Strengthening Health Information Exchange: Final Report HIE Unintended Consequences Work Group – 18 September 2012

Posted on May 13, 2013. Filed under: Health Informatics | Tags: , |

Strengthening Health Information Exchange: Final Report HIE Unintended Consequences Work Group – 18 September 2012

Prepared for: The Office of the National Coordinator for Health Information Technology, Prepared by: Westat, Rockville, Maryland

Authors: Julie J. McGowan, Ph.D., FACMI, FMLA Gilad J. Kuperman, MD, Ph.D., FACMI Lois Olinger, MA Cynthia Russell, MSN, RN

Extract from the Executive Summary:

“This report describes the deliberations of Health Information Exchange Unintended Consequences Work Group (HIE UC WG), a subgroup of Unintended Consequences Technical Expert Panel (TEP), which was chartered by ONC. The HIE UC WG consisted of the authors of this report and 5 other experts selected for their knowledge and experience with HIE.

The charge to the HIE UC WG was to (i) develop a framework to categorize the kinds of UCs that can occur from the use of HIE, and (ii) develop a list of approaches that could be used to mitigate the risks of UCs from HIE. The HIE UC WG prioritized UCs that relate directly or indirectly to clinical care or that impact organizations or providers engaged in HIE. Because of other work that was being done by ONC, the HIE UC WG did not directly address unintended consequences related to privacy and security risks as they impact patients outside the care setting.”

“The results of the HIE UC WG are presented in this report and are summarized in Table 1 which lists mitigating interventions by project implementation phase. There are seven categories of unintended consequences:
(i) Incomplete, inaccurate or untimely data provided by HIE,
(ii) Problems related to data presentation, including data overload,
(iii) Heterogeneity of use of HIE,
(iv) Patient perceptions or concerns about HIE,
(v) Reputational and financial risks to organizations and providers engaged in HIE,
(vi) Vulnerability to technically related unintended consequences, and
(vii) Unintended consequences of administration of HIE.”


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