How could health information exchange better meet the needs of care practitioners?

P. Kierkegaard, R. Kaushal, Joshua Vest

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: Health information exchange (HIE) has the potential to improve the quality of healthcare by enabling providers with better access to patient information from multiple sources at the point of care. However, HIE efforts have historically been difficult to establish in the US and the failure rates of organizations created to foster HIE have been high.

Objectives: We sought to better understand how RHIO-based HIE systems were used in practice and the challenges care practitioners face using them. The objective of our study were to so investigate how HIE can better meet the needs of care practitioners.

Methods: We performed a multiple-case study using qualitative methods in three communities in New York State. We conducted interviews onsite and by telephone with HIE users and non-users and observed the workflows of healthcare professionals at multiple healthcare organizations participating in a local HIE effort in New York State.

Results: The empirical data analysis suggests that challenges still remain in increasing provider usage, optimizing HIE implementations and connecting HIE systems across geographic regions. Important determinants of system usage and perceived value includes users experienced level of available information and the fit of use for physician workflows.

Conclusions: Challenges still remain in increasing provider adoption, optimizing HIE implementations, and demonstrating value. The inability to find information reduced usage of HIE. Healthcare organizations, HIE facilitating organizations, and states can help support HIE adoption by ensuring patient information is accessible to providers through increasing patient consents, fostering broader participation, and by ensuring systems are usable.

Original languageEnglish (US)
Pages (from-to)861-877
Number of pages17
JournalApplied Clinical Informatics
Volume5
Issue number4
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Health
Organizations
Health Information Systems
Workflow
Delivery of Health Care
Health Information Exchange
Point-of-Care Systems
Access to Information
Foster Home Care
Quality of Health Care
Telephone
Health Personnel
Interviews
Physicians

Keywords

  • Community
  • Consent model
  • Evaluation studies
  • Health information exchange
  • Information systems

ASJC Scopus subject areas

  • Health Informatics
  • Computer Science Applications
  • Health Information Management

Cite this

How could health information exchange better meet the needs of care practitioners? / Kierkegaard, P.; Kaushal, R.; Vest, Joshua.

In: Applied Clinical Informatics, Vol. 5, No. 4, 01.01.2014, p. 861-877.

Research output: Contribution to journalArticle

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