What should we measure? Conceptualizing usage in health information exchange

Joshua R. Vest, Jon Jasperson

Research output: Contribution to journalReview article

42 Scopus citations


Under the provisions of the Health Information Technology for Economic & Clinical Health act providers need to demonstrate their 'meaningful use' of electronic health record systems' health information exchange (HIE) capability. HIE usage is not a simple construct, but the choice of its measurement must attend to the users, context, and objectives of the system being examined. This review examined how usage is reported in the existing literature and also what conceptualizations of usage might best reflect the nature and objectives of HIE. While existing literature on HIE usage included a diverse set of measures, most were theoretically weak, did not attend to the interplay of measure, level of analysis and architectural strategy, and did not reflect how HIE usage affected the actual process of care. Attention to these issues will provide greater insight into the effects of previously inaccessible information on medical decision-making and the process of care.

Original languageEnglish (US)
Pages (from-to)302-307
Number of pages6
JournalJournal of the American Medical Informatics Association
Issue number3
StatePublished - May 1 2010
Externally publishedYes

ASJC Scopus subject areas

  • Health Informatics

Fingerprint Dive into the research topics of 'What should we measure? Conceptualizing usage in health information exchange'. Together they form a unique fingerprint.

  • Cite this