Impact of Dental HIE on Improvement of care coordination
In recent years, the healthcare sector has invested heavily in IT to enhance decision – making and
increase its efficiency through improved medical processes and the use of integrative and interoperable
electronic health record (EHR) (Itamar Shabtai; Moshe Leshno;Shawnra Hill ;Ofir Ben-Assuli
2013;Goldschemidt 2005). There is an agreement among medical staff that access to a comprehensive
electronic record of medical history benefits patients (Boonestra 2008).
Claxton et al. (2012), Walker et al. (2005) and Kapoor & Kleinbart (2012) have found that interoperability
between healthcare providers and electronic healthcare information exchange (HIE) can save
expenditures to …show more content…
Theory and Hypotheses
Health Information Exchange (HIE) is the process of coordinating care across many health care entities
through the electronic sharing of health related patient information. HIEs are widely regarded as an
important mechanism for improving the quality of care provided by various healthcare organizations
Prior work on inter-organizational systems (IOS) in the IS literature, has emphasized the need for
structural and organizational mechanisms, including appropriate incentives, for partners to share
information (Johnston et al. 1988). Unlike internal IT systems, IOS systems such as the HIEs, can rarely
be implemented by fiat and must actively consider the payoffs for all participants in the system, not
simply the sponsoring organization (Hyeyoung Hah et al 2012). Moreover, since the participants may
have different goals and interests, HIEs must ensure provisions for reliability, data security, user privacy
and system integrity that exceed the standards for internal systems. These requirements are even …show more content…
I
argue that only organizations that have already achieved a fairly high level of internal meaningful use
capability can also participate meaningfully in an HIE. Conceptually, complementarities between HIT Use
and HIE participation can be grounded in the literature on information processing theory (Cyert et al.
1963; Radner 1992). As ‘bounded rational’ organizations, Dental practices are limited in their ability to
effectively access and process information (Ann-Marie DePalma, RDH 2012). Higher levels of HIT use
increases their capacity to process information for decision-making and therefore to better leverage the
external information received via the health information exchanges. Thus the superior quality and care
outcomes envisaged through HIEs are realistically only achievable by practices that also have achieved
high levels of HIT use. Some early empirical evidence suggests that this may indeed be the case. For
example, Wallker et al. (2009) found that digitization of health information within organizations should
precede participation in a HIE. The reasoning behind the finding is that internal meaningful use of
In recent years, the healthcare sector has invested heavily in IT to enhance decision – making and
increase its efficiency through improved medical processes and the use of integrative and interoperable
electronic health record (EHR) (Itamar Shabtai; Moshe Leshno;Shawnra Hill ;Ofir Ben-Assuli
2013;Goldschemidt 2005). There is an agreement among medical staff that access to a comprehensive
electronic record of medical history benefits patients (Boonestra 2008).
Claxton et al. (2012), Walker et al. (2005) and Kapoor & Kleinbart (2012) have found that interoperability
between healthcare providers and electronic healthcare information exchange (HIE) can save
expenditures to …show more content…
Theory and Hypotheses
Health Information Exchange (HIE) is the process of coordinating care across many health care entities
through the electronic sharing of health related patient information. HIEs are widely regarded as an
important mechanism for improving the quality of care provided by various healthcare organizations
Prior work on inter-organizational systems (IOS) in the IS literature, has emphasized the need for
structural and organizational mechanisms, including appropriate incentives, for partners to share
information (Johnston et al. 1988). Unlike internal IT systems, IOS systems such as the HIEs, can rarely
be implemented by fiat and must actively consider the payoffs for all participants in the system, not
simply the sponsoring organization (Hyeyoung Hah et al 2012). Moreover, since the participants may
have different goals and interests, HIEs must ensure provisions for reliability, data security, user privacy
and system integrity that exceed the standards for internal systems. These requirements are even …show more content…
I
argue that only organizations that have already achieved a fairly high level of internal meaningful use
capability can also participate meaningfully in an HIE. Conceptually, complementarities between HIT Use
and HIE participation can be grounded in the literature on information processing theory (Cyert et al.
1963; Radner 1992). As ‘bounded rational’ organizations, Dental practices are limited in their ability to
effectively access and process information (Ann-Marie DePalma, RDH 2012). Higher levels of HIT use
increases their capacity to process information for decision-making and therefore to better leverage the
external information received via the health information exchanges. Thus the superior quality and care
outcomes envisaged through HIEs are realistically only achievable by practices that also have achieved
high levels of HIT use. Some early empirical evidence suggests that this may indeed be the case. For
example, Wallker et al. (2009) found that digitization of health information within organizations should
precede participation in a HIE. The reasoning behind the finding is that internal meaningful use of