ArticleJournal of the American Medical Informatics Association : JAMIA2017
Health information exchange policies of 11 diverse health systems and the associated impact on volume of exchange.
Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Findings from 2017 on Health Information ManagementYearbook of medical informatics · 2018Pooled it
- Influences on Emergency Clinician Use of Health Information Exchange: Interview Study.JMIR medical informatics · 2025Article
- Integrating clinical research into electronic health record workflows to support a learning health system.JAMIA open · 2024Article
- Comparing International Experiences With Electronic Health Records Among Emergency Medicine Physicians in the United States and Norway: Semistructured Interview Study.JMIR human factors · 2022Article
- Opt-in consent policies: potential barriers to hospital health information exchange.The American journal of managed care · 2020Article
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- Legal Barriers to the Growth of Health Information Exchange-Boulders or Pebbles?The Milbank quarterly · 2018Article
- Community-Based Palliative Care and Advance Care Planning Documentation: Evidence from a Multispecialty Group.Journal of the American Geriatrics Society · 2018Observational
- Interoperability Progress and Remaining Data Quality Barriers of Certified Health Information Technologies.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Blockchain Technology for Healthcare: Facilitating the Transition to Patient-Driven Interoperability.Computational and structural biotechnology journal · 2018Review
- Health Information Exchange Use (1990-2015): A Systematic Review.EGEMS (Washington, DC) · 2017Article
- User-Centered Design, Experience, and Usability of an Electronic Consent User Interface to Facilitate Informed Decision-Making in an HIV Clinic.Computers, informatics, nursing : CIN · 2017Article
- Association of the Magnitude of Nurses With the Use of Health Information Exchanges: Analyzing the National Health Insurance Claim Data of Hospitals and Clinics in Korea.Inquiry : a journal of medical care organization, provision and financingArticle
- Sociotechnical Analysis of Health Information Exchange Consent Processes in an HIV Clinic.The Journal of the Association of Nurses in AIDS Care : JANACObservational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProvider organizations increasingly have the ability to exchange patient health information electronically. Organizational health information exchange (HIE) policy decisions can impact the extent to which external information is readily available to providers, but this relationship has not been well studied.
objectiveOur objective was to examine the relationship between electronic exchange of patient health information across organizations and organizational HIE policy decisions. We focused on 2 key decisions: whether to automatically search for information from other organizations and whether to require HIE-specific patient consent.
methodsWe conducted a retrospective time series analysis of the effect of automatic querying and the patient consent requirement on the monthly volume of clinical summaries exchanged. We could not assess degree of use or usefulness of summaries, organizational decision-making processes, or generalizability to other vendors.
resultsBetween 2013 and 2015, clinical summary exchange volume increased by 1349% across 11 organizations. Nine of the 11 systems were set up to enable auto-querying, and auto-querying was associated with a significant increase in the monthly rate of exchange (P = .006 for change in trend). Seven of the 11 organizations did not require patient consent specifically for HIE, and these organizations experienced a greater increase in volume of exchange over time compared to organizations that required consent.
conclusionsAutomatic querying and limited consent requirements are organizational HIE policy decisions that impact the volume of exchange, and ultimately the information available to providers to support optimal care. Future efforts to ensure effective HIE may need to explicitly address these factors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.