Abstract
The exchange of patient health information across different organizations involved in healthcare delivery has potential benefits for a wide range of stakeholders. However, many governments in Europe and in the U.S. have, despite both top-down and bottom-up initiatives, experienced major barriers in achieving sustainable models for implementing health information exchange (HIE) throughout their healthcare systems. In the case of the U.S., three years after stimulus funding allocated as part of the 2009 HITECH Act, the extent to which government funding will be needed to sustain health information organizations (HIOs) that facilitate HIE across regional stakeholders remains an unanswered question. This research investigates the impacts of top-down and bottom-up initiatives on the evolutionary paths of HIOs in two contingent states in the U.S. (New Jersey and New York) which had different starting positions before the HITECH funding. Based on our analyses of interview data collected from 34 leaders at the state, HIO, and provider level, our objective is to develop a model of contextual and operational factors that influence the sustainability of HIOs. The implications of our findings for other networks of heterogeneous healthcare systems, such as in the European landscape, will also be explored.
Original language | English |
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Title of host publication | ECIS 2014 Proceedings |
Editors | Michel Avital, Jan Marco Leimeister, Ulrike Schultze |
Number of pages | 7 |
Place of Publication | Atlanta, GA |
Publisher | Association for Information Systems. AIS Electronic Library (AISeL) |
Publication date | 2014 |
ISBN (Print) | 9780991556700 |
Publication status | Published - 2014 |
Event | 22nd European Conference on Information Systems, ECIS 2014: Digital Work, Digital Life - David Intercontinental Hotel, Tel Aviv, Israel Duration: 9 Jun 2014 → 11 Jun 2014 Conference number: 22 http://ecis2014.eu/ |
Conference
Conference | 22nd European Conference on Information Systems, ECIS 2014 |
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Number | 22 |
Location | David Intercontinental Hotel |
Country/Territory | Israel |
City | Tel Aviv |
Period | 09/06/2014 → 11/06/2014 |
Internet address |
Series | Proceedings of the European Conference on Information Systems |
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ISSN | 0000-0034 |