From the International Medical Informatics Association

eTOC: ACI – Applied Clinical Informatics 2011;2 (3)

New articles are now available for Volumne 2(3) of the eJournal ACI – Applied Clinical Informatics – an official eJournal of IMIA and AMDIS. The THREE articles are now available at

In addition, the ACI News items are updated every Wednesday. All articles from Volume 0 (2009) and Volume 1(1) (2010) and some from other issues are available as free downloads.

What Affects Clinicians’ Usage of Health Information Exchange?
Research Article
R. Rudin (1), L. Volk (2), S. Simon (2), D. Bates (3)
(1) MIT CSAIL, Cambridge, USA; (2) Partners Healthcare, Boston, USA; (3) Harvard Medical School, Boston, USA
ACI 2011 2 3: 250-262
Health information exchanges (HIE) are becoming increasingly important in care delivery in the US. However, little is known about the determinants of clncians’ usage of HIE in their practices. The authors present a qualitative study of clinicians and HIE staff whose aim is to identify the factors affecting clincians’ HIE useage and make recommendations for fostering the usage. Their findings suggest that HIE integrated into clinical workflows is needed and policies are needed to incentivize HIE useability development.

Adoption of Health Information Exchange by Emergency Physicians at Three Urban Academic Medical Centers
Case Report
N. Genes (1), J. Shapiro (1, 2), S. Vaidya (3), G. Kuperman (2, 4)
(1) Mount Sinai School of Medicine, New York; (2) New York Clinical Information Exchange; (3) Columbia University, New York; (4) Columbia University/New York Presbyterian Hospital
ACI 2011 2 3: 263-269
In this case study, the authors present a project which interviewed emergency room physicians about their use of a local health information exchange to gather information about their patients. They culled respondents from a training seminar on the HIE, NYCLIX. After interviewing both users and non-users, the authors identified common barriers to using the system. They recommend streamlining the login process and integrating the HIE into the standard clinical practice for ER physicians.

The Impact of Geography on Hospital Electronic Health Records Implementation in Alabama 
Implications for Meaningful Use
Research Article
S. H. Houser (1), D. Au (1), R. Weech-Maldonado (1)
(1) University of Alabama at Birmingham
ACI 2011 2 3: 270-283
Health outcomes in rural Alabama are relatively less favorable than those in more urban setting. The authors of this paper argue that electronic health records therefore have a greater role to play in improving care in rural settings in Alabama. In this paper, they present the results of a study on perceived barriers, benefits and motivating factors for HIE implementation. Their findings suggest that greater emphasis is needed on promotion of EHRs in rural areas, with a focus on the constraints faced by rural care settings.

For further information on this peer-reviewed eJournal, go to

Further materials of interest from the same publishers are to be found in the journal Methods of Information on Medicine and in the IMIA Yearbook of Medical Informatics.

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July 27, 2011 - Posted by | IMIA, journals | , , , , ,

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