Outcomes Assessment of the Regional Health Information Exchange

2011 ◽  
Vol 50 (04) ◽  
pp. 308-318 ◽  
Author(s):  
P. Asikainen ◽  
M. Gissler ◽  
K. Siponen ◽  
M. Maass ◽  
K. Saranto ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Delivery ◽  
Information Exchange ◽  
Laboratory Tests ◽  
Health Information Exchange ◽  
Care Delivery ◽  
Emergency Department Visits ◽  
Health Care Information ◽  
Care Information

SummaryBackground: The implementation of a technology such as health information exchange (HIE) through a Regional Health Information System (RHIS) may improve the mobilization of health care information electronically across organizations. There is a need to coordinate care and bring together regional and local stakeholders.Objectives: To describe how HIE had influenced health care delivery in one hospital district area in Finland.Method: Trend analysis was used to evaluate the influence of a regional HIE. We conducted a retrospective, longitudinal study for the period 2004–2008 for the eleven federations of municipalities in the study area. We reviewed statistical health data from the time of implementation of an RHIS. The t-test was used to determine statistical significance. The selected outcomes were the data obtained from the regional database on total appointments, emergency department visits, laboratory tests and radiology examinations, and selected laboratory tests and radiology examinations carried out in both primary care and special health care.Results: Access to HIE may have influenced health care delivery in the study area. There are indications that there is a connection between access to regional HIE and the number of laboratory tests and radiology examinations performed in both primary care and specialized health care, as observed in the decreased frequency in outcomes such as radiology examinations, number of appointments, and emergency department visits in the study environment. The decreased frequencies of the latter suggest an increased efficiency of outpatient care, but we were not able to estimate to what extent the readily available comprehensive clinical information contributed to these trends.Conclusion: Outcome assessment of HIE through an RHIS is essential for the success of health information technology (HIT) and as evidence to use in the decision-making process. As health care information becomes more digital, it increases the potential for a strong HIE effect on health care delivery.

Health Information Exchange in Memphis: Impact on the Physician-Patient Relationship

2010 ◽  
Vol 38 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Mark E. Frisse
Keyword(s):  
Health Care ◽  
Health Information ◽  
Support Groups ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Care Delivery ◽  
Information Access ◽  
Physician Patient Relationship ◽  
Patient Centered ◽  
Financing System

Patients and their physicians frequently make important health care decisions with incomplete information. Memory fails; records are incomplete; the onset of significant events is confused with other life stories; and even the most basic information about medications, laboratory tests, allergies, and problems is often the result of guesswork. As providers and as patients, we suffer because information vital to health care is not available when and where it is needed. Data required for care are dispersed across various settings and represented in a range of formats; incentives to bring these data together do not exist.In recent years, four specific approaches have emerged to address patient-centered information access. The first model attempts to consolidate all care into a single care delivery and financing system. This model — prevalent in many European countries — is to some degree extant at Kaiser-Permanente and other integrated care and financing systems. This model is ideal if and when one organization is responsible for all care delivery and financing. Such models present “one-stop shopping” for managing health information, coordinating care, communicating with providers and support groups, and ensuring both payment and accountability.

scholarly journals The impact of the use of health information and communication technology on health care delivery in Manitoba, Canada

2014 ◽  
Vol 3 (6) ◽  
pp. 8 ◽  
Author(s):  
Israel R Kabashiki ◽  
Ngozi I Moneke
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information And Communication Technology ◽  
Health Care Delivery ◽  
Communication Technology ◽  
Quality Of Health Care ◽  
Care Delivery ◽  
Wait Times ◽  
Information And Communication

Background: Health Information and Communication Technology (HICT) has the potential to reduce patient wait time and improves patient satisfaction. The Long wait times for patients to receive medical services are a big issue in Canada. The Canadian government has invested in Information and Communication Technology (ICT) to shorten patient referral wait times for medical services. Little was known about the association between ICT investments and the quality of health care delivery, and particularly between the use of ICT and referral wait times in the Manitoba Health System (MHS). Methods: The purpose of this quantitative correlational study was to determine if a relationship existed between the use of HICT and the quality of health care delivery in the MHS. The quality of health care delivery was measured in terms of referral wait time, health information sharing effectiveness, physicians’ satisfaction, and patients’ satisfaction. Conclusion: Findings indicated the absence of a significant association between HICT use and referral wait times. Significant correlations were found to exist between (1) HICT use and health information sharing effectiveness, (2) HICT use and physician’s satisfaction, and (3) HICT use and patient’s satisfaction. Four recommendations emerged from this study: First, patient satisfaction should be used as an indicator of the quality of health care delivery. Second, health knowledge repository and expert systems should be integrated into health ICT systems to minimize unnecessary referrals. Third, a mixed health system should be implemented to shorten wait times. Fourth, the portability of the Canadian Medicare should be enhanced to allow Manitobans in particular and Canadians in general to seek medical services abroad. This study was intended to contribute to the existing body of knowledge associated with ICT investments’ outcomes and health care delivery in the MHS.  

Eliciting nurses’ perspectives to improve health information exchange between hospital and home health care

2019 ◽  
Vol 40 (3) ◽  
pp. 277-283 ◽  
Author(s):  
Erin Sarzynski ◽  
Mark Ensberg ◽  
Amy Parkinson ◽  
Laurie Fitzpatrick ◽  
Laura Houdeshell ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Home Health Care ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Home Health ◽  
Improve Health

scholarly journals Bridging Organizational Divides in Health Care: An Ecological View of Health Information Exchange

2013 ◽  
Vol 1 (1) ◽  
pp. e3 ◽  
Author(s):  
Kim M Unertl ◽  
Kevin B Johnson ◽  
Cynthia S Gadd ◽  
Nancy M Lorenzi
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Ecological View

Florida Health Information Exchange

2013 ◽  
pp. 152-170
Author(s):  
Alice Noblin ◽  
Kelly McLendon ◽  
Steven Shim
Keyword(s):  
Health Care ◽  
Information Sharing ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Care Industry ◽  
Privacy And Security ◽  
Care Industry ◽  
Basic Services ◽  
Security Regulations

Florida began the journey to health information connectivity in 2004 under Governor Jeb Bush. Initially these efforts were funded by grants, but due to the downturn in the economy, the state was unable to support growth in 2008. The American Recovery and Reinvestment Act of 2009 provided funding to further expand health information exchange efforts across the country. As a result, Florida is now able to move forward and make progress in information sharing. Harris Corporation was contracted to provide some basic services to the health care industry in 2011. However, challenges remain as privacy and security regulations are put in place to protect patients’ information. With two seemingly opposing mandates, sharing the information versus protecting the information, challenges continue to impede progress.

Weathering the Storm

2016 ◽  
Vol 4 (2) ◽  
pp. 53-61
Author(s):  
Alice M. Noblin ◽  
Kendall Cortelyou-Ward ◽  
Ashley Rutherford
Keyword(s):  
Health Care ◽  
Health Information ◽  
Disaster Preparedness ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Care Industry ◽  
Care Industry ◽  
Basic Services ◽  
Technology Initiatives ◽  
Network Of Networks

The Florida Health Information Exchange has grown over the years since its inception in 2004. Harris Corporation was contracted to provide some basic services to the health care industry in 2011 and this relationship has continued to the present time. As services have expanded, challenges have arisen. With disaster preparedness and business continuity an important part of continuity of care and health information technology initiatives, this paper will consider how a “network of networks” can be of assistance when natural disasters strike.

scholarly journals The economic benefits of health information exchange interoperability for Australia

2007 ◽  
Vol 31 (4) ◽  
pp. 531 ◽  
Author(s):  
Peter Sprivulis ◽  
Jan Walker ◽  
Douglas Johnston ◽  
Eric Pan ◽  
Julia Adler-Milstein ◽  
...  
Keyword(s):  
Health Care ◽  
Steady State ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Semantic Content ◽  
Economic Benefits ◽  
Policy Position ◽  
Care Providers ◽  
Level 3

Objective: To estimate costs and benefits for Australia of implementing health information exchange interoperability among health care providers and other health care stakeholders. Design: A cost?benefit model considering four levels of interoperability (Level 1, paper based; Level 2, machine transportable; Level 3, machine readable; and Level 4, machine interpretable) was developed for Government-funded health services, then validated by expert review. Results: Roll-out costs for Level 3 and Level 4 interoperability were projected to be $21.5 billion and $14.2 billion, respectively, and steady-state costs, $1470 million and $933 million per annum, respectively. Level 3 interoperability would achieve steadystate savings of $1820 million, and Level 4 interoperability, $2990 million, comprising transactions of: laboratory $1180 million (39%); other providers, $893 million (30%); imaging centre, $680 million (23%); pharmacy, $213 million (7%) and public health, $27 million (1%). Net steady-state Level 4 benefits are projected to be $2050 million: $1710 million more than Level 3 benefits of $348 million, reflecting reduced interface costs for Level 4 interoperability due to standardisation of the semantic content of Level 4 messages. Conclusions: Benefits to both providers and society will accrue from the implementation of interoperability. Standards are needed for the semantic content of clinical messages, in addition to message exchange standards, for the full benefits of interoperability to be realised. An Australian Government policy position supporting such standards is recommended.

scholarly journals Frequent Internet Users May Prefer More Health Care Information and Participation in Decision-Making

2014 ◽  
Vol 9 (1) ◽  
pp. 51 ◽  
Author(s):  
Eamon C. Tewell
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Information ◽  
Internet Use ◽  
Community Dwelling ◽  
Age Group ◽  
Health Care Information ◽  
Preference Rating ◽  
Internet Users ◽  
Care Information

Objective – To determine whether there is a significant relationship between patients’ frequency of Internet use and their health care information and decision-making preferences. Design – Cross-sectional questionnaire survey. Settings – Undergraduate classes at a large state university and senior-oriented computer classes at public libraries and senior centers. Subjects – 438 respondents, including 226 undergraduates (mean age 20) and 212 community-dwelling older adults (mean age 72). Methods – Respondents were administered the Health Information Wants Questionnaire (HIWQ), a 21-item instrument designed to measure preferences for 7 types of health information and decision-making, in group settings. Main Results – The younger age group spent significantly more time online compared to the older age group. Frequent Internet users in both populations expressed an overall preference for more information regarding diagnosis, but less information for psychosocial and health care provider concerns. Internet use was positively correlated to the overall preference rating, leading the researchers to suggest that, as a whole, regular Internet users prefer more information and independence in decision-making. Conclusions – The study concludes that Internet use frequency is associated with an overall preference for obtaining health information and participating in decision making. Internet use as related to different types of preferences is inconsistent. Age was not found to be associated with the overall preference rating, and time spent online is proposed to be a stronger indicator of respondents’ health information preferences. The authors suggest that future studies utilizing the HIWQ take a longitudinal approach in order to better track how patient preferences for information may evolve over time.

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