title: Health Information Exchange in Emergency Medicine.
abstract: Emergency physicians often must make critical, time-sensitive decisions with a paucity of information with the realization that additional unavailable health information may exist. Health information exchange enables clinician access to patient health information from multiple sources across the spectrum of care. This can provide a more complete longitudinal record, which more accurately reflects the way most patients obtain care: across multiple providers and provider organizations. This information article explores various aspects of health information exchange that are relevant to emergency medicine and offers guidance to emergency physicians and to organized medicine for the use and promotion of this emerging technology. This article makes 5 primary emergency medicine-focused recommendations, as well as 7 additional secondary generalized recommendations, to health information exchanges, policymakers, and professional groups, which are crafted to facilitate health information exchange's purpose and demonstrate its value.
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Shapiro
authors.affiliation: American College of Emergency Physicians, Washington, DC.
authors.forename: Diana
authors.initials: D
authors.lastname: Crowley
authors.affiliation: Baylor College of Medicine, Waco, TX.
authors.forename: Shkelzen
authors.initials: S
authors.lastname: Hoxhaj
authors.affiliation: University of Texas Health Science Center, Houston, TX.
authors.forename: James
authors.initials: J
authors.lastname: Langabeer
authors.affiliation: John A. Burns School of Medicine-University of Hawaii, Honolulu, HI.
authors.forename: Brian
authors.initials: B
authors.lastname: Panik
authors.affiliation: Board Certified Clinical Informatics.
authors.forename: Todd B
authors.initials: TB
authors.lastname: Taylor
authors.affiliation: Department of Emergency Medicine, University of Texas Health Science Center, Houston, TX.
authors.forename: Arlo
authors.initials: A
authors.lastname: Weltge
authors.affiliation: Summa Akron City Hospital, Akron, OH; Northeast Ohio Medical University, Rootstown, OH. Electronic address: jeffnielson@gmail.com.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Nielson
mesh_terms: D022126:Access to Information; D003657:Decision Making; D004635:Emergency Medicine; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D066275:Health Information Exchange; D006801:Humans; D016134:Organizational Policy; D014481:United States