Difference between revisions of "Barriers Over Time to Full Implementation of Health Information Exchange in the United States"

Revision as of 19:32, 13 November 2015

Introduction

The authors argue that even though HIE (Health Information Exchange) was introduced over 10 years ago, implementation has been slow to embrace and adopt into practice. HIE has the potential to decrease errors, reduce costs, and improve communication. Yet, some of the barriers like cost of implementation, disruption in workflow, and tech support remain as obstacles to practices adopting HIM. ^[1]

Methods

The authors selected 28 articles to review studies on the barriers to HIE adoption. The articles included studies between Jan 2009-Mar 2014.

Results

The authors classified identified 16 common barriers from the articles reviewed. They found that the barriers changed year to year. While cost and physician resistance were barriers in 2009, in 2010 the barriers included cost, disruption in workflow, lack of tech support, and privacy. Although some of the barriers were common in every year studied, there were some that arose and differed from the years before.

Conclusion

Of all the barriers that were described, cost, workflow, and lack of tech support were the most reported ones. The authors argue that because of these findings, the government will need to work on alleviating some of the costs associated with HIE implementation, disruption in workflow should be addressed by developers, and tech support should be addressed by Regional Extension Centers (RECs).

Comments

This is a good article review of barriers to implementation of HIE. I thought it was clever that the authors broke down the barriers by year and then related some of the findings with what was happening on a national level with government funding.

References

1. ↑ Kruse, C.S., BS, MBA, MSIT, MHA, PhD, Regier, V., MHA, Rheinboldt, K.T., MSW, MEd (2014). Barriers Over Time to Full Implementation of Health Information Exchange in the United States. Journal of Medical Internet Research Journal, 2(2). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4288063/