Table 2 Summary of physician perceptions of current, pre-HIE use of outside information requested from outside hospitals
From: A user needs assessment to inform health information exchange design and implementation
Reasons for not requesting | Problems encountered |
|---|---|
1. Time | 1. Process |
● Outside information is too old | ● Need to re-request |
● Physician assumes the OI request process takes too long | ● Delay in sending or scanning outside information after work hours |
● Emergent situations | ● Transitions-of-care communication problems |
● Brief Hospital stay | ● Problems with outside information transfer patients |
● Do not receive any outside information | |
● OI comes too late | |
● Delay waiting for imaging to be loaded from CD | |
● Unaware of where outside information is in the process or if it has arrived | |
2. Relevance | 2. Information |
● Current admission unrelated to outside information | ● Unhelpful physician or nursing notes |
● Unnecessary to request outside information based on clinical expertise | ● Difficulty finding useful information in unorganized and abundant amount of outside information |
● Skepticism of imaging or culture reads from outside facility | |
3. Patient | |
● Patient or family is good historian and record keeper | |
● Patient does not know where to request outside information from |