Comparing the Accuracy of Health Information Exchange (HIE) to the Traditional Process of Medication Reconciliation during Admission at the Pima County Adult Detention Center (PCADC)

Abstract

Introduction: The Pima County Adult Detention Center (PCADC) admits around 100 detainees daily many of whom are on medications. PCADC is obligated to provide quality health care for detainees. Objective: To assess the accuracy of medication history before and after adding the Health Information Exchange (HIE) to the existing detainee self-report process. Methods: This was a retrospective quality improvement project that evaluated 200 detainee's medication records. Medications and doses identified via the HIE and self-report were compared using t-tests and Chi square analysis as appropriate (alpha of 0.05). Results: Of the 200 detainee records reviewed. The HIE medication data were 100% complete compared to self-report at 52% (p < 0.0001). Conclusions: The HIE provided more complete data than self-report.