Rationalizing Medical Work: Decision-Support Techniques and Medical Practices
Rationalizing Medical Work: Decision-Support Techniques and Medical Practices
Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 2: Evaluation
Evaluation Methods in Biomedical Informatics (Health Informatics)
Evaluation Methods in Biomedical Informatics (Health Informatics)
Guest Editorial: Developing common methods for evaluating health information exchange
Journal of Biomedical Informatics
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Health information exchange (HIE) systems are large, multimillion dollar efforts that are implemented despite initial institutional apprehension, with largely unanticipated effects on the clinical workflow, and with a primary goal of establishing a reason to sustain the effort. Traditional evaluation methods that rely on viewing HIE as generalizable tools that can be used to demonstrate impact are challenged by the realities of how HIE systems are created and the numerous systems they impact on the road to improved care. In short, it appears to be unrealistic to develop the definitive ''home run'' evaluation of this technology. Despite the existence of traditional approaches for large-scale evaluation, a more realistic approach may be a ''smallball'' model based on established IT implementation phases, with appropriate evaluation dimensions linked to each phase.