User perspectives on the usability of a regional health information exchange

Gadd, Cynthia S.; Ho, Yun-Xian; Cala, Cather Marie; Blakemore, Dana; Chen, Qingxia; Frisse, Mark E.; Johnson, Kevin B.

doi:10.1136/amiajnl-2011-000281

Cited by 44 publications

(37 citation statements)

References 24 publications

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“…Nonclinical staff members benefited both from new access to patient information, which they found useful, and from new information management tools, which made the information easier to use. Our study supports others [17][18][19][20] demonstrating that when the specific needs of users are met, usefulness and use is high, although these dimensions varied in our study according to provider type and work setting. The work of medical providers and case managers often resemble putting together the puzzle that is the patient case.…”

Section: Discussionsupporting

confidence: 90%

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

Myers

Koester

Chakravarty

et al. 2012

International Journal of Medical Informatics

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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.

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Section: Discussionsupporting

confidence: 90%

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

Myers

Koester

Chakravarty

et al. 2012

International Journal of Medical Informatics

View full text Add to dashboard Cite

show abstract

“…Against the promise of the usefulness of shared patient data, usage rates are surprisingly low in some systems [11]. Investigations of why health care professionals decide to use a HDE have focused on time constraints, cost burden, concerns about confidentiality of protected health information, and other operational issues, [12] but with little attention to basic user interfaces [13]. One study has been published on the usability of a regional health information exchange with the finding of an overall positive rating however satisfaction with the data exchange varied according to level of users' professional training [13].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the usability and impact of the Idaho Health Data Exchange (IHDE)

et al. 2016

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Eighty four health care professionals participated in an online survey assessing the usability, and clinical and administrative impact of the Idaho Health Data Exchange's (IHDE) Virtual Health Record (VHR). The IHDE VHR allows authorized users to use a secure web interface to view lab, radiology and transcribed reports from multiple facilities and view medical histories on patients in the data exchange. Results indicate the usability of the IHDE VHR was almost universally positively rated with the Software Usability Measurement Inventory (SUMI) utilized as the assessment method. Medical providers however had the lowest rating of the exchange, raising concerns about the need for additional training and support. The addition of other Idaho health care organizations to the health data exchange was most widely desired, with the most frequently cited benefit being more comprehensive access to patients' records. In contrast to other published evaluations of health data exchanges in the U.S., few of the concerns emerged about cost of implementation of the data exchange or trust in the quality of information contained therein.

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“…The biggest challenges are how to protect patient privacy , ensure patient safety and comply with federal and state laws and institutional policies. [1,2,[8][9][10][11][15][16][17][18][19][20][21][22] This issue is looming large as the number and scale of IHE-based networks grow. Related to these issues are the institutional trust and liability concerns.…”

Section: The Ihe Approachmentioning

confidence: 99%

9 Patient-controlled sharing of medical imaging data

Ge¹,

Carr²

2015

Information Technology for Patient Empowerment in Healthcare

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Sharing medical imaging data is currently carried out in two basic modes:(1) healthcare facilities form an organization-level sharing network (e.g. a Health Information Exchange) so that providers within the network can retrieve a patient's imaging data from other facilities as needed; (2) and for healthcare facilities that do not belong to a common sharing network, the patients must manually retrieve imaging data from one facility and transport them to another facility. The first mode poses patient privacy concerns, especially as the sharing network grows. The second mode places a significant burden on both patients and providers. This chapter reviews image sharing and patient control 's needs, gaps and challenges. It then analyzes a number of solutions that have been proposed to address image-sharing needs in different scenarios. Finally, it describes an image-sharing framework that involves patients as an integral part of, and with full control of, the image-sharing process. Central to this framework is the Patient Controlled Access-key REgistry (PCARE), which manages the access keys issued by image source facilities that uniquely identify patients' imaging data. When digitally signed by patients, the access keys can be used by any requesting facility to retrieve the associated imaging data from the source facility. This approach allows patients to control the image-sharing process with a minimal burden. It enables healthcare facilities to exchange imaging data with direct consent from patients in a manner that protects privacy and confidentiality. At the same time, it also affords healthcare facilities maximal control over the image sharing process; minimizing liability concerns as well as burden on the IT infrastructure and network bandwidth utilization.

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User perspectives on the usability of a regional health information exchange

Cited by 44 publications

References 24 publications

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

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

Assessment of the usability and impact of the Idaho Health Data Exchange (IHDE)

9 Patient-controlled sharing of medical imaging data

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