Notifications of hospital events to outpatient clinicians using
health information exchange: a post-implementation survey

Altman, R. Scott; Shapiro, Jason S.; Moore, Thomas A.; Kuperman, Gilad J.

doi:10.14236/jhi.v20i4.14

Cited by 13 publications

(9 citation statements)

References 15 publications

(15 reference statements)

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“…34 The use of communitywide HIE data for quality improvement need not be limited to frequent ED users. Other potential uses of an HIE infrastructure include notifying primary care providers when their patients visit an ED or are admitted to or discharged from an acute care hospital, 34,51 detecting returns within seventy-two hours to an ED across multiple acute care hospitals, 52 detecting readmissions within thirty days across multiple hospitals, 53 and alerting providers at the point of test order entry (for example, for computed tomography scans) if a patient has had multiple similar studies previously. 54 Claims data or other large clinical data sets may be available for the type of retrospective analysis presented in this study.…”

Section: Discussionmentioning

confidence: 99%

Health Information Exchange Improves Identification Of Frequent Emergency Department Users

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Health Information Exchange Improves Identification Of Frequent Emergency Department Users

et al. 2013

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“…‘Health information’,2 , 5 , 45 , 49 , 54 – 98 ‘clinical information’,21 , 33 , 37 , 46 , 61 , 71 , 88 , 97 , 99 – 120 ‘clinical data’,23 , 30 , 33 , 87 , 110 , 111 , 121 – 131 ‘health data’,17 , 24 , 43 , 69 , 70 , 76 , 100 , 132-140 ‘patient data’,31 , 33 , 55 , 107 , 141 – 145 ‘healthcare information’,35 , 72 , 84 , 110 , 115 , 126 , 146 – 148 ‘clinical patient data’,1 , 149 ‘patient clinical data’,150 ‘patient health information’,151 – 158 ‘patient information’,16 , 26 , 29 , 40 , 41 , 47 , 66 , 97 , 116 , 159 – 165 ‘medical information’,21 , 28 , 34 , 97 , 107 , 129 , 166 – 171 ‘health-related information’,16 , 81 , 82 , 121 , 163 , 172 – 182 ‘patient-medical information’,183 , 184 ‘personal health information’,185 ‘clinical and demographic data’,186 , 187 ‘healthcare-related data’, 188 – 190 ‘health surveillance data’,191 ‘clinical and other patient data’...…”

Section: Key Themes Identifiedmentioning

confidence: 99%

“…‘Exchange’,55 – 57 , 141 ‘access’,69 , 82 , 138 , 207 , 218 – 220 ‘movement’,154 , 163 , 172 , 173 , 175 – 177 , 221 ‘sharing’,2 , 59 , 99 , 200 , 222 ‘multi-directional transfer’,223 ‘moving’,127 , 224 , 225 ‘bi-directional’,47 , 191 , 194 ‘mobilizes’,226 ‘connectivity’,54 ‘data flow’,122 ‘transferring’,55 , 61 ‘transfer’,58 , 70 , 109 , 112 , 115 , 133 , 160 , 216 ‘feed data repositories’,109 ‘transmission’,76 , 80 , 186 , 188 , 189 , 217 , 227 , 228 ‘transport’,49 , 100 , 184 ‘moves’,162 ‘access to and retrieval’87 , 110 , 111 , 115 , 121 , 130 , 160 and ‘link’/‘linking.’191 , 229 – 231 …”

Section: Key Themes Identifiedmentioning

confidence: 99%

“…‘Doctors’67 , 69 , 85 , 96 , 142 , 156 , 166 , 179 , 184 , 185 , 232 – 234 or ‘physicians’,21 , 77 – 79 , 123 , 144 , 162 , 235 – 237 ‘clinicians’,1 , 56 , 87 , 97 , 99 , 109 , 131 , 135 , 161 , 213 , 218 , 238 – 240…”

Section: Key Themes Identifiedmentioning

confidence: 99%

“…‘nurses’,85 , 166 , 184 , 234 , 241 , 242 ‘patients’,5 , 38 , 90 , 109 , 133 , 138 , 206 ‘pharmacists’, 66 , 166 , 184 ‘health educators’,66 public health officials’,133 ‘healthcare professionals’, 29 , 33 , 36 ‘medical professionals’,90 ‘insurers’,142 ‘payers’,69 , 77 , 175 , 217 , 243 ‘policy makers’,233 ‘social workers’,66 ‘healthcare providers’,25 , 58 , 90 , 105 , 126 , 141 , 152 , 154 , 170 , 196 , 197 , 205 , 208 , 222 , 230 , 244 ‘customers’,44 ‘hospitals’,19 , 23 , 99 , 101 , 120 , 123 , 222 , 245 ‘health plans’,21 , 67 , 78 , 79 , 171 ‘laboratories’,67 , 77 , 85 , 246 ‘ radiology centres’,88 ‘pharmacies’,33 , 67 , 85 , 131 , 142 , 162 , 163 , 183 , 235 , 246 , 247 ‘hospitals’,21 , 32 , 124 , 184 , 195 , 215 , 222 , 237 ‘organizations’,134 , 223 , 226 , 248 , …”

Section: Key Themes Identifiedmentioning

confidence: 99%

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Defining Health Information Exchange: Scoping Review of Published Definitions

Akhlaq

Sheikh

Pagliari

2017

jhi

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Objective The term health information exchange (HIE) is often used in health informatics, yet uncertainties remain about its precise meaning. This scoping review aimed to capture and analyse existing definitions in order to map variations in the use of this term and the concepts associated with it. Methods Systematic literature search to identify published definitions of HIE and related terms. Medline, Web of Science, Library Information Science and Technology Abstracts, EMBASE and CINAHL Plus were searched to identify relevant papers, and Google to identify grey literature. Searches were not limited by language or date of publication. Both explicit and equivalent conceptual definitions were included. Included definitions were summarised and thematically analysed in order to identify and map the underpinning constructs. Results Our searches revealed 603 scientific articles and 5981 website links. From these, a total of 268 unique definitions of HIE were identified and extracted: 103 from scientific databases and 165 from Google. Eleven constructs emerged from the thematic analysis. Contextual factors influenced the emphasis of the definitions and the overall framing of HIE as an organisational entity that facilitates and or as a process of sharing health information between diverse stakeholders. Conclusions HIE is a complex and evolving construct, for which multiple definitions exist. In order to encourage consensus, the authors propose this broad definition, which encompasses the key attributes of HIE described in the literature: "HIE is the electronic mobilisation of clinical and administrative information within or across organisations in a region or community and, potentially, internationally between various systems according to locally and/or nationally recognised standards while maintaining the authenticity and accuracy of the information being exchanged, enabling stakeholders to make informed decisions to enhance healthcare quality of a patient and population. HIEs are multi-stakeholder organisations that oversee the business, operational and legal issues involved in the exchange of information."

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Use of the Direct Standard for Patient Event Notifications: A Qualitative Study Among Industry Leaders

Thurman,

Dixon,

Kibbe

et al. 2023

ACI open

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Background Health care organizations seek to maximize efficiency and effectiveness when sending patient event notifications required by the U.S. Centers for Medicare and Medicaid Services Interoperability and Patient Access Final Rule. Objectives To identify the barriers for senders (i.e., hospitals) and receivers (Department of Veterans Affairs [VA] and non-VA) of patient event notifications using the Direct Standard, the transport method standard that addresses Direct Messaging (DM). Methods Questions were asked to better understand perceived barriers to sending and receiving event notifications as well as involvement with event notifications with VA. Open coding was used to identify themes in the transcribed interviews. Results Analysis of the interviews (n = 17) showed workflow barriers, including identifying a patient's provider, the provider's Direct address, and whether a patient is an enrolled Veteran, were the most common barriers. Next were technical barriers, such as payload and electronic health record ingestion of event notifications. Less common barriers included content, policy/governance, cost, and organizational issues. The interviews also highlighted a promising pilot between VA and an aggregator. Conclusion Overall, interviewees felt that event notifications are a benefit from a coordination of care perspective for patients and clinical care teams. Also, interviewees felt that DirectTrust's Implementation Guide for Event Notifications via the Direct Standard has helped guide (and perhaps the DirectTrust Directory could help guide) the industry in sending and more effectively receiving event notifications.

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Notifications of hospital events to outpatient clinicians using health information exchange: a post-implementation survey

Cited by 13 publications

References 15 publications

Health Information Exchange Improves Identification Of Frequent Emergency Department Users

Health Information Exchange Improves Identification Of Frequent Emergency Department Users

Defining Health Information Exchange: Scoping Review of Published Definitions

Use of the Direct Standard for Patient Event Notifications: A Qualitative Study Among Industry Leaders

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