Missing Link of the Health Information Exchange Loop

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.

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Florida Health Information Exchange

Cases on Healthcare Information Technology for Patient Care Management ◽

10.4018/978-1-4666-2671-3.ch010 ◽

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.

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Weathering the Storm

International Journal of Privacy and Health Information Management ◽

10.4018/ijphim.2016070104 ◽

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.

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Future Sustainability of the Florida Health Information Exchange

Journal of Cases on Information Technology ◽

10.4018/jcit.2013070103 ◽

2013 ◽

Vol 15 (3) ◽

pp. 38-46

Author(s):

Alice M. Noblin ◽

Kendall Cortelyou-Ward

Keyword(s):

Health Care ◽

Information Sharing ◽

Health Information ◽

Information Exchange ◽

Health Information Exchange ◽

Health Care Industry ◽

The State ◽

Care Industry ◽

Basic Services

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 (ARRA) of 2009 provided funding to further expand health information exchange efforts across the country. As a result, Florida was 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. Since then, the Florida HIE has begun to take shape and information sharing is occurring. The ARRA funding will end in 2014 and the Florida HIE must have a plan to survive into the future. This plan must address challenges such as the recruitment of new users, integration of new services, and ultimately long term sustainability.

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The role of patient engagement in patient-centric health information exchange (HIE) initiatives: an empirical study in the United States

Information Technology and People ◽

10.1108/itp-05-2020-0316 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Pouyan Esmaeilzadeh ◽

Spurthy Dharanikota ◽

Tala Mirzaei

Keyword(s):

Health Information ◽

Patient Engagement ◽

Information Exchange ◽

Medical Information ◽

Health Information Exchange ◽

The United States ◽

Willingness To Participate ◽

Healthcare Organizations ◽

Content Type ◽

Patient Centric

PurposePatient-centric exchanges, a major type of Health Information Exchange (HIE), empower patients to aggregate and manage their health information. This exchange model helps patients access, modify and share their medical information with multiple healthcare organizations. Although existing studies examine patient engagement, more research is required to investigate patients' attitudes and willingness to play an active role in patient-centered information exchange. The study's main objective is to develop a model based on the belief-attitude-intention paradigm to empirically examine the effects of patients' attitudes toward engagement in care on their willingness to participate in patient-centric HIE.Design/methodology/approachThe authors conducted an online survey study to identify the antecedents and consequences of patients' attitudes toward engagement in care. To empirically test the research model, the authors collected data from a national sample (n = 357) of individuals in the United States. The data were analyzed using structural equation modeling (SEM).FindingsThe proposed model categorizes the antecedents to patients' attitudes toward engagement in patient-related and healthcare system factors. The results show that patient-related factors (perceived health literacy and perceived coping ability) and health system factors (perceived experience with the healthcare organization and perceived patient-provider interaction) significantly shape patient attitude toward care management engagement. The results indicate that patients' attitudes toward engaging in their healthcare significantly contribute to their willingness to participate in medical information sharing through patient-centric HIE initiatives. Moreover, the authors’ findings also demonstrate that the link between patient engagement and willingness to participate in HIE is stronger for individuals who perceive lower levels of privacy and security concerns.Originality/valueThe authors validate the proposed model explaining patients' perceptions about their characteristics and the healthcare system significantly influence their attitude toward engaging in their care. This study also suggests that patients' favorable attitude toward engagement can bring patient-centric HIE efforts onto a path to success. The authors’ research attempts to shed light on the importance of patients' roles in adopting patient-centric HIE initiatives. Theoretical and practical contributions of this study are noticeable since they could result in a deeper understanding of the concept of patient engagement and how it may affect healthcare services in an evolving digital world. The authors’ findings can help healthcare organizations provide public citizen-centric services by introducing user-oriented approaches in healthcare delivery systems.

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Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings

Health Affairs ◽

10.1377/hlthaff.2014.0445 ◽

2014 ◽

Vol 33 (9) ◽

pp. 1672-1679 ◽

Cited By ~ 137

Author(s):

Michael F. Furukawa ◽

Jennifer King ◽

Vaishali Patel ◽

Chun-Ju Hsiao ◽

Julia Adler-Milstein ◽

...

Keyword(s):

Health Information ◽

Patient Engagement ◽

Information Exchange ◽

Health Information Exchange ◽

Substantial Progress ◽

Ehr Adoption

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Consumer perceptions of health IT utilization and benefits

JAMIA Open ◽

10.1093/jamiaopen/ooy049 ◽

2018 ◽

Vol 2 (1) ◽

pp. 99-106 ◽

Cited By ~ 1

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.

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

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocv086 ◽

2015 ◽

Vol 22 (6) ◽

pp. 1183-1186 ◽

Cited By ~ 2

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.

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MEDICAL DROP BOX (MDB)

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.04.1538 ◽

2010 ◽

Vol 23 (04) ◽

Author(s):

Imran Khan ◽

Muhammad Sher ◽

Samina Aslam ◽

Syed M. Saqlain ◽

M. Usman Ashraf ◽

...

Keyword(s):

Health Information ◽

Information Exchange ◽

Medical Information ◽

Health Information Exchange ◽

Technological Development ◽

Personal Control ◽

Medical Application ◽

Geographic Region ◽

Medical Data ◽

New System

Introduction: National Health Information Exchange (NHIX) Systems are rapidlyevolving. Due to the cyber infrastructure and improvements in communication technology, itis possible to share healthcare related data within a geographic region electronically amonghealthcare related autonomous entities such as physicians, hospitals, test laboratories, insurers,emerging Health Information Organizations (HIO), and even government departments. StudyDesign: Whether data are collected with the RCT, Quasi-experimentation or Triangulationetc., we present to explore a NHIX system for EHR that has also been implemented as atest case. We particularly propose to demonstrate a concept application, Medical Drop Box(MDB) with the key technological components of a future NHIX System for medical industry.Setting: Data from different medical settings have been used for testing the new system butthe technological development has been done at IIU, Islamabad. Period: The proposed systemis not time bond in terms of data collection. Basically the proposed system can handle datacollected in any chunk of time in the history and can provide information as and when neededin future. Material & Methods: With MDB, a person is able to collect his/her health data andshare it with the whole medical industry according to his/her own preferences and setting.Besides the technology for handing numerous forms of health care data, the main challengeof NHIX system is to allow individuals and associated medical entities to manage and sharetheir medical information based on personal control and preferences given to each by medicallaws, information rights and privacy rules. The main focus in this research paper is to make astandard medical application for the medical data that is in exchangeable format according tothe standards defined in HL7. Results: The new system is able to make standardized Clinicaldocument for medical data in exchangeable format according to HL7 standard. The MDB isthe first step to setup NHIX system. With the help of MDB “Statistical Analyzer” now the healthindustry of the country can perform a variety of analysis for the future improvements in differenthealth settings. Conclusions: The availability of medical data of patients on MDB cloud hasimproved Clinical Impact, created new Business & Services opportunities and reduced theoverall Treatment Cost.

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Barriers and facilitators to a health information exchange system for general practitioners

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.007 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

N S Centemero ◽

B Rechel

Keyword(s):

Clinical Practice ◽

Health Information ◽

General Practitioners ◽

Information Exchange ◽

Medical Information ◽

Health Information Exchange ◽

Barriers And Facilitators ◽

Local Health ◽

Care Providers

Abstract Background Health information exchange (HIE) systems, that are computer-based tools used by healthcare providers for secure access to share patient's medical information electronically, seem to help reduce the use of specific resources and improve the quality of care. This highlights the importance of this issue in the Public Health sector. This research goal is to identify barriers and facilitators perceived by general practitioners (GPs) when using an HIE system in a Southern Switzerland area. Methods we performed a qualitative study using semi-structured interviews, interviewed 10 GPs, randomly selected among some 500 HIE system local users and analysed interview transcripts using thematic content analysis with an abductive approach (a mix of deductive and inductive approaches). Results findings showed the following key facilitators: a) perception of dealing with a secure system; b) possibility of delegating management to secretaries and healthcare assistants; c) technical support and training; d) high quality of the information exchange; e) positive impact on clinical practice; and f) regional context. However, major challenges persist, and GPs reported the following main barriers to using an HIE system: a) frequent lack of all patient information needed; b) no effective workflow improvements; c) lack of some technical features. Conclusions We propose four recommendations based on findings: 1. Future initiatives should focus on developing HIE systems giving GPs access to all possible patient medical information; 2. Crucial data privacy and security issues should never be overlooked; 3. Technical and workflow improvements should particularly consider the socio-technical nature of HIE systems; 4. Much attention needs to be paid to the importance of relationships between health care providers and between these and local health institutions when implementing HIE systems. Key messages This study filled a research gap as it is the first that tackles HIE system barriers and facilitators in Ticino. When information sharing for clinical practice focuses on improving the quality and costs of healthcare, GP's trust in HIE system security is crucial.

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