Health Information Exchange Efforts Is Declining:
In the article by Milstein, Lin, and Jha (2016), The distribution of health information exchange (HIE), in which clinical data are electronically aligned to patients in several different patient care settings, is a top priority for policy makers. Since 2006, the number of operational HIE efforts is down from 119 in 2012. Out of 119 only 50% are of operational efforts that reported financially viable, and all efforts reported a variety of barriers to persistence.
Geographic Coverage and Provider Contribution:
In the article authors talking about this issue they found that 70% of states which equals to 35 states, were covered by one or more than one operational HIE efforts that reported a statewide catchment area. On the contrary, the states without these efforts reported with 1,364 Health Savings Accounts (HAS`s), out of these sates 25% were covered
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Furthermore, they divided the obtained total by 831,996(no. US licensed professionals with prescribing privileges reported by the office of HHS).
Limitations:
The study was limited by the three main factors. First, since the authors were dependent on the self-reported data. They were not able to verify the data independently about the accuracy of the responses. Second, since the dependency on the self-reported data to assess the financial situations, it might be possible that authors were overestimate the degree to which those HIE efforts were financially viable or not. Finally, the authors didn’t have the exact estimate of the number of providers which were actively patriating in the health care information exchange in the context of meeting providers` exchange needs.
Perspectives:
Geographic Coverage and Provider