A snapshot of health information exchange across five nations: an investigation of frontline clinician experiences in emergency care

Klapman, Seth; Sher, Emily; Adler‐Milstein, Julia

doi:10.1093/jamia/ocx153

Cited by 11 publications

(12 citation statements)

References 11 publications

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“…While accessing patient information could be especially critical in an emergency case, ER care represents a very small share of the healthcare needs of an individual. Furthermore, the time constraint in the ER is higher, especially for critical cases, and the decision to use HIE can be fundamentally different in ER context compared to non-urgent care settings (Klapman et al 2018).…”

Section: Value Of Hie Usementioning

confidence: 99%

“…There are several sources of frictions at the individual-transaction level for exchanging information that would hinder the utilization and potential value of HIE networks. One explanation for why the benefits of HIE remain ambiguous is that HIE use rates remain low even after adoption due to frictions (Johnson et al 2011, Rudin et al 2014) such as healthcare providers' lack of incentives to share patient data (Adler-Milstein and Pfeifer 2017), security and privacy concerns (Adjerid et al 2016, Edwards et al 2010, Wright et al 2010, or the belief that the additional information provided by HIEs is not necessary or useful for all types of patients and visits (Eden et al 2016, Hripcsak et al 2007, Klapman et al 2018. Overall, these arguments suggest that the value of HIE use may not be equal across all patients or all types of visits.…”

Section: Heterogeneous Effects Of Hie Usementioning

confidence: 99%

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Impacts of Patient Characteristics and Care Fragmentation on the Value of HIEs

Atasoy

Demirezen

Chen

2021

Production and Operations Management

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We investigate the impact of health information exchange (HIE) use at the visit level on patient outcomes, such as future visit behavior and the number of procedures performed on the patient, and how the effects differ across patient and visit characteristics, for example, whether a patient has chronic conditions and whether a visit involves a hospital switch. Timely sharing of patient information is expected to decrease the fragmentation of care and improve decision‐making, diagnoses, and care plans, yet previous studies that examine the benefits of HIE use do not focus on these issues and are not unanimous in their findings in general about the benefits of HIEs. Further, prior studies generally focus on average effects with binary HIE measures, either using HIE adoption at the hospital level or whether HIE is accessed at the visit level. We argue that the benefits of HIE stem from the information contained within and are not equal across cases. We utilize a rich dataset of medical records from an HIE provider in New York. Our results show that the depth of information available for the patient in HIE use decreases the overall number of future visits, specifically, HIE use effectively reduces visits that are not preventative in nature while increases adherence to preventative care visits, aiding in the shift from treatment‐based care to preventative‐based care, that public health organizations have urged for. Further, HIE use lowers the number of procedures done at the focal visit. We have several other findings that have important implications for policymakers, healthcare providers, and patients.

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Section: Value Of Hie Usementioning

confidence: 99%

Section: Heterogeneous Effects Of Hie Usementioning

confidence: 99%

Impacts of Patient Characteristics and Care Fragmentation on the Value of HIEs

Atasoy

Demirezen

Chen

2021

Production and Operations Management

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“…Similarly, there is a need for health information to be shared with non-clinical members of a healthcare team [43]. Ultimately, the effectiveness of HIE will depend on community understanding of the role of HIE and overcoming barriers to support sharing of health data for enabling effective healthcare delivery [3,4,39,44]. HIE has been shown to improve care, through the availability of health information at critical times of need [45,46].…”

Section: Information Disseminationmentioning

confidence: 99%

“…There are strong desires to connect HIEs into ED EHR systems and clinical workflows. However, there are challenges globally with this integration in a way that can be clinically actionable, largely due to limited consideration of ED workflows [44,74,99].…”

Section: Hospital Emergency Servicementioning

confidence: 99%

“…Policies should support the expansion of organizations that enable HIE to be considered a component of public infrastructure, much like electricity or water delivery, to support healthcare delivery. Prioritization of data and formats should thus adhere to meet use cases that have clinical or public health impact [3,4,39,44,182,183]. National standards for interoperability should be prioritized by government designated entities.…”

Section: Recommendation 1: Get the Basics Rightmentioning

confidence: 99%

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Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange

Sarkar

2022

Yearb Med Inform

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Objectives: Provide a systematic review of literature pertaining to health information exchange (HIE) since 2018. Summarize HIE-associated literature for most frequently occurring topics, as well as within the context of the COVID-19 pandemic and health equity. Finally, provide recommendations for how HIE can advance the vision of a digital healthcare ecosystem. Methods: A computer program was developed to mediate a literature search of primary literature indexed in MEDLINE that was: (1) indexed with “Health Information Exchange” MeSH descriptor as a major topic; and (2) published between January 2018 and December 2021. Frequency of MeSH descriptors was then used to identify and to rank topics associated with the retrieved literature. COVID-19 literature was identified using the general COVID-19 PubMed Clinical Query filter. Health equity literature was identified using additional MeSH descriptor-based searches. The retrieved literature was then reviewed and summarized. Results: A total of 256 articles were retrieved and reviewed for this survey. The major thematic areas summarized were: (1) Information Dissemination; (2) Delivery of Health Care; (3) Hospitals; (4) Hospital Emergency Service; (5) COVID-19; (6) Health Disparities; and (7) Computer Security and Confidentiality. A common theme across all areas examined for this survey was the maturity of HIE to support data-driven healthcare delivery. Recommendations were developed based on opportunities identified across the reviewed literature. Conclusions: HIE is an essential advance in next generation healthcare delivery. The review of the recent literature (2018-2021) indicates that successful HIE improves healthcare delivery, often resulting in improved health outcomes. There remain major opportunities for expanded use of HIE, including the active engagement of clinical and patient stakeholders. The maturity of HIE reflects the maturity of the biomedical informatics and health data science fields.

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Beyond Borders: Evaluating the Impact of Health Information Exchange on Resource Utilization in the United Arab Emirates – A Longitudinal Study

Al Braiki,

Al Hashemi,

Denson

et al. 2024

Inf Syst Front

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A snapshot of health information exchange across five nations: an investigation of frontline clinician experiences in emergency care

Abstract: As countries continue to pursue broad-based HIE, they appear to be facing similar challenges in realizing HIE value and therefore have an opportunity to learn from one another.

Cited by 11 publications

References 11 publications

Impacts of Patient Characteristics and Care Fragmentation on the Value of HIEs

Impacts of Patient Characteristics and Care Fragmentation on the Value of HIEs

Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange

Beyond Borders: Evaluating the Impact of Health Information Exchange on Resource Utilization in the United Arab Emirates – A Longitudinal Study

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