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| Opening the Silo - Breaking Barriers to Health Information Exchange to Improve Healthcare
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Courtney A. Zanol, MHA and Dr. Bruce Lazar, MBA, DM
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Abstract:
Health information exchange has the potential to improve healthcare quality and reduce waste. Inhibiting HIE from reaching its full potential is the architecture of HIEs, as well as barriers to laws, consumer privacy, data security, and issues associated with consumer use. The Health Information Technology for Economic and Clinical Health Act and the Officer of the National Coordinator for Health Information Technology stress the importance and necessity of HIE in healthcare practice through governance, incentives, and mandates. This systematic literature review explored the issues related to health information fragmentation and restructuring health information architecture to discourage silos of information and enhance accessibility and HIE. A search was conducted using CINHAL Plus and PubMed academic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data from 22 relevant articles were meticulously analyzed using screening criteria that revolved around the research question. Four themes emerged during this process: (1) health information fragmentation, (2) HIE architecture and silos, (3) barriers to HIE, and (4) solutions to enhance HIE. The findings and results implied that HIE has the potential to be an effective ally in health care and is a practice that has majority support from consumers on further improving its use. Additionally, the results provide healthcare leaders and providers an opportunity to explore the growing health information fragmentation issue and further investigate specific methods of action or solutions.
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