The impact of an integrated hospital-community medical information system on quality and service utilization in hospital departments

The implications and impact of 3 approaches to health information exchange: community, enterprise, and vendor‐mediated health information exchange

“…Many of the assessments of enterprise HIE come from international studies. Four studies on Clarit's HIE demonstrated that using HIE was associated with positive outcomes . One randomized control study in the Netherlands showed that use of an HIE was associated with improved diabetes care .…”

Health information exchange systems and length of stay in readmissions to a different hospital

“…Like similar HIE systems, OFEK includes information on previous medical encounters and hospitalizations, previous diagnoses, chronically prescribed medications, previous lab and imaging tests, known allergies, and some demographic information. 19 At the time of this study, OFEK was available in all Clalit hospitals as well as in 2 non-Clalit (government-owned and operated) large tertiary-care centers, resulting in 40% coverage of all hospitalizations through the OFEK HIE system. As part of a large organization-wide readmission reduction program recently implemented by Clalit for all its members admitted to any hospital in Israel, aimed at early detection and intervention, 20 OFEK was viewed as an important mechanism to help maintain continuity and improve transitions.…”

“…OFEK links information on all Clalit enrollees from all hospitals, primary care, and specialty care clinics, laboratories, and diagnostic services into a single, virtual, patient file, enabling providers to obtain complete, real‐time information needed for healthcare decision making at the point of care. Like similar HIE systems, OFEK includes information on previous medical encounters and hospitalizations, previous diagnoses, chronically prescribed medications, previous lab and imaging tests, known allergies, and some demographic information . At the time of this study, OFEK was available in all Clalit hospitals as well as in 2 non‐Clalit (government‐owned and operated) large tertiary‐care centers, resulting in 40% coverage of all hospitalizations through the OFEK HIE system.…”

Significance of extremely elevated ferritin level in medical inpatients

“…Diagnoses were deemed relevant to increased serum ferritin levels according to clinical judgment. Long term follow-up was available through an innovative system of hospital-community on-line medical records sharing (OFEK), in which diagnoses, medications, laboratory data, imaging results, outpatient visits, repeat hospitalization records and mortality are continuously captured [7].…”