scholarly journals Enabling Health Reform through Regional Health Information Exchange: A Model Study from China

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Jianbo Lei ◽  
Dong Wen ◽  
Xingting Zhang ◽  
Jiayu Li ◽  
Haiying Lan ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Reform ◽  
Health Information Exchange ◽  
Health Resources ◽  
Regional Health ◽  
Exchange System ◽  
Model Study ◽  
Shared Information ◽  
Health Institutions

Objective. To investigate and share the major challenges and experiences of building a regional health information exchange system in China in the context of health reform. Methods. This study used interviews, focus groups, a field study, and a literature review to collect insights and analyze data. The study examined Xinjin’s approach to developing and implementing a health information exchange project, using exchange usage data for analysis. Results. Within three years and after spending approximately $2.4 million (15 million RMB), Xinjin County was able to build a complete, unified, and shared information system and many electronic health record components to integrate and manage health resources for 198 health institutions in its jurisdiction, thus becoming a model of regional health information exchange for facilitating health reform. Discussion. Costs, benefits, experiences, and lessons were discussed, and the unique characteristics of the Xinjin case and a comparison with US cases were analyzed. Conclusion. The Xinjin regional health information exchange system is different from most of the others due to its government-led, government-financed approach. Centralized and coordinated efforts played an important role in its operation. Regional health information exchange systems have been proven critical for meeting the global challenges of health reform.

Consumer Support for Health Information Exchange and Personal Health Records: A Regional Health Information Organization Survey

2010 ◽  
Vol 36 (3) ◽  
pp. 1043-1052 ◽  
Author(s):  
Vaishali N. Patel ◽  
Rina V. Dhopeshwarkar ◽  
Alison Edwards ◽  
Yolanda Barrón ◽  
Jeffrey Sparenborg ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Personal Health Records ◽  
Information Organization ◽  
Personal Health ◽  
Regional Health ◽  
Health Records

scholarly journals 329Parsing Multi-Source Microbiology Culture Data in a Regional Health Information Exchange to Describe Patterns of Infection

2014 ◽  
Vol 1 (suppl_1) ◽  
pp. S133-S133
Author(s):  
Marc Rosenman ◽  
Kinga Szucs ◽  
S. Maria E. Finnell ◽  
Shahid Khokhar ◽  
Abel Kho
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Regional Health

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 User perspectives on the usability of a regional health information exchange

2011 ◽  
Vol 18 (5) ◽  
pp. 711-716 ◽  
Author(s):  
Cynthia S Gadd ◽  
Yun-Xian Ho ◽  
Cather Marie Cala ◽  
Dana Blakemore ◽  
Qingxia Chen ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Regional Health ◽  
User Perspectives

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
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