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 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 2

Information sharing workflows - 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 3

Thoughts on Future Work - 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 4