The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): Findings and lessons learned from Health Information Exchange at 12 sites

被引：35

作者：

Byrne, Colene M. ^{[1
]}

Mercincavage, Lauren M. ^{[1
]}

Bouhaddou, Omar ^{[2
]}

Bennett, Jamie R. ^{[3
]}

Pan, Eric C. ^{[4
]}

Botts, Nathan E. ^{[1
]}

Olinger, Lois M. ^{[1
]}

Hunolt, Elaine ^{[3
]}

Banty, Karl H. ^{[1
]}

Cromwell, Tim ^{[3
]}

机构：

[1] Westat Corp, Ctr Hlth IT, Cambridge, MA USA

[2] Hewlett Packard Corp, San Diego, CA USA

[3] Dept Vet Affairs VA, VLER Hlth Program, Washington, DC USA

[4] WESTAT Corp, Ctr Hlth IT, Rockville, MD 20850 USA

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2014年 / 83卷 / 08期

关键词：

Health informatics; Information technology; Health Information Exchange; Interoperability; Veterans Health; eHealth Exchange; Electronic Health Record; CARE; PATTERNS; OUTCOMES; USAGE;

D O I：

10.1016/j.ijmedinf.2014.04.005

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Purpose: We describe the Department of Veterans Affairs' (VA) Virtual Lifetime Health Electronic Record (VLER) pilot phase in 12 communities to exchange health information with private sector health care organizations and the Department of Defense (DoD), key findings, lessons, and implications for advancing Health Information Exchanges (HIE), nationally. Methods: A mixed methods approach was used to monitor and evaluate the status of VLER Health Exchange pilot phase implementation from December 2009 through October 2012. Selected accomplishments, contributions, challenges, and early lessons that are relevant to the growth of nationwide HIE are discussed. Results: Veteran patient and provider acceptance, trust, and perceived value of VLER Health Exchange are found to be high, and usage by providers is steadily growing. Challenges and opportunities to improve provider use are identified, such as better data quality and integration with workflow. Key findings and lessons for advancing HIE are identified. Conclusions: VLER Health Exchange has made great strides in advancing HIE nationally by addressing important technical and policy issues that have impeded scalability, and by increasing trust and confidence in the value and accuracy of HIE among users. VLER Health Exchange has advanced HIE interoperability standards and patient consent policies nationally. Policy, programmatic, technology, and health Information Technology (IT) standards implications to advance HIE for improved delivery and coordination of health care are discussed. The pilot phase success led to VA-wide deployment of this data sharing capability in 2013. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

引用

页码：537 / 547

页数：11

共 37 条

[1]

Abbott P. A., 2013, INT J MED INF

[2]

Adler-Milstein J., 2014, Return on information: A standar model for assessing institutional return on electronic health records

[3]

[Anonymous], 2013, HEALTHEWAY EXCH SPEC

[4]

Bailey J. E., 2012, J GEN INTERN MED, P1