title: HIE-i-health information exchange with intelligence.
abstract: 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.
authors.affiliation: 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).
authors.forename: Zsolt J
authors.initials: ZJ
authors.lastname: Nagykaldi
authors.forename: Brian
authors.initials: B
authors.lastname: Yeaman
authors.forename: Mark
authors.initials: M
authors.lastname: Jones
authors.forename: James W
authors.initials: JW
authors.lastname: Mold
authors.forename: Dewey C
authors.initials: DC
authors.lastname: Scheid
mesh_terms: D000368:Aged; D020000:Decision Support Systems, Clinical; D005260:Female; D066275:Health Information Exchange; D006801:Humans; D008297:Male; D009825:Oklahoma; D010865:Pilot Projects; D011315:Preventive Medicine; D011320:Primary Health Care; D016730:Program Development