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Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation Be Overcome?” Research Brief, Feb. 25, 2008. This study, co-authored by the Center for Studying Health System Change (HSC) and NIHCM, examines stakeholder perspectives—hospitals, physicians, health plans, employers and others—on participation in four health information exchanges. Funded by the Agency for Healthcare Research and Quality, the study finds that barriers to sharing patient clinical data among unaffiliated hospitals, doctors and other health care providers remain high, with concerns about loss of competitive advantage and data misuse hindering provider and health plan willingness to contribute patient data to local health information exchanges.
RHIOs and the Value Proposition: Value is in the Eye of the Beholder, Journal of AHIMA, March 2007. This article, the cover story for the March 2007 issue, summarized issues related to the value proposition for stakeholders to participate in health information exchanges or RHIOs. These issues were explored in NIHCM Foundation's May 2006 roundtable dialogue sponsored by the Agency for Healthcare Research and Quality (AHRQ).
The Adoption Gap: Health Information Technology in Small Physician Practices, Health Affairs, September/October 2005. This article, included in the health IT-themed issue of the journal Health Affairs, summarized the discussion of an April 2005 Leadership Dialogue convened by NIHCM Foundation and the Agency for Healthcare Research and Quality (AHRQ). The article, authored by NIHCM Foundation and AHRQ staff, includes a summary of the discussion and identifies unresolved issues regarding workflow and the adoption of health IT in small practices
Health IT and Workflow in Small Physicians' Practices, NIHCM Foundation, April 2005. This Question and Answer Brief was prepared for the second in a series of a Leadership Dialogues convened by the NIHCM Foundation with support from the Agency for Healthcare Research and Quality (AHRQ). The focus of the dialogue was the critical topic of how HIT adoption affects workflow in small physician practices, and included presentations by Dr. Carolyn Clancy, director of AHRQ and Dr. David Brailer, the National HIT Coordinator.
Advancing Health Information Technology. NIHCM Foundation, December 2004. The brief was prepared as a result of a dialogue convened through a partnership between the Agency for Healthcare Research and Quality (AHRQ) and NIHCM Foundation. Participants in this dialogue, the first of a series of structured dialogues on health information technology (HIT), included high level federal officials and private sector executives. The results of an anonymous survey completed by participants rating policy options and action steps on HIT are also available .