Objectives This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. Methods In this study, the issues that arose during the establishment and operation of an HIE sys...

OBJECTIVE To describe an analytical framework for quantifying the societal savings and financial consequences of a health information exchange (HIE), and to demonstrate its use in designing pricing policies for sustainable HIEs. MATERIALS AND METHODS We developed a linear programming model to (1) quantify the financial worth of HIE information to each of its participating institutions and (2)...

BACKGROUND The fragmented nature of health care delivery in the United States leads to fragmented health information and impedes patient care continuity and safety. Technologies to support interorganizational health information exchange (HIE) are becoming more available. Understanding how HIE technology changes health care delivery and affects people and organizations is crucial to long-term su...

Based on our interactions with the key personnel of three different healthcare information exchange (HIE) providers in Texas, we study a setting where the HIE provider can offer value-added services in addition to base HIE connectivity. We find that costs related to maintaining the HIE and offering value-added services affect whether the HIE network will be established or not, whereas heterogen...

BACKGROUND Hypoxic Ischemic Encephalopathy (HIE) remains a problem of great concern worldwide especially in developing countries. The occurrence of a neurological syndrome can be an indicator of insult to the brain. We aimed to determine the prevalence, HIE proportions, neurological signs and early outcomes of newborns that developed birth asphyxia at KCMC Tanzania. METHODS A prospective stud...

BACKGROUND Literature indicates that one of the most important factors affecting the widespread adoption of Health Information Exchange (HIE) is patient support and endorsement. In order to reap all the expected benefits of HIE, patients' acceptance of technology is a challenge that is not fully studied. There are a few studies which have focused on requirements of electronic medical informatio...

BACKGROUND AND OBJECTIVE Healthcare professionals, industry and policy makers have identified Health Information Exchange (HIE) as a solution to improve patient safety and overall quality of care. The potential benefits of HIE on healthcare have fostered its implementation and adoption in the United States. However,there is a dearth of publications that demonstrate HIE effectiveness. The purpos...

The incidence of hypoxic-ischemic encephalopathy (HIE) is reportedly high in countries with limited resources; It is one of the top 20 leading causes of burden of disease in all age groups (in terms of disability life adjusted years) by the world health organization (WHO) and is the fifth largest cause of death of children younger than 5 years(8%). The purpose of this study was to investigate v...

BACKGROUND It has been suggested that mild hypothermia treatment of hypoxia-ischemic encephalopathy (HIE) should start within 6 h after HIE, but many children are admitted to the hospital > 6 h, particularly in developing areas. We aimed to determine whether hypothermia treatment could remain effective within 12 h after birth. METHODS According to their admission, 152 newborns were enrolled i...

Inadequate patient information sharing is one of the major challenges of the US healthcare system. Some scholars believe that Healthcare Information Exchange (HIE) provides a viable solution for the problem. The past decade has seen many state and regional healthcare providers trying to set up HIE. The implementation of HIE, nonetheless, has encountered many difficulties. Using grounded theory ...