Care coordination gaps due to lack of interoperability in the United States: a qualitative study and literature review

[1]  Patricia C. Dykes,et al.  A patient-centered longitudinal care plan: vision versus reality , 2014, J. Am. Medical Informatics Assoc..

[2]  Matthew J Press,et al.  Instant replay--a quarterback's view of care coordination. , 2014, The New England journal of medicine.

[3]  Adam Wright,et al.  Meaningful use and quality of care. , 2014, JAMA internal medicine.

[4]  Michael Lawrence Barnett,et al.  The "medical neighborhood": integrating primary and specialty care for ambulatory patients. , 2014, JAMA internal medicine.

[5]  Kathryn J. Eubank,et al.  Clinician Roles and Responsibilities During Care Transitions of Older Adults , 2013, Journal of the American Geriatrics Society.

[6]  Jan Busby-Whitehead,et al.  Implementation of a Web-Based System to Improve the Transitional Care of Older Adults , 2012, Journal of nursing care quality.

[7]  T. Nuss,et al.  Lessons Learned From Implementation of Postdischarge Telephone Calls at Baylor Health Care System , 2012, The Journal of nursing administration.

[8]  N. Santamaria,et al.  Care coordination for children with complex care needs significantly reduces hospital utilization. , 2011, Journal for specialists in pediatric nursing : JSPN.

[9]  Jason Young,et al.  The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care , 2011, Int. J. Medical Informatics.

[10]  K. Ornstein,et al.  To the Hospital and Back Home Again: A Nurse Practitioner‐Based Transitional Care Program for Hospitalized Homebound People , 2011, Journal of the American Geriatrics Society.

[11]  Y. Tabak,et al.  An Automated Model to Identify Heart Failure Patients at Risk for 30-Day Readmission or Death Using Electronic Medical Record Data , 2010, Medical care.

[12]  P. Austin,et al.  Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community , 2010, Canadian Medical Association Journal.

[13]  Farah Magrabi,et al.  Is email an effective method for hospital discharge communication? A randomized controlled trial to examine delivery of computer-generated discharge summaries by email, fax, post and patient hand delivery , 2010, Int. J. Medical Informatics.

[14]  N. Chandrashekar Patient and physician perceptions after software-assisted hospital discharge: cluster randomized trial. , 2010, Journal of hospital medicine.

[15]  J. Weissman,et al.  Redefining and Redesigning Hospital Discharge to Enhance Patient Care: A Randomized Controlled Study , 2008, Journal of General Internal Medicine.

[16]  Maria Hägglund,et al.  Bridging the gap: a virtual health record for integrated home care , 2007, International journal of integrated care.

[17]  Sung-joon Min,et al.  The care transitions intervention: results of a randomized controlled trial. , 2006, Archives of internal medicine.

[18]  Marie Diener-West,et al.  Clinical Information Technology Capabilities in Four U.S. Hospitals: Testing a New Structural Performance Measure , 2006, Medical care.

[19]  B. Blobel Interoperable healthcare information system components for continuity of care , 2003 .

[20]  M. Naylor,et al.  Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. , 1999, JAMA.

[21]  Ruben Amarasingham,et al.  Envisioning a Social-Health Information Exchange as a Platform to Support a Patient-Centered Medical Neighborhood: A Feasibility Study , 2014, Journal of General Internal Medicine.

[22]  Arthur L Kellermann,et al.  What it will take to achieve the as-yet-unfulfilled promises of health information technology. , 2013, Health affairs.

[23]  Anuj K. Dalal,et al.  Lessons learned from implementation of a computerized application for pending tests at hospital discharge. , 2011, Journal of hospital medicine.

[24]  D. Blumenthal Launching HITECH. , 2010, The New England journal of medicine.

[25]  P. Miller,et al.  Patient callback program: a quality improvement, customer service, and marketing tool. , 1993, Journal of health care marketing.