Open AccessDiverging views on health information exchange organizations
Author(s) -
Vest Joshua R.,
Greenberger Mari F.,
Garnatz Audrey
Publication year - 2017
Publication title -
learning health systems
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.501
H-Index - 9
ISSN - 2379-6146
DOI - 10.1002/lrh2.10031
Subject(s) - health information exchange , business , vendor , information exchange , quality (philosophy) , knowledge management , health care , information sharing , public relations , marketing , information system , health information , political science , computer science , world wide web , telecommunications , philosophy , epistemology , law
Health information exchange (HIE) capabilities meet the demands for a more effective, efficient, and safer health care system. However, organizations and individual providers have pursued different strategies to meet their respective needs for HIE capabilities. Because effective information sharing is necessary to a learning health system, this study sought to explore the perceptions of different approaches' effect on key features of an effective health care system. Methods An anonymous web‐based survey was sent to a convenience sample of the membership of the Healthcare Information and Management Systems Society and the Strategic Health Information Exchange Collaborative with knowledge of HIE (n=68). A series of 7‐point Likert‐type items measured perceptions of enterprise health information exchanges (eHIEs) and community health information organizations (cHIOs) in the areas of effect on exchange participation, effect on market dynamics, relationship to DIRECT Secure Messaging and vendor‐mediated exchange, and effect on quality. Also, respondents were asked to rate 13 qualities and services as “more about eHIE” or “more about cHIO.” Results Respondents tended to agree on the importance of cHIO and eHIE. Community benefits and support for public health agencies were concepts more often applied to cHIOs. Discussion This study affirmed much of the conventional wisdom and anecdotal comments about perceptions of cHIOs and eHIEs. Although the respondents viewed cHIOs and eHIEs differently in terms of broader societal benefit and strategic advantage, nonetheless consistent agreement appeared in areas of importance in relationship to other information sharing strategies and overall effect on the quality of care.