Health care provider perceptions of a query-based health information exchange: barriers and benefits

Gary L. Cochran, Lina Lander, Marsha Morien, Daniel E. Lomelin, Harlan Sayles, Donald G. Klepser
2015 Journal of Innovation in Health Informatics  
Health information exchange (HIE) systems are implemented nationwide to integrate health information and facilitate communication among providers. The Nebraska Health Information Initiative is a state-wide HIE launched in 2009. Objective The purpose of this study was to conduct a comprehensive assessment of health care providers' perspectives on a query-based HIE, including barriers to adoption and important functionality for continued utilization. Methods We surveyed 5618 Nebraska health care
more » ... braska health care providers in 2013. Reminder letters were sent 30 days after the initial mailing. Results A total of 615 questionnaires (11%) were completed. Of the 100 current users, 63 (63%) indicated satisfaction with HIE. The most common reasons for adoption among current or previous users of an HIE (N = 198) were improvement in patient care (N = 111, 56%) as well as receiving (N = 95, 48%) and sending information (N = 80, 40%) in the referral network. Cost (N = 233, 38%) and loss of productivity (N = 220, 36%) were indicated as the 'major barriers' to adoption by all respondents. Accessing a comprehensive patient medication list was identified as the most important feature of the HIE (N = 422, 69%). Conclusions The cost of HIE access and workflow integration are significant concerns of health care providers. Additional resources to assist practices plan the integration of the HIE into a sustainable workflow may be required before widespread adoption occurs. The clinical information sought by providers must Cochran et al. Health care provider perceptions of a query-based health information exchange 303
doi:10.14236/jhi.v22i2.135 pmid:26245244 fatcat:sc6jfwezpzfsxch2jlj77q3sru