Factors related to health information exchange participation and use systems-level quality improvement

Valerie Yeager, Daniel Walker, Evan Cole, Arthur M. Mora, Mark L. Diana

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

This study examines factors facilitating and delaying participation and use of the Health Information Exchange (HIE) in Louisiana. Semi-structured qualitative interviews were conducted with health care representatives throughout the state. Findings suggest that Meaningful Use requirements are a critical factor influencing the decision to participate in the HIE, specifically the mandate that hospitals be able to electronically transfer summary of care documents. Creating buy-in within a few large hospital networks legitimized the HIE and hastened interest in those markets. Fees charged by electronic health record (EHR) vendors to develop HIE interfaces have been prohibitive. Funding from the federal incentive program is intended to offset the costs associated with EHR implementation and increase the likelihood that HIEs can provide value to the population; however, costs and time delays of EHR interface development may be key barriers to fully integrated HIEs. State HIEs may benefit from targeted involvement of state health care leaders who can champion the potential value of the HIE.

Original languageEnglish (US)
Article number78
JournalJournal of Medical Systems
Volume38
Issue number8
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Quality Improvement
Health
Electronic Health Records
Delivery of Health Care
Costs and Cost Analysis
Health care
Fees and Charges
Motivation
Health Information Exchange
Interviews
Bioelectric potentials
Costs
Time delay
Population

Keywords

  • Health information exchange
  • Health information technology
  • Health policy
  • HIE
  • Meaningful use

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Informatics
  • Health Information Management
  • Information Systems
  • Medicine(all)

Cite this

Factors related to health information exchange participation and use systems-level quality improvement. / Yeager, Valerie; Walker, Daniel; Cole, Evan; Mora, Arthur M.; Diana, Mark L.

In: Journal of Medical Systems, Vol. 38, No. 8, 78, 01.01.2014.

Research output: Contribution to journalArticle

Yeager, Valerie ; Walker, Daniel ; Cole, Evan ; Mora, Arthur M. ; Diana, Mark L. / Factors related to health information exchange participation and use systems-level quality improvement. In: Journal of Medical Systems. 2014 ; Vol. 38, No. 8.
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