TY - GEN
T1 - The Impact of Introducing an Electronic Medical Record on the Use of Health Information Exchange in the Emergency Department
AU - Politi, Liran
AU - Sagy, Iftach
AU - Codish, Shlomi
AU - Fink, Lior
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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.
AB - 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.
KW - Electronic medical records
KW - Emergency department
KW - Health informatics
KW - Health information exchange
KW - Health information systems
KW - Use patterns
UR - http://www.scopus.com/inward/record.url?scp=85126496344&partnerID=8YFLogxK
M3 - Conference contribution
AN - SCOPUS:85126496344
SN - 9780996683159
T3 - ICIS 2017: Transforming Society with Digital Innovation
BT - ICIS 2017
PB - Association for Information Systems
T2 - 38th International Conference on Information Systems: Transforming Society with Digital Innovation, ICIS 2017
Y2 - 10 December 2017 through 13 December 2017
ER -