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Long-term Evaluation of a Hospital-Based Violence Intervention Program using a Regional Health Information Exchange

Show simple item record Bell, Teresa Gilyan, Dannielle Moore, Brian Martin, Joel Ogbemudia, Blessing McLaughlin, Briana Moore, Reilin Simons, Clark Zarzaur, Ben 2020-08-04T21:08:05Z 2020-08-04T21:08:05Z 2018
dc.identifier.citation Bell, T. M., Gilyan, D., Moore, B. A., Martin, J., Ogbemudia, B., McLaughlin, B. E., Moore, R., Simons, C. J., & Zarzaur, B. L. (2018). Long-term evaluation of a hospital-based violence intervention program using a regional health information exchange. The journal of trauma and acute care surgery, 84(1), 175–182. en_US
dc.description.abstract Background Hospital-based violence intervention programs (HVIP) aim to reduce violent-injury recidivism by providing intensive, case management services to high-risk patients who were violently injured. Although HVIP have been found effective at reducing recidivism, few studies have sought to identity how long their effects last. Additionally, prior studies have been limited by the fact that HVIP typically rely on self-report or data within their own healthcare system to identify new injuries. Our aim was to quantify the long-term recidivism rate of participants in an HVIP program using more objective and comprehensive data from a regional health information exchange (HIE). Methods The study included 328 patients enrolled in Prescription for Hope (RxH), an HVIP, between January 2009 and August 2016. We obtained RxH participants’ emergency department (ED) encounter data from a regional HIE database from the date of hospital discharge to February 2017. Our primary outcome was violent-injury recidivism rate of the RxH program. We also examined reasons for ED visits that were unrelated to violent injury. Results We calculated a 4.4% recidivism rate based on 8 years of statewide data, containing 1,575 unique encounters. Over 96% of participants were matched in the state database. Of the 15 patients who recidivated, only 5 were admitted for their injury. Over half of new violence-related injuries were treated outside of the HVIP-affiliated trauma center. The most common reasons for ED visits were pain (718 encounters), followed by suspected complications or needing additional postoperative care (181 encounters). Substance abuse, unintentional injuries, and suicidal ideation were also frequent reasons for ED visits. Conclusion The low, long-term recidivism rate for RxH indicates that HVIP have enduring positive effects on the majority of participants. Our results suggest HVIP may further benefit patients by partnering with organizations that work to prevent suicide, substance use disorders, and other unintentional injuries. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher National Institutes of Health (NIH) en_US
dc.subject Data Analysis en_US
dc.subject Hospital-based en_US
dc.subject Violence Interruption en_US
dc.subject Violence Reduction en_US
dc.subject Revictimization en_US
dc.subject Recidivism en_US
dc.subject Injuries en_US
dc.subject Prevention en_US
dc.subject Victim-Offender Overlap en_US
dc.subject Long Term Effects en_US
dc.subject Emergency Departments en_US
dc.subject Violent Victimization en_US
dc.subject Interpersonal Violence en_US
dc.subject Shooting en_US
dc.subject Victims of Gun Violence en_US
dc.subject Firearm Violence en_US
dc.subject Weapons en_US
dc.title Long-term Evaluation of a Hospital-Based Violence Intervention Program using a Regional Health Information Exchange en_US
dc.type Article en_US

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