Marketwatch: Hospital-physician portals: The role of competition in driving clinical data exchange

Health Affairs

Volumn 25, Issue 6, 2006, Pages 1629-1636

  Grossman, Joy M ^a   Bodenheimer, Thomas S ^b,c   McKenzie, Kelly ^c  

^a CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c HSC ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ECONOMIC ASPECT; HOSPITAL INFORMATION SYSTEM; HUMAN; MEDICAL RECORD; ORGANIZATION AND MANAGEMENT; PUBLIC RELATIONS; SYSTEM ANALYSIS; UNITED STATES;

AMBULATORY CARE INFORMATION SYSTEMS; ECONOMIC COMPETITION; EFFICIENCY, ORGANIZATIONAL; HOSPITAL INFORMATION SYSTEMS; HOSPITAL-PHYSICIAN RELATIONS; HUMANS; MEDICAL RECORD LINKAGE; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; SYSTEMS INTEGRATION; UNITED STATES;

EID: 33845348654     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.25.6.1629     Document Type: Article

References (17)

1. J. Marchibroda and J.C. Bordenick, Emerging Trends and Issues in Health Information Exchange (Washington: eHealth Initiative, 2005).
2. J. Halamka et al., "Exchanging Health Information: Local Distribution, National Coordination," Health Affairs 24, no. 5 (2005): 1170-1179;
3. M.E. Frisse, "State and Community-based Efforts to Foster Interoperability," Health Affairs 24, no. 5 (2005): 1190-1196;
4. J.M. Overhage, L. Evans, and J. Marchibroda, "Communities' Readiness for Health Information Exchange: The National Landscape in 2004," Journal of the American Medical Informatics Association 12, no. 2 (2005): 107-112;
5. and Connecting for Health, Financial, Legal, and Organizational Approaches to Achieving Electronic Connectivity in Healthcare, October 2004, http://www.markle.org/downloadable_assets/flo_sustain_healtcare_rpt.pdf (accessed 18 September 2006).
6. The twelve sites are Boston; Cleveland; Greenville, S.C.; Indianapolis; Lansing; Little Rock; Miami; northern New Jersey; Orange County, Calif.; Phoenix; Seattle; and Syracuse.
7. Our finding on the widespread development of physician portals is consistent with two recent surveys of hospitals, whose findings suggest that many large hospitals are offering physicians remote access to clinical data. See American Hospital Association, Forward Momentum: Hospital Use of Information Technology (Washington: AHA, 2005);
8. and C. Moylan et al., Health Information Technology Source Book: Findings from the 2004 Electronic Medical Record Survey (Washington: National Association of Public Hospitals, 2005).
9. C.J. McDonald et al., "The Indiana Network for Patient Care: A Working Local Health Information Infrastructure," Health Affairs 24, no. 5 (2005): 1214-1220;
10. and J. Halamka et al., "Health Care IT Collaboration in Massachusetts: The Experience of Creating Regional Connectivity," Journal of the American Medical Informatics Association 12, no. 6 (2005): 596-601.
11. G. Gillespie, "Systems Integration: The Electronic Records Linchpin," Health Data Management 13, no. 5 (2005): 34-36, 38, 40.
12. For prevalence of different types of hospital IT systems, see AHA, Forward Momentum;
13. and Moylan et al., NAPH Health Information Technology Source Book.
14. Study results underestimate the degree to which specific physician-portal features are offered. Respondents were asked broad, open-ended questions about clinical data-sharing activities that were not tailored specifically to ask about portals or their features. In answering, some respondents might not have highlighted features that others mentioned.
15. Gillespie, "Systems Integration."
16. R.A. Berenson, T. Bodenheimer, and H.H. Pham, "Specialty-Service Lines: Salvos in the New Medical Arms Race," Health Affairs 25 (2006): w337-w343 (published online 25 July 2006; 10.1377/hlthaff.25.w337).
17. Halamka et al., "Healthcare IT Collaboration."