1 Administration, Department of Computer Science, Faculty of Science, Københavns Universitet2 Department of Computer Science, Faculty of Science, Københavns Universitet3 Cornell University4 Department of Computer Science, Faculty of Science, Københavns Universitet
Background: Health information exchange (HIE) has the potential to improve the quality of healthcare by enabling providers with better access to patient information from mul-tiple 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 com-munities 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 multi-ple 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 in-cludes users experienced level of available information and the fit of use for physician workflows. Conclusions: Challenges still remain in increasing provider adoption, optimizing HIE im-plementations, 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.
A C I, 2014, Vol 5, Issue 4, p. 861-877
The Faculty of Health and Medical Sciences; The Faculty of Science; health information exchange; consent; evaluation studies; Information Systems; eHealth; Community