Journal of Medical Systems

, 38:78

Factors Related to Health Information Exchange Participation and Use

  • Valerie A. Yeager
  • Daniel Walker
  • Evan Cole
  • Arthur M. Mora
  • Mark L. Diana
Systems-Level Quality Improvement

DOI: 10.1007/s10916-014-0078-1

Cite this article as:
Yeager, V.A., Walker, D., Cole, E. et al. J Med Syst (2014) 38: 78. doi:10.1007/s10916-014-0078-1
Part of the following topical collections:
  1. Systems-Level Quality Improvement

Abstract

This study examines factors facilitating and delaying participation and use of the Health Information Exchange (HIE) in Louisiana. Semi-structured qualitative interviews were conducted with health care representatives throughout the state. Findings suggest that Meaningful Use requirements are a critical factor influencing the decision to participate in the HIE, specifically the mandate that hospitals be able to electronically transfer summary of care documents. Creating buy-in within a few large hospital networks legitimized the HIE and hastened interest in those markets. Fees charged by electronic health record (EHR) vendors to develop HIE interfaces have been prohibitive. Funding from the federal incentive program is intended to offset the costs associated with EHR implementation and increase the likelihood that HIEs can provide value to the population; however, costs and time delays of EHR interface development may be key barriers to fully integrated HIEs. State HIEs may benefit from targeted involvement of state health care leaders who can champion the potential value of the HIE.

Keywords

Health information exchange HIE Health information technology Health policy Meaningful use 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Valerie A. Yeager
    • 1
  • Daniel Walker
    • 1
  • Evan Cole
    • 2
  • Arthur M. Mora
    • 1
  • Mark L. Diana
    • 1
  1. 1.Tulane School of Public Health and Tropical MedicineNew OrleansUSA
  2. 2.Georgia Health Policy CenterAtlantaUSA

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