Health Information Exchange in the ED: What Do ED Clinicians Think?

South Med J. 2016 Jul;109(7):419-26. doi: 10.14423/SMJ.0000000000000466.


Objectives: Our regional health information exchange (HIE), known as Carolina eHealth Alliance (CeHA)-HIE, serves all major hospital systems in our region and is accessible to emergency department (ED) clinicians in those systems. We wanted to understand reasons for low CeHA-HIE utilization and explore options for improving it.

Methods: We implemented a 24-item user survey among ED clinician users of CeHA-HIE to investigate their perceptions of system usability and functionality, the quality of the information available through CeHA-HIE, the value of clinician time spent using CeHA-HIE, the ease of use of CeHA-HIE, and approaches for improving CeHA-HIE.

Results: Of the 231 ED clinicians surveyed, 51 responded, and among those, 48 reported having used CeHA-HIE and completed the survey.

Conclusions: Results show most ED clinicians believed that CeHA-HIE was easy to use and added value to their work, but they also desired better integration of information available from CeHA-HIE into their system's electronic medical record.

MeSH terms

  • Attitude of Health Personnel
  • Electronic Health Records / statistics & numerical data*
  • Emergency Service, Hospital / standards*
  • Health Information Exchange* / standards
  • Health Information Exchange* / statistics & numerical data
  • Humans
  • Interdisciplinary Communication
  • Quality of Health Care
  • South Carolina
  • Surveys and Questionnaires