Practice Genna R. Cohen, PhD Discussant 6/3/19 Thoughts on - - PowerPoint PPT Presentation

Getting Connected: How Health Information Exchange Supports Interoperability and Decision-Making in Clinical Practice

Genna R. Cohen, PhD Discussant 6/3/19

Thoughts on Measurement

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All vs. Some

• Individual use metrics in AHA 10-40%’age points more common than use throughout a category
• Is this low-hanging fruit or purposeful IT use?
• Qualitative exploration

Survey vs. Meta Data

• Broad national sample vs. looking under the hood in more specific contexts
• Mixed & Multi-method opportunities

Information sharing workflows

3

• AHA survey demonstrates same inpatient/outpatient EHR associated with more use
• Hospitals are more likely to have information available at the point of care if they receive

information from multiple sources

• And SNFs are more likely to use HIE when other forms of information sharing fall short
• More hospitals send than receive SCRs electronically

Thoughts on Future Work

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• Take advantage of opportunities to link datasets and engage in multi-/mixed methods research
• Deep dive on outlier hospitals
• Qualitative work to unpack themes
• Focus on settings that need attention, including PAC but also the rural and CAH that aren’t

exchanging information electronically

• Effect of changing incentives