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The American Journal of Managed Care October 2013
Dispensing Channel and Medication Adherence: Evidence Across 3 Therapy Classes
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Physician Capability to Electronically Exchange Clinical Information, 2011
Vaishali Patel, PhD, MPH; Matthew J. Swain, MPH; Jennifer King, PhD; and Michael F. Furukawa, PhD
How Do Providers Prioritize Prevention? A Qualitative Study
Jeffrey L. Solomon, PhD; Allen L. Gifford, MD; Steven M. Asch, MD; Nora Mueller, MAA; Colin M. Thomas, MD; John M. Stevens, MD; and Barbara G. Bokhour, PhD
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David T. Liss, PhD; Paul A. Fishman, PhD; Carolyn M. Rutter, PhD; David Grembowski, PhD; Tyler R. Ross, MA; Eric A. Johnson, MS; and Robert J. Reid, MD, PhD
Performance Measurement for People With Multiple Chronic Conditions: Conceptual Model
Erin R. Giovannetti, PhD; Sydney Dy, MD; Bruce Leff, MD; Christine Weston, PhD; Karen Adams, PhD, MT; Tom B. Valuck, MD, JD; Aisha T. Pittman, MPH; Caroline S. Blaum, MD; Barbara A. McCann, MSW; and Cynthia M. Boyd, MD, MPH

Physician Capability to Electronically Exchange Clinical Information, 2011

Vaishali Patel, PhD, MPH; Matthew J. Swain, MPH; Jennifer King, PhD; and Michael F. Furukawa, PhD
We assessed physicians' capability to electronically share clinical information with other providers and describe variation in exchange capability across states and electronic health record vendors.
This study has some important limitations. These findings are based on self-reported survey data, which could not be independently verified. The survey did not capture detail on all mechanisms or tools by which physicians may exchange clinical information,  including stand-alone systems or proprietary portals. Our measure of pharmacy exchange was limited; the survey did not capture potential exchange from the pharmacy or pharmacy benefit manager such as prescription renewals, eligibility/formulary verification, and medication histories.32 Nor did the survey report on whether physicians exchanged information with providers outside their practice or organization. We were also not able to measure physicians’ capability to exchange data across different EHR vendor  platforms, which is required for stage 2 meaningful use. In addition to examining trends in exchange capability, future research  should examine physicians’ actual use of exchange functionality.33

This baseline study of physician capability to exchange key types of clinical information found room for improvement but also a foundation on which to build and expand physician exchange capability. Our findings suggest that while most physicians possess the capability to meet certain HIE-related meaningful use requirements such as e-prescribing, physicians are less prepared to meet other upcoming stage 2 core HIE requirements such as clinical care summary exchange. It will be important to monitor these key measures of exchange capability as ambulatory providers implement EHRs meeting meaningful use stage 2 requirements and as shifts in healthcare delivery require robust exchange of health information.

Author Affiliations: From Office of the National Coordinator for Health Information Technology (VP, MJS, JK, MFF), US Department of Health and Human Services, Washington, DC.

Funding Source: None.

Author Disclosures: The authors (VP, MJS, JK, MFF) report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.

Authorship Information: Concept and design (VP, MJS, JK, MFF); acquisition of data (VP); analysis and interpretation of data (VP, MJS, JK, MFF); drafting of the manuscript (VP, MJS, MFF); critical revision of the manuscript for important intellectual content (VP, MJS, JK, MFF); statistical analysis (JK, MFF); and supervision (MFF).

Address correspondence to: Vaishali Patel, PhD, MPH, Senior Advisor, Office of Economic Analysis Evaluation and Modeling Office of the National Coordinator for Health Information Technology, 200 Independence Ave SW, Washington, DC 20201. E-mail: vaishali.patel@hhs.gov.
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