Does Health Information Exchange Improve Long-Term Care Service Quality? Evidence from the Panel Data Analysis of the U.S. Long-term Care Facilities

Fang Wan, Avi Seidmann, Huiwen Xu

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

This paper examines the impact of health information exchange (HIE) on the service quality of long-term care (LTC) facilities based on a five-year period (2013-2017) panel data of the U.S. LTC facilities. Our results show a reverse impact of the HIE adoption on the readmission rate of LTC facilities. The readmission rate of an LTC facility with an operational HIE is reduced by 2% on average as compared to the rate of a facility without operational HIE. We also estimate the heterogeneous effect of HIE by two innovative healthcare ITs (EHR and Telemedicine). We find that the applications of EHR and Telemedicine in LTC facilities are still at a very early stage. Our findings empirically demonstrate the importance of promoting effective data exchange in LTC facilities as well as improving the use of EHR and Telemedicine to increase the value that HIE can create.

Original languageEnglish (US)
Title of host publicationProceedings of the 56th Annual Hawaii International Conference on System Sciences, HICSS 2023
EditorsTung X. Bui
PublisherIEEE Computer Society
Pages5713-5723
Number of pages11
ISBN (Electronic)9780998133164
StatePublished - 2023
Externally publishedYes
Event56th Annual Hawaii International Conference on System Sciences, HICSS 2023 - Virtual, Online, United States
Duration: Jan 3 2023Jan 6 2023

Publication series

NameProceedings of the Annual Hawaii International Conference on System Sciences
Volume2023-January
ISSN (Print)1530-1605

Conference

Conference56th Annual Hawaii International Conference on System Sciences, HICSS 2023
Country/TerritoryUnited States
CityVirtual, Online
Period1/3/231/6/23

Keywords

  • healthcare IT
  • information technology
  • long-term care
  • nursing homes
  • service quality

ASJC Scopus subject areas

  • General Engineering

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