and home health agencies receive no incentives for adoption of electronic health record systems and are not commonly included in HIEs. These organizations do, however collect extensive structured data about their patients (Minimum Data Set for nursing facilities, Outcome and Assessment Information Set for home health agencies) and transmit the data electronically to the Centers for Medicare and Medicaid Services (CMS). A tool is now available that will intercept the transmissions to CMS, transform content extracted from patient assessments into CCDs, and send the CCDs to a designated HIE.
  
  
  CONCLUSIONS
  Responding HIEs reported almost no experience exchanging patient assessment information from LTPAC providers. Anticipated benefits include safer care transitions; anticipated barriers include information technology constraints in LTPAC settings.
authors.affiliation: Andrea Hassol, MSPH, is a principal associate at Abt Associates, Inc., in Cambridge, MA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Hassol
authors.affiliation: Laura Goodman was an associate analyst at Abt Associates, Inc., in Cambridge, MA.
authors.forename: Laura
authors.initials: L
authors.lastname: Goodman
authors.affiliation: Jim Younkin is the director of KeyHIE at Geisinger Health System in Danville, PA.
authors.forename: Jim
authors.initials: J
authors.lastname: Younkin
authors.affiliation: Mary Honicker is an IT lead system analyst at Geisinger Health System in Danville, PA.
authors.forename: Mary
authors.initials: M
authors.lastname: Honicker
authors.affiliation: Kimberly Chaundy is the director of KeyHIE operations at Geisinger Health System in Danville, PA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Chaundy
authors.affiliation: James M. Walker, MD, is a principal health informatician at Siemens in Malvern, PA.
authors.forename: James M
authors.initials: JM
authors.lastname: Walker
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration*; D057286:Electronic Health Records / Q000458:organization & administration*; D066275:Health Information Exchange; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D063868:Patient Outcome Assessment; D018511:Systems Integration; D014481:United States
keywords: electronic patient assessments; health information exchange