Perceptions regarding the ease of use and usefulness of health information exchange systems among medical providers, case managers and non-clinical staff members working in HIV care and community settings

Abstract

Perceptions regarding the ease of use and usefulness of health information exchange systems among medical providers, case managers and non-clinical staff members working in HIV care and community settings Methods:We conducted in-depth qualitative interviews and quantitative web-based surveys with case managers, medical providers, and non-clinical staff members to assess the systems' perceived usefulness and ease of use shortly after the HIEs were implemented.Our approach to data analysis was iterative. We first conducted a thematic analysis of the qualitative data and discovered that there were key differences in perceptions and actual use of HIEs across occupational groups. We used these results to guide our analysis of the quantitative survey data, stratifying by occupational group.Results: We found differences in reports of how useful and how well-used HIEs were, by occupation. Medical providers were more likely to use HIEs if they provided easier access to clinical information than was present in existing EMRs. Case managers working inside medical clinics found HIEs to be less helpful because they already had access to the clinical data. In contrast, case managers working in community settings appreciated the new access to patient information that the HIEs provided. Non-clinical staff uniformly found the HIEs useful for a broad range of tasks including clinic administration, grant writing and generating reports for funders. Conclusion:Our study offers insights into the use and potential benefits of HIE in the context of HIV care across occupational groups.

Barriers and facilitators to exchanging health information: a systematic review

“…Eight of the 22 studies met all criteria and were considered low risk of bias. [16, 18, 21, 23, 25, 26, 28, 29] Eleven studies were rated moderate risk of bias (did not meet 1-2 criteria or did not report the information on the criteria, eAppendix Table B ). [11, 14, 15, 17, 19, 20, 22, 24, 30-32] Two multiple site case studies were considered high risk of bias.…”

Defining Health Information Exchange: Scoping Review of Published Definitions

“…‘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’...…”

“…‘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 , …”

“…HIE was also used for occupational health,15 mental health,280 HIV66 , 230 cancer care31 and cardiac surgery 119…”

“…Such as within a ‘region’,2 , 21 , 52 , 69 , 72 , 76 , 87 , 110 , 115 , 145 , 147 , 162 , 163 , 171 , 231 , 233 , 257 or at a ‘regional level’,5 , 40 , 44 , 55 , 75 , 82 , 83 , 271 , 283 ‘community’,2 , 31 , 69 , 82 , 102 , 109 , 124 , 165 , 247 , 287 ‘non-clinical settings’,66 ‘metropolitan regions’,124 ‘sites of care’,150 ‘delivery settings’,54 , 59 ‘city’,233 ‘state/statewide’,21 , 40 , 82 , 131 , 156 , 164 , 168 , 191 , 203 , 205 , 233 ‘member sites’,267 ‘geographic area’,51 , 68 , 72 , 74 , 138 , 145 ‘provincial’,40 ‘local level/local health departments’,32 , 75 , 139 , 271 ‘national level’,40 , 44 , 75 , 271 ‘across countries’,76 ‘neighbourhood/neighbouring states’,168 , 283 ‘multi-state’83 and ‘nationwide.’57 , 256 , 283…”