This article demonstrates the development and pilot testing of an innovative approach to implement health information exchange with intelligence (HIE-i) in primary care settings. Records of 346 patients were studied in 6 primary care practices. Clinical workflows were evaluated by time motion studies and observations. A viable and sustained HIE connection was adopted by primary care clinicians. Documentation and delivery of several preventive services, medication reconciliation, and workflow efficiency improved. The study was able to establish a sustained and effective HIE implementation. More research is needed to determine the clinical impact and sustainability of the HIE-i approach.
Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (Drs Nagykaldi, Mold, and Scheid); Norman Regional Health System, Norman, Oklahoma (Dr Yeaman); and Secure Medical Records Transfer Network (SMRTNet), Tahlequah, Oklahoma (Mr Jones).
Correspondence: Zsolt J. Nagykaldi, PhD, Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, 900 NE 10th St, Oklahoma City, OK 73104 (email@example.com).
The authors appreciate the work and dedication of participating clinician practices and all HIE partners, including SMRTNet, technology vendors, the Norman Physician Health Organization, the Norman Regional Health System, and the University of Oklahoma primary care research and development team.
This work was supported by an Agency for Healthcare Research and Quality (AHRQ) Task Order Contract (Contract No. HHSA290200710009I). The authors of this article are responsible for its content. No statement may be construed as the official position of the AHRQ or the US Department of Health and Human Services.
None of the Authors declares conflicts of interest for this publication. Dr Brian Yeaman is the CMIO of the Norman Physician Hospital Organization (NPHO).