Health information exchange in the wild: The association between organizational capability and perceived utility of clinical event notifications in ambulatory and community care

Joshua Vest, Jessica S. Ancker

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: Event notifications are real-time, electronic, automatic alerts to providers of their patients' health care encounters at other facilities. Our objective was to examine the effects of organizational capability and related social/organizational issues upon users' perceptions of the impact of event notifications on quality, efficiency, and satisfaction. Materials and methods: We surveyed representatives (n=49) of 10 organizations subscribing to the Bronx Regional Health Information Organization's event notification services about organizational capabilities, notification information quality, perceived usage, perceived impact, and organizational and respondent characteristics. The response rate was 89%. Average item scores were used to create an individual domain summary score. The association between the impact of event notifications and organizational characteristics was modeled using random-intercept logistic regression models. Results: Respondents estimated that organizations followed up on the majority (83%) of event notifications. Supportive organizational policies were associated with the perception that event notifications improved quality of care (odds ratio [OR]=2.12; 95% CI,=1.05, 4.45), efficiency (OR=2.06; 95% CI=1.00, 4.21), and patient satisfaction (OR=2.56; 95% CI=1.13, 5.81). Higher quality of event notification information was also associated with a perceived positive impact on quality of care (OR=2.84; 95% CI=1.31, 6.12), efficiency (OR=3.04; 95% CI=1.38, 6.69), and patient satisfaction (OR=2.96; 95% CI=1.25, 7.03). Conclusions: Health care organizations with appropriate processes, workflows, and staff may be better positioned to use event notifications. Additionally, information quality remains critical in users' assessments and perceptions.

Original languageEnglish (US)
Pages (from-to)39-46
Number of pages8
JournalJournal of the American Medical Informatics Association
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Ambulatory Care
Odds Ratio
Organizations
Quality of Health Care
Patient Satisfaction
Logistic Models
Organizational Policy
Delivery of Health Care
Workflow
Health Information Exchange
Patient Care
Health

ASJC Scopus subject areas

  • Health Informatics

Cite this

@article{90445d7c35b24a6d842a237e729153c5,
title = "Health information exchange in the wild: The association between organizational capability and perceived utility of clinical event notifications in ambulatory and community care",
abstract = "Objective: Event notifications are real-time, electronic, automatic alerts to providers of their patients' health care encounters at other facilities. Our objective was to examine the effects of organizational capability and related social/organizational issues upon users' perceptions of the impact of event notifications on quality, efficiency, and satisfaction. Materials and methods: We surveyed representatives (n=49) of 10 organizations subscribing to the Bronx Regional Health Information Organization's event notification services about organizational capabilities, notification information quality, perceived usage, perceived impact, and organizational and respondent characteristics. The response rate was 89{\%}. Average item scores were used to create an individual domain summary score. The association between the impact of event notifications and organizational characteristics was modeled using random-intercept logistic regression models. Results: Respondents estimated that organizations followed up on the majority (83{\%}) of event notifications. Supportive organizational policies were associated with the perception that event notifications improved quality of care (odds ratio [OR]=2.12; 95{\%} CI,=1.05, 4.45), efficiency (OR=2.06; 95{\%} CI=1.00, 4.21), and patient satisfaction (OR=2.56; 95{\%} CI=1.13, 5.81). Higher quality of event notification information was also associated with a perceived positive impact on quality of care (OR=2.84; 95{\%} CI=1.31, 6.12), efficiency (OR=3.04; 95{\%} CI=1.38, 6.69), and patient satisfaction (OR=2.96; 95{\%} CI=1.25, 7.03). Conclusions: Health care organizations with appropriate processes, workflows, and staff may be better positioned to use event notifications. Additionally, information quality remains critical in users' assessments and perceptions.",
author = "Joshua Vest and Ancker, {Jessica S.}",
year = "2017",
month = "1",
day = "1",
doi = "10.1093/jamia/ocw040",
language = "English (US)",
volume = "24",
pages = "39--46",
journal = "Journal of the American Medical Informatics Association : JAMIA",
issn = "1067-5027",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Health information exchange in the wild

T2 - The association between organizational capability and perceived utility of clinical event notifications in ambulatory and community care

AU - Vest, Joshua

AU - Ancker, Jessica S.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Objective: Event notifications are real-time, electronic, automatic alerts to providers of their patients' health care encounters at other facilities. Our objective was to examine the effects of organizational capability and related social/organizational issues upon users' perceptions of the impact of event notifications on quality, efficiency, and satisfaction. Materials and methods: We surveyed representatives (n=49) of 10 organizations subscribing to the Bronx Regional Health Information Organization's event notification services about organizational capabilities, notification information quality, perceived usage, perceived impact, and organizational and respondent characteristics. The response rate was 89%. Average item scores were used to create an individual domain summary score. The association between the impact of event notifications and organizational characteristics was modeled using random-intercept logistic regression models. Results: Respondents estimated that organizations followed up on the majority (83%) of event notifications. Supportive organizational policies were associated with the perception that event notifications improved quality of care (odds ratio [OR]=2.12; 95% CI,=1.05, 4.45), efficiency (OR=2.06; 95% CI=1.00, 4.21), and patient satisfaction (OR=2.56; 95% CI=1.13, 5.81). Higher quality of event notification information was also associated with a perceived positive impact on quality of care (OR=2.84; 95% CI=1.31, 6.12), efficiency (OR=3.04; 95% CI=1.38, 6.69), and patient satisfaction (OR=2.96; 95% CI=1.25, 7.03). Conclusions: Health care organizations with appropriate processes, workflows, and staff may be better positioned to use event notifications. Additionally, information quality remains critical in users' assessments and perceptions.

AB - Objective: Event notifications are real-time, electronic, automatic alerts to providers of their patients' health care encounters at other facilities. Our objective was to examine the effects of organizational capability and related social/organizational issues upon users' perceptions of the impact of event notifications on quality, efficiency, and satisfaction. Materials and methods: We surveyed representatives (n=49) of 10 organizations subscribing to the Bronx Regional Health Information Organization's event notification services about organizational capabilities, notification information quality, perceived usage, perceived impact, and organizational and respondent characteristics. The response rate was 89%. Average item scores were used to create an individual domain summary score. The association between the impact of event notifications and organizational characteristics was modeled using random-intercept logistic regression models. Results: Respondents estimated that organizations followed up on the majority (83%) of event notifications. Supportive organizational policies were associated with the perception that event notifications improved quality of care (odds ratio [OR]=2.12; 95% CI,=1.05, 4.45), efficiency (OR=2.06; 95% CI=1.00, 4.21), and patient satisfaction (OR=2.56; 95% CI=1.13, 5.81). Higher quality of event notification information was also associated with a perceived positive impact on quality of care (OR=2.84; 95% CI=1.31, 6.12), efficiency (OR=3.04; 95% CI=1.38, 6.69), and patient satisfaction (OR=2.96; 95% CI=1.25, 7.03). Conclusions: Health care organizations with appropriate processes, workflows, and staff may be better positioned to use event notifications. Additionally, information quality remains critical in users' assessments and perceptions.

UR - http://www.scopus.com/inward/record.url?scp=85014739618&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014739618&partnerID=8YFLogxK

U2 - 10.1093/jamia/ocw040

DO - 10.1093/jamia/ocw040

M3 - Article

C2 - 27107436

AN - SCOPUS:85014739618

VL - 24

SP - 39

EP - 46

JO - Journal of the American Medical Informatics Association : JAMIA

JF - Journal of the American Medical Informatics Association : JAMIA

SN - 1067-5027

IS - 1

ER -