title: Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees.
abstract: Health care in the United States is rarely delivered in a coordinated manner. Current methods to share patient information are inefficient and may lead to medical errors, higher readmission rates, and delays in the delivery of needed health services. This qualitative study describes lessons learned concerning the early implementation of one Nationwide Health Information Network (NHIN) site in Long Beach, CA during its first year of operation. The Long Beach Network for Health (LBNH) focused on an incremental effort to exchange health information. Despite a limited concentration on emergency department care, virtually all respondents noted concerns regarding the sustainability, or business case, for the exchange of health information. Nevertheless, respondents were encouraged by progress on technological challenges and user requirements during this first year. The early gains in this process may, in turn, have laid the groundwork for future efforts to expand beyond the emergency department.
authors: Department of Veterans Affairs Greater Los Angeles Healthcare System, HSR&D Center for the Study of Healthcare Provider Behavior, Sepulveda, CA 91343, USA. aram.dobalian@va.gov
authors: Aram
authors: A
authors: Dobalian
authors: Maria L
authors: ML
authors: Claver
authors: Joshua M
authors: JM
authors: Pevnick
authors: Harris R
authors: HR
authors: Stutman
authors: Alan
authors: A
authors: Tomines
authors: Paul
authors: P
authors: Fu
mesh_terms: D001363:Awards and Prizes; D002140:California; D003219:Confidentiality; D017598:Efficiency, Organizational; D057286:Electronic Health Records / Q000191:economics / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007255:Information Services / Q000191:economics / Q000458:organization & administration*; D007857:Leadership; D011787:Quality of Health Care; D018511:Systems Integration; D014481:United States