scholarly journals Drivers of information disclosure on health information exchange platforms: insights from an exploratory empirical study

2015 ◽  
Vol 22 (6) ◽  
pp. 1183-1186 ◽  
Author(s):  
Niam Yaraghi ◽  
Raj Sharman ◽  
Ram Gopal ◽  
Ranjit Singh ◽  
R Ramesh
Keyword(s):  
Primary Care ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Information Disclosure ◽  
Primary Care Physicians ◽  
Medical Information ◽  
Health Information Exchange ◽  
Care Physician ◽  
Willingness To Disclose

Abstract Objective The objective of this research is to empirically explore the drivers of patients’ consent to sharing of their medical records on health information exchange (HIE) platforms. Materials and Methods The authors analyze a dataset consisting of consent choices of 20 076 patients in Western New York. A logistic regression is applied to empirically investigate the effects of patients’ age, gender, complexity of medical conditions, and the role of primary care physicians on patients’ willingness to disclose medical information on HIE platforms. Results The likelihood of providing consent increases by age (odds ratio (OR) = 1.055; P  < .0001). Female patients are more likely to provide consent (OR = 1.460; P  = .0003). As the number of different physicians involved in the care of the patient increases, the odds of providing consent slightly increases (OR = 1.024; P  = .0031). The odds of providing consent is significantly higher for the patients whom a primary care physician has been involved in their medical care (OR = 1.323; P  < .0001). Conclusion Individual-level characteristics are important predictors of patients’ willingness to disclose their medical information on HIE platforms.

scholarly journals Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

2010 ◽  
Vol 01 (01) ◽  
pp. 1-10 ◽  
Author(s):  
S. E. Ross ◽  
B. K. Mellis ◽  
B. L. Beaty ◽  
L. M. Schilling ◽  
A. J. Davidson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Value Proposition ◽  
Data Types ◽  
Clinical Notes ◽  
Childhood Immunizations ◽  
Problem Lists ◽  
Discharge Summaries

SummaryObjective: Assess the interest in and preferences of ambulatory practitioners in HIE.Background: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.Methods: Survey of primary care and specialist practitioners in the State of Colorado.Results: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered “extremely useful” by most practitioners. “Clinical notes/consultation reports,” “diagnosis or problem lists,” and “hospital discharge summaries” were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).Conclusion: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.

Missing Link of the Health Information Exchange Loop

2017 ◽  
pp. 1185-1196
Author(s):  
Alice Noblin ◽  
Kendall Cortelyou-Ward
Keyword(s):  
Health Information ◽  
Patient Engagement ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Medical Data ◽  
Patient Portals ◽  
Record Keeping ◽  
Care Industry ◽  
Basic Services

Since 2004, the services of the Florida Health Information Exchange (HIE) have grown, and in 2011, the state contracted with Harris Corporation to provide some basic services to the Florida health care industry and provide functional improvements to the expanding state-wide HIE. The endeavors of this public-private partnership continue to the present day; however, as HIE services have expanded, challenges continue to be encountered. Ultimately, successful exchange of medical data requires patient engagement and “buy-in.” The purpose of this article will consider why patient engagement is important for HIE success, offer recommendations to improve both patient and provider interest, and consider the importance of online patient portals to increase the effectiveness of health record keeping and the sharing of vital patient medical information needed by caregivers and their patients.

scholarly journals Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

2010 ◽  
Vol 01 (01) ◽  
pp. 1-10 ◽  
Author(s):  
S. E. Ross ◽  
B. K. Mellis ◽  
B. L. Beaty ◽  
L. M. Schilling ◽  
A. J. Davidson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Value Proposition ◽  
Data Types ◽  
Clinical Notes ◽  
Childhood Immunizations ◽  
Problem Lists ◽  
Discharge Summaries

SummaryObjective: Assess the interest in and preferences of ambulatory practitioners in HIE.Background: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.Methods: Survey of primary care and specialist practitioners in the State of Colorado.Results: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered “extremely useful” by most practitioners. “Clinical notes/consultation reports,” “diagnosis or problem lists,” and “hospital discharge summaries” were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).Conclusion: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.

scholarly journals Consumer perceptions of health IT utilization and benefits

JAMIA Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Sue S Feldman ◽  
Grishma P Bhavsar ◽  
Benjamin L Schooley
Keyword(s):  
Conceptual Framework ◽  
Health Information ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Consumer Perceptions ◽  
Bivariate Analysis ◽  
Health It ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractObjectivesThe objective of this article is to examine consumer perceptions of health information technology (health IT) utilization and benefits through an integrated conceptual framework.Materials and MethodsThis article employs an integrated conceptual framework to examine consumer perceptions of health IT. A consumer survey yielded 1125 completed responses. A factor-based scale was developed for each sub-construct. Bivariate analysis using χ2 tests was performed to determine differences in the percentage of respondents who agreed with each sub-construct based on whether their physician used an electronic health record (EHR) system. Multivariable logistic regression that controlled for demographic characteristics of respondents was performed to determine adjusted odds of agreeing with selected opinions of health information exchange (HIE).ResultsResults indicate that respondents whose physicians used an EHR system were significantly more likely to agree that there was a perceived benefit with HIE and to care provided; that the patient should have control over the record; that they trust the physician and security of the medical information; that they understand the need for HIE, and that HIE must be easy to use.DiscussionThe results suggest that consumers who have experienced the use of one technology in the healthcare setting can recognize the potential benefit of another technology. Race/ethnicity, gender, and education played some role in respondents’ views of EHRs and HIE, more specifically, non-Hispanic African American participants indicated lower levels of trust in HIE when compared with non-Hispanic Whites.ConclusionThis cross-sectional survey indicated that physician use of EHRs significantly increases the odds of consumers’ seeing perceived benefits of HIE and understanding the need for HIE.

scholarly journals An empirical analysis of the financial benefits of health information exchange in emergency departments

2015 ◽  
Vol 22 (6) ◽  
pp. 1169-1172 ◽  
Author(s):  
Niam Yaraghi
Keyword(s):  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Laboratory Tests ◽  
Negative Binomial ◽  
Health Information Exchange ◽  
Negative Binomial Regression ◽  
Control Group ◽  
History Of ◽  
The Impact

Abstract Objective To examine the impact of health information exchange (HIE) on reducing laboratory tests and radiology examinations performed in an emergency department (ED). Materials and Methods The study was conducted in an ED setting in Western New York over a period of 2 months. The care of the patients in the treatment group included an HIE query for every encounter, while the care of other patients in the control group did not include such queries. A group of medical liaisons were hired to query the medical history of patients from an HIE and provide it to the ED clinicians. Negative binomial regression was used to analyze the effects of HIE queries on the number of performed laboratory tests and radiology examinations. The log files of the HIE system since 1 year before the ED admission were used to analyze the differences in outcome measures between the 2 groups of patients. Results Ceteris paribus, HIE usage is associated with, respectively, 52% and 36% reduction in the expected total number of laboratory tests and radiology examinations ordered per patient at the ED. Conclusions The results indicate that access to additional clinical data through the HIE will significantly reduce the number of laboratory tests and radiology examinations performed in the ED settings and thus support the ongoing HIE efforts.

scholarly journals Connecting Medical Records: An Evaluation of Benefits and Challenges for Primary Care Practices

2017 ◽  
Vol 24 (2) ◽  
pp. 204 ◽  
Author(s):  
Deborah Ruth Compeau ◽  
Amanda Terry
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Information Quality ◽  
Health Information Exchange ◽  
Limiting Factor ◽  
Exchange System ◽  
Quality Of Reports ◽  
Limited Health ◽  
Primary Care Practices

Background: Implementation of systems to support health information sharing has lagged other areas of healthcare IT, yet offers a strong possibility for benefit.  Clinical acceptance is a key limiting factor in health IT adoption.Objectives:  To assess the benefits and challenges experienced by clinicians using a custom-developed health information exchange system, and to show how perceptions of benefits and challenges influence perceptions of productivity and care-related outcomes.Methods: We used a mixed methods design with two phases. First, we conducted interviews with stakeholders who were familiar with the health information exchange system to inform the development of a measure of benefits and challenges of the use of this system. Second, using this measure we conducted a survey of current and former users of the health information exchange system using a modified Dillman method.Results: 105 current and former users completed the survey. The results showed information quality, ease of completing tasks and clinical process improvement as key benefits that reduced workload and improved patient care.  Challenges related to system reliability, quality of reports and service quality increased workload and decreased impact on care, though the effect of the challenges was smaller than that of the benefits.Conclusions:  Even very limited health information exchange capabilities can improve outcomes for primary care users.  Improving perceptions of benefits may be even more important the removing challenges to use, though it is likely that a threshold of quality must be achieved for this to be true.

scholarly journals Evaluation of a health information exchange system for microcephaly case-finding — New York City, 2013—2015

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237392
Author(s):  
Eugenie Poirot ◽  
Carrie W. Mills ◽  
Andrew D. Fair ◽  
Krishika A. Graham ◽  
Emily Martinez ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Health Information ◽  
York City ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Case Finding ◽  
Exchange System

scholarly journals Identifying homelessness using health information exchange data

2015 ◽  
Vol 22 (3) ◽  
pp. 682-687 ◽  
Author(s):  
John Zech ◽  
Gregg Husk ◽  
Thomas Moore ◽  
Gilad J Kuperman ◽  
Jason S Shapiro
Keyword(s):  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Housing Status ◽  
Number Of Patients ◽  
Address Data ◽  
Patients Experience ◽  
Exchange Data

Abstract Background Homeless patients experience poor health outcomes and consume a disproportionate amount of health care resources compared with domiciled patients. There is increasing interest in the federal government in providing care coordination for homeless patients, which will require a systematic way of identifying these individuals. Objective We analyzed address data from Healthix, a New York City–based health information exchange, to identify patterns that could indicate homelessness. Methods Patients were categorized as likely to be homeless if they registered with the address of a hospital, homeless shelter, place of worship, or an address containing a keyword synonymous with “homelessness.” Results We identified 78 460 out of 7 854 927 Healthix patients (1%) as likely to have been homeless over the study period of September 30, 2008 to July 19, 2013. We found that registration practices for these patients varied widely across sites. Conclusions The use of health information exchange data enabled us to identify a large number of patients likely to be homeless and to observe the wide variation in registration practices for homeless patients within and across sites. Consideration of these results may suggest a way to improve the quality of record matching for homeless patients. Validation of these results is necessary to confirm the homeless status of identified individuals. Ultimately, creating a standardized and structured field to record a patient’s housing status may be a preferable approach.

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