ArticleLearning health systems2017
The implications and impact of 3 approaches to health information exchange: community, enterprise, and vendor-mediated health information exchange.
Article in Learning health systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of interorganisational information technology networks on patient safety: a realist synthesis.BMJ open · 2020Pooled it
- Clinicians' use of Health Information Exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis.BMC health services research · 2024Article
- Dentists' Information Needs and Opinions on Accessing Patient Information via Health Information Exchange: Survey Study.JMIR formative research · 2024Article
- Article
- Separating Features From Functionality in Vaccination Apps: Computational Analysis.JMIR formative research · 2022Article
- Hospital's adoption of multiple methods of obtaining outside information and use of that information.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- How Do Dental Clinicians Obtain Up-To-Date Patient Medical Histories? Modeling Strengths, Drawbacks, and Proposals for Improvements.Frontiers in digital health · 2022Article
- Retrospective Study of the Reasons and Time Involved for Dental Providers' Medical Consults.Frontiers in digital health · 2022Article
- A NATIONAL SURVEY ASSESSING HEALTH INFORMATION EXCHANGE: READINESS FOR CHANGES TO VETERANS AFFAIRS ACCESS STANDARDS.Perspectives in health information managemen · 2021Article
- The impact of transitioning from availability of outside records within electronic health records to integration of local and outside records within electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Sharing information electronically with other hospitals is associated with increased sharing of patients.Health services research · 2020Article
- The complementary nature of query-based and directed health information exchange in primary care practice.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions.Health services research · 2019Article
- Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- A framework for analysing learning health systems: Are we removing the most impactful barriers?Learning health systems · 2019Article
- Mind the gap: the potential of alternative health information exchange.The American journal of managed care · 2019Article
- Gaps in health information exchange between hospitals that treat many shared patients.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- The relationship between hospital and ehr vendor market dynamics on health information organization presence and participation.BMC medical informatics and decision making · 2018Article
- Legal Barriers to the Growth of Health Information Exchange-Boulders or Pebbles?The Milbank quarterly · 2018Article
- Variation in interoperability across clinical laboratories nationwide.International journal of medical informatics · 2017Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionElectronic health information exchange (HIE) is considered essential to establishing a learning health system, reducing medical errors, and improving efficiency, but establishment of widespread, high functioning HIE has been challenging. Healthcare organizations now have considerable flexibility in selecting among several HIE strategies, most prominently community HIE, enterprise HIE (led by a healthcare organization), and electronic health record vendor-mediated HIE. Each of these strategies is characterized by different conveners, capabilities, and motivations and may have different abilities to facilitate improved patient care.
methodsI reviewed the available scholarly literature to draw conceptual distinctions between these types of HIE, to assess the current evidence on each type of HIE, and to indicate important areas of future research.
resultsWhile community HIE seems to offer the most open approach to HIE allowing for high levels of connectivity, both enterprise HIE and vendor-mediated HIE face lower barriers to formation and sustainability. Most existing evidence is focused on community HIE and points towards low overall use, challenges to usability, and ambiguous impact. To better guide organizational leaders and policymakers in the expansion of beneficial HIE and anticipate future trends, future research should work to better capture the prevalence of other forms of HIE, and to adopt common methods to allow comparisons of rate of use, usability, and impact on patient care across studies and types of HIE.
conclusionsHealthcare organizations' choice of HIE strategy influences the set of partners the organization is connected to and may influence the benefit that efforts supported by HIE can offer to patients. Current research is not fully capturing the diversity of approaches to HIE and their potentially varying impact on providers and patients.
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