The Impact of Introducing an Electronic Medical Record on the Use of Health Information Exchange in the Emergency Department

Liran Politi, Iftach Meir Sagy, Shlomo Codish, Lior Fink

Research output: Contribution to conferencePaperpeer-review

Abstract

Whereas physicians access multiple systems in search of information about patients, there is little research on how their use of one system is affected by the introduction of another system. This research-in-progress examines how the use of a health information exchange system (HIE) by physicians treating critically-ill patients in the emergency department is affected by the introduction of an electronic medical record (EMR). We test how the number of screens viewed (volume) and the time devoted to each screen (duration) are affected by variables characterizing the patient, physician, situation, and available information, and how these effects are moderated by EMR availability. Our preliminary results show that following EMR implementation, physicians access the HIE less frequently and view the same number of screens, yet they devote more time to each screen. Moderation effects suggest that the context of use is crucial to understanding system complementarity and substitution in health information ecosystems.

Original languageEnglish
StatePublished - 1 Jan 2018
Event38th International Conference on Information Systems: Transforming Society with Digital Innovation, ICIS 2017 - Seoul, Korea, Republic of
Duration: 10 Dec 201713 Dec 2017

Conference

Conference38th International Conference on Information Systems: Transforming Society with Digital Innovation, ICIS 2017
Country/TerritoryKorea, Republic of
CitySeoul
Period10/12/1713/12/17

Keywords

  • Electronic medical records
  • Emergency department
  • Health informatics
  • Health information exchange
  • Health information systems
  • Use patterns

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