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Vest JR, Abramson E. Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis. AMIA Annu Symp Proc. 2015;2015:1260-8
Vest, J. R., & Abramson, E. (2015). Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis. AMIA ... Annual Symposium proceedings. AMIA Symposium, 20151260-8.
Vest, Joshua R, and Abramson, Erika. "Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis." AMIA ... Annual Symposium proceedings. AMIA Symposium vol. 2015 (2015): 1260-8.
Vest JR, Abramson E. Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis. AMIA Annu Symp Proc. 2015 Nov 05;2015:1260-8. eCollection 2015. PMID: 26958266; PMCID: PMC4765592.
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AMIA Annu Symp Proc. 2015 Nov 05;2015:1260-8. eCollection 2015.

Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis.

AMIA ... Annual Symposium proceedings. AMIA Symposium

Joshua R Vest, Erika Abramson

Affiliations

  1. Division of Health Policy and Economics, Department of Healthcare Policy and Research, Weill Cornell Medical College, New York NY.
  2. Division of Health Policy and Economics, Department of Healthcare Policy and Research, Weill Cornell Medical College, New York NY; Department of Pediatrics, Weill Cornell Medical College, New York, NY.

PMID: 26958266 PMCID: PMC4765592

Abstract

Health information exchange (HIE) systems facilitate access to patient information for a variety of health care organizations, end users, and clinical and organizational goals. While a complex intervention, organizations' usage of HIE is often conceptualized and measured narrowly. We sought to provide greater specificity to the concept of HIE as an intervention by formulating a typology of organizational HIE usage. We interviewed representatives of a regional health information organization and health care organizations actively using HIE information to change patient utilization and costs. The resultant typology includes three dimensions: user role, usage initiation, and patient set. This approach to categorizing how health care organizations are actually applying HIE information to clinical and business tasks provides greater clarity about HIE as an intervention and helps elucidate the conceptual linkage between HIE an organizational and patient outcomes.

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