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First published August 21, 2007 as JAMIA PrePrint; doi:10.1197/jamia.M2507
Journal of the American Medical Informatics Association 2007;14(6):700-705
© 2007 American Medical Informatics Association

A more recent version of this article appeared on November 1, 2007
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Submitted on May 9, 2007
Accepted on August 7, 2007

Emergency Physicians' Perceptions of Health Information Exchange

Jason S. Shapiro MD1*, Joseph Kannry MD2, Andre W. Kushnirukm3, Gilad Kuperman MD, PhD4, and The New York Clinical Information Exchange (NYCLIX) Clinical Advisory Subcommittee5

Affiliation of the authors: 1 Department of Biomedical Informatics, Columbia University, New York, NY; Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY ; 2 Department of Medicine, Division of Clinical Informatics, Mount Sinai School of Medicine, New York, NY ; 3 School of Health Information Science, University of Victoria, Canada; 4 Department of Biomedical Informatics, Columbia University, New York, NY; Department of Quality Assurance, New York-Presbyterian Hospital, New York, NY ; 5 NYCLIX Clinical Advisory Subcommittee membership listed in the Acknowledgments section

* To whom correspondence should be addressed.

Background Health information exchange (HIE) is a potentially powerful technology that can improve the quality of care delivered in emergency departments, but little is known about emergency physicians' current perceptions of HIE.

Objective To assess emergency physicians' perceived needs and knowledge of HIE.

Methods A questionnaire was developed based on heuristics from the literature and implemented in a Web-based tool. The survey was sent as a hyperlink via email to 371 attending emergency physicians at 12 hospitals in New York City.

Results The response rate was 58 percent (n=216). Although 63 percent said more than one quarter of their patients would benefit from external health information, the barriers to obtain it without HIE are too high - 85 percent said it was difficult or very difficult to obtain external data, taking an average of 66 minutes, 72 percent said that their attempts fail half of the time, and 56 percent currently attempt to obtain external data less than 10 percent of the time. When asked to create a rank-order list, electrocardiograms (EKGs) were ranked the highest followed by discharge summaries. Respondents also chose images over written reports for EKGs and X-rays, but preferred written reports for advanced imaging and cardiac studies.

Conclusions There is a strong perceived need for HIE, most respondents were not aware of HIE prior to this study, and there are certain types of data and presentations of data that are preferred by emergency physicians in the New York City region.






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