title: Health Information Exchange in the ED: What Do ED Clinicians Think?
abstract: Our regional health information exchange (HIE), known as Carolina eHealth Alliance (CeHA)-HIE, serves all major hospital systems in our region and is accessible to emergency department (ED) clinicians in those systems. We wanted to understand reasons for low CeHA-HIE utilization and explore options for improving it.
  
  
  
  We implemented a 24-item user survey among ED clinician users of CeHA-HIE to investigate their perceptions of system usability and functionality, the quality of the information available through CeHA-HIE, the value of clinician time spent using CeHA-HIE, the ease of use of CeHA-HIE, and approaches for improving CeHA-HIE.
  
  
  
  Of the 231 ED clinicians surveyed, 51 responded, and among those, 48 reported having used CeHA-HIE and completed the survey.
  
  
  
  Results show most ED clinicians believed that CeHA-HIE was easy to use and added value to their work, but they also desired better integration of information available from CeHA-HIE into their system's electronic medical record.
authors.affiliation: From the Medical University of South Carolina, Department of Public Health Sciences, Division of General Internal Medicine and Geriatrics, Psychiatry and Behavioral Sciences, South Carolina Clinical and Translational Research Institute, and the Department of Medicine, Charleston, South Carolina.
authors.forename: Cathy L
authors.initials: CL
authors.lastname: Melvin
authors.affiliation: From the Medical University of South Carolina, Department of Public Health Sciences, Division of General Internal Medicine and Geriatrics, Psychiatry and Behavioral Sciences, South Carolina Clinical and Translational Research Institute, and the Department of Medicine, Charleston, South Carolina.
authors.forename: Steven H
authors.initials: SH
authors.lastname: Saef
authors.affiliation: From the Medical University of South Carolina, Department of Public Health Sciences, Division of General Internal Medicine and Geriatrics, Psychiatry and Behavioral Sciences, South Carolina Clinical and Translational Research Institute, and the Department of Medicine, Charleston, South Carolina.
authors.forename: Holly O
authors.initials: HO
authors.lastname: Pierce
authors.affiliation: From the Medical University of South Carolina, Department of Public Health Sciences, Division of General Internal Medicine and Geriatrics, Psychiatry and Behavioral Sciences, South Carolina Clinical and Translational Research Institute, and the Department of Medicine, Charleston, South Carolina.
authors.forename: Jihad S
authors.initials: JS
authors.lastname: Obeid
authors.affiliation: From the Medical University of South Carolina, Department of Public Health Sciences, Division of General Internal Medicine and Geriatrics, Psychiatry and Behavioral Sciences, South Carolina Clinical and Translational Research Institute, and the Department of Medicine, Charleston, South Carolina.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Carr
mesh_terms: D001291:Attitude of Health Personnel; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000592:standards*; D066275:Health Information Exchange / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D033183:Interdisciplinary Communication; D011787:Quality of Health Care; D013022:South Carolina; D011795:Surveys and Questionnaires