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Table 1 Characteristics of encounters at emergency departments among children included in the Integrated Care Collaboration, 1/1/2006-6/30/2009.

From: Use of a health information exchange system in the emergency care of children

 

All encounters

n = 179,445

Encounters without HIE usage

n = 163,859

Encounters with basic usage

n = 12,910

Encounters with novel usage

n = 2,676

Female, %

47.9

48.1

46.2

46.6

Age, %

    

   < 1 year

21.6

21.8

19.1

23.5

   1 to 5 years

44.3

44.5

53.7

51.6

   6 to 11 years

18.9

18.9

19.0

15.7

   12 to 17 years

15.2

15.8

8.2

9.2

Race/ethnicity, %

    

   White non-Hispanic

19.1

19.6

13.5

13.0

   African American

12.8

12.7

13.2

13.5

   Hispanic

60.5

60.0

69.8

69.4

   Other/unknown

8.0

3.4

4.0

7.6

Payer, %

    

   Medicaid

66.9

66.7

69.8

69.1

   CHIP

5.3

5.3

4.5

2.8

   Charity care

24.2

24.5

20.6

21.9

   Unknown/multiple recorded

3.7

3.5

5.1

6.1

Utilization history*

    

   Clinic visits, %

    

0

78.4

79.4

69.3

59.4

1 to 3

12.1

116.

16.5

20.2

≥ 4

9.5

9.0

14.2

20.4

   Emergency department visits, %

    

0

78.2

78.8

70.3

78.8

1 to 3

19.6

19.1

26.0

19.0

≥ 4

2.3

2.1

3.8

2.2

   Hospitalized, %

14.2

13.9

17.0

20.4

Charlson index, %

    

   0

81.5

82.1

76.2

72.5

   1

17.0

16.5

21.6

24.4

   ≥ 2

1.5

1.4

2.2

3.1

Chronic condition indicator, %

4.6

4.5

5.7

6.1

Primary diagnosis†, %

    

   Infectious & parasitic disease

5.7

5.7

5.9

6.5

   Neoplasms

0.0

0.0

0.0

0.0

   Endocrine, metabolic & immunity

0.5

0.5

0.6

0.5

   Diseases of the blood

0.3

0.3

0.4

0.4

   Mental disorders

0.3

0.3

0.1

0.3

   Diseases of the nervous system

10.7

10.6

11.8

11.0

   Diseases of the circulatory system

0.1

0.1

0.0

0.1

   Diseases of the respiratory system

22.9

22.9

23.8

23.7

   Diseases of the digestive system

4.4

4.3

4.4

5.2

   Diseases of the genitourinary system

2.7

2.7

2.7

3.1

   Complications of pregnancy/childbirth

0.7

0.8

0.1

0.5

   Diseases of the skin

5.2

5.1

5.7

4.4

   Diseases of the musculoskeletal

1.6

1.6

1.6

1.4

   Congenital anomalies

0.1

0.1

0.0

0.0

   Conditions originating in the perinatal period

0.4

0.4

0.1

0.0

   Injury & poisoning

15.5

15.8

13.9

9.1

   Ill-defined conditions

23.1

23.0

23.2

27.2

   Factors influencing health status

5.9

5.9

5.9

6.8

Unfamiliar patient‡, %

52.5

54.4

33.9

16.8

Busier than average day§, %

59.0

60.2

44.4

56.5

  1. * Not seen at the same facility in the past 12 months
  2. †Agency for Healthcare Research & Quality's body system indicator categories
  3. ‡ Not seen at the same facility in the past 12 months
  4. §Ratio of the total number of same day encounters divided by the previous year's average number of daily encounters by month and day of week greater than 1.0