Appl Clin Inform 2010; 01(01): 1-10
DOI: 10.4338/ACI-2009-10-RA-0007
Research Article
Schattauer GmbH

Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

E. Tham
1  University of Colorado Denver Department of Pediatrics
,
S. E. Ross
2  University of Colorado Denver Division of General Internal Medicine
,
B. K. Mellis
2  University of Colorado Denver Division of General Internal Medicine
,
B. L. Beaty
3  Colorado Health Outcomes Program
,
L. M. Schilling
2  University of Colorado Denver Division of General Internal Medicine
,
A. J. Davidson
4  Public Health Informatics, Denver Public Health, Denver, Colorado
› Author Affiliations
Further Information

Correspondence to:

Eric Tham MD
University of Colorado Denver
Department of Pediatrics
Section of Emergency Medicine
13123 E 16th Ave, B251
Aurora, CO 80045, USA

Publication History

received: 02 November 2009

accepted after major revision: 18 January 2010

Publication Date:
15 November 2017 (online)

 

Summary

Objective: Assess the interest in and preferences of ambulatory practitioners in HIE.

Background: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.

Methods: Survey of primary care and specialist practitioners in the State of Colorado.

Results: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered “extremely useful” by most practitioners. “Clinical notes/consultation reports,” “diagnosis or problem lists,” and “hospital discharge summaries” were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).

Conclusion: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.


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Correspondence to:

Eric Tham MD
University of Colorado Denver
Department of Pediatrics
Section of Emergency Medicine
13123 E 16th Ave, B251
Aurora, CO 80045, USA