Evaluation of a Health Information Exchange for Linkage to Mental Health Care After an Emergency Department Visit

Canada Parrish; Anirban Basu; K. John McConnell; Bianca K. Frogner; Ashok Reddy; Douglas F. Zatzick; William Kreuter; Amber K. Sabbatini

doi:10.1176/appi.ps.20220231

Evaluation of a Health Information Exchange for Linkage to Mental Health Care After an Emergency Department Visit

Canada Parrish, Anirban Basu, K. John McConnell, Bianca K. Frogner, Ashok Reddy, Douglas F. Zatzick, William Kreuter, Amber K. Sabbatini

Research output: Contribution to journal › Article › peer-review

Abstract

Aligning with Washington State's goal of reducing unnecessary emergency department (ED) use and improving linkage to outpatient primary and behavioral health care, this study evaluated whether an Emergency Department Information Exchange (EDIE) improved linkage to care for Medicaid enrollees with mental health conditions. Follow-up with any physician at 30 days increased slightly, although mental health-specific follow-up declined over time. Difference-in-differences estimates revealed no effect of EDIE on linkage to care after an ED visit. Medicaid beneficiaries with mental health needs and high utilization of the ED likely require additional support to increase timely and appropriate follow-up care.

Original language	English (US)
Pages (from-to)	555-558
Number of pages	4
Journal	Hospital and Community Psychiatry
Volume	74
Issue number	5
DOIs	https://doi.org/10.1176/appi.ps.20220231
State	Published - May 1 2023
Externally published	Yes

Keywords

Community mental health services
Mental health systems/hospitals
State hospitals

ASJC Scopus subject areas

Psychiatry and Mental health

Access to Document

10.1176/appi.ps.20220231

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abstract = "Aligning with Washington State's goal of reducing unnecessary emergency department (ED) use and improving linkage to outpatient primary and behavioral health care, this study evaluated whether an Emergency Department Information Exchange (EDIE) improved linkage to care for Medicaid enrollees with mental health conditions. Follow-up with any physician at 30 days increased slightly, although mental health-specific follow-up declined over time. Difference-in-differences estimates revealed no effect of EDIE on linkage to care after an ED visit. Medicaid beneficiaries with mental health needs and high utilization of the ED likely require additional support to increase timely and appropriate follow-up care.",

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AU - Parrish, Canada

AU - Basu, Anirban

AU - McConnell, K. John

AU - Frogner, Bianca K.

AU - Reddy, Ashok

AU - Zatzick, Douglas F.

AU - Kreuter, William

AU - Sabbatini, Amber K.

PY - 2023/5/1

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N2 - Aligning with Washington State's goal of reducing unnecessary emergency department (ED) use and improving linkage to outpatient primary and behavioral health care, this study evaluated whether an Emergency Department Information Exchange (EDIE) improved linkage to care for Medicaid enrollees with mental health conditions. Follow-up with any physician at 30 days increased slightly, although mental health-specific follow-up declined over time. Difference-in-differences estimates revealed no effect of EDIE on linkage to care after an ED visit. Medicaid beneficiaries with mental health needs and high utilization of the ED likely require additional support to increase timely and appropriate follow-up care.

AB - Aligning with Washington State's goal of reducing unnecessary emergency department (ED) use and improving linkage to outpatient primary and behavioral health care, this study evaluated whether an Emergency Department Information Exchange (EDIE) improved linkage to care for Medicaid enrollees with mental health conditions. Follow-up with any physician at 30 days increased slightly, although mental health-specific follow-up declined over time. Difference-in-differences estimates revealed no effect of EDIE on linkage to care after an ED visit. Medicaid beneficiaries with mental health needs and high utilization of the ED likely require additional support to increase timely and appropriate follow-up care.

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Evaluation of a Health Information Exchange for Linkage to Mental Health Care After an Emergency Department Visit

Abstract

Keywords

ASJC Scopus subject areas

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