This report described several factors that contributed to the limited use of e-HIE to support the exchange of information needed for PAC and LTC patients including:
The limited use of electronic health information exchange (e-HIE) products. The limited use of such products was attributed to the: (a) cost of products; (b) lack of requirements to use such products; (c) questions about the relative costs and benefits of HIT and HIE applications; (d) lack of provider awareness of the need for and availability of HIT standards; and (e) a failure to consider how HIT and HIE applications could be used to enhance workflow in PAC and LTC settings (e.g., how service delivery could be made more efficient through the re-use of electronic health information received through e-HIE).
Hospitals and HIE organizations sometimes had not given clinicians in PAC and LTC settings access (such as view-only access) to patient data in hospital EHRs for those patients who were to be discharged from hospitals and admitted by the PAC/LTC providers.
HIE organizations often did not involve PAC and LTC providers in the formation of these exchange partnerships.
PAC and LTC providers sometimes choose not to participate in discussions with HIE organizations.
"HIEcase.pdf" (pdf, 1.68Mb)
"HIEcase-A.pdf" (pdf, 236.81Kb)
"HIEcase-B.pdf" (pdf, 115.31Kb)
"HIEcase-C.pdf" (pdf, 169.18Kb)
"HIEcase-D.pdf" (pdf, 134.56Kb)