Journal of Information Technology Services (한국IT서비스학회지)

Korea Society of IT Services (한국IT서비스학회)
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Stakeholder Survey on the Incentive Program to Promote the Adoption of Health Information Exchange

진료정보교류 인센티브사업에 대한 이해관계자 조사연구

  • 박하영 (서울대학교 공과대학 산업공학과 협동과정 기술경영경제정책 전공) ;
  • 옥민수 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 박정선 (한국보건산업진흥원 DHC의료정보화팀) ;
  • 이혜린 (서울대학교 협동과정 기술경영경제정책 전공) ;
  • 김수민 (한국보건산업진흥원 DHC의료정보화팀) ;
  • 이상일 (울산대학교 의과대학 예방의학교실)
  • Received : 2017.04.29
  • Accepted : 2017.08.30
  • Published : 2017.09.30
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Abstract

Health Information Exchange (HIE) is expected to improve the quality and efficiency of care by allowing providers online access to healthcare information generated by other providers at the point of care. However, the adoption of the technology in Korea has been slow since its pilot program in 2007~2010 at Seoul National University Bundang Hospital. The objective of this study was to survey stakeholders on the incentive program for the facilitation of HIE adoption. We surveyed 39 experts representing 6 categories of stakeholders-provider, insurer, government, information service firms, customers, and medical informatics experts for the interviews. Interview questions included program objectives, program participation requirements, incentive payment method, and administrative burden for program participation. Experts indicated that the quality of care was the most important value the program should aim to achieve through the HIE adoption. They suggested that the requirements and administrative burden for participation should be kept at minimum to recruit a large number of providers to the program, which is an indicator of program success. Experts were divided on the payment method whether the incentive should be paid as a part of the fee payment scheme operated by the National Health Insurance (NHI) or should be a payment made independent of the NHI. The source of the divide was conflict of interest among stakeholders as to who pays for the program, and the insurer and consumer groups were against the NHI taking the financial burden. It appeared to be the most significant factor for the successful program launching to resolve the gap in perceptions about benefits of the technology among stakeholders and to win the willingness to pay for the program.

Keywords

References

  1. Adjerid, I. and R. Padman, "Impact of Health Disclosure Laws on Health Information Exchanges", AMIA Annu Symp Proc, 2011, 48-56.
  2. Adler-Milstein, J., D.W. Bates, and A.K. Jha, "A Survey of Health Information Exchange Organizations in the United States : Implications for Meaningful Use", Annals of Internal Medicine, Vol.154, No.10, 2011, 666-671. https://doi.org/10.7326/0003-4819-154-10-201105170-00006
  3. Adler-Milstein, J. and A.K. Jha, "Health Information Exchange among US Hospitals : Who's in, Who's out, and Why?", Healthcare, Vol.2, No.1, 2014, 26-32. https://doi.org/10.1016/j.hjdsi.2013.12.005
  4. Afilalo, M., E. Lang, R. Leger, X. Xue, A. Colacone, N. Soucy, A. Vandal, J.F. Boivin, and B. Unger, "Impact of a Standardized Communication System on Continuity of Care between Family Physicians and the Emergency Department", CJEM, Vol.9, No.2, 2007, 79-86. https://doi.org/10.1017/S1481803500014834
  5. Altman, R., J.S. Shapiro, T. Moore, and G.J. Kuperman, "Notifications of Hospital Events to Outpatient Clinicians Using Health Information Exchange : A Post-implementation Survey", Journal of Innovation in Health Informatics, Vol.20, No.4, 2013, 249-255. https://doi.org/10.14236/jhi.v20i4.14
  6. Bailey, J.E., R.A. Pope, E.C. Elliott, J.Y. Wan, T.M. Waters, and M.E. Frisse, "Health Information Exchange Reduces Repeated Diagnostic Imaging for Back Pain", Annals of Emergency Medicine, Vol.62, No.1, 2013a, 16-24. https://doi.org/10.1016/j.annemergmed.2013.01.006
  7. Bailey, J.E., J.Y. Wan, L.M. Mabry, S.H. Landy, R.A. Pope, T.M. Waters, and M.E. Frisse, "Does Health Information Exchange Reduce Unnecessary Neuroimaging and Improve Quality of Headache Care in the Emergency Department?", Journal of General Internal Medicine, Vol.28, No.2, 2013b, 176-183. https://doi.org/10.1007/s11606-012-2092-7
  8. Ben-Assuli, O., I. Shabtai, and M. Leshno, "The Impact of EHR and HIE on Reducing Avoidable Admissions : Controlling Main Differential Diagnoses", BMC Medical Informatics and Decision Making, Vol.13, No.1, 2013, 1. https://doi.org/10.1186/1472-6947-13-1
  9. Ben-Assuli, O., I. Shabtai, and M. Leshno, "Using Electronic Health Record Systems to Optimize Admission Decisions : The Creatinine Case Study", Health Informatics Journal, Vol.21, No.1, 2015, 73-88. https://doi.org/10.1177/1460458213503646
  10. Blumenthal, D., "Launching HITECH", N Engl J Med, Vol.362, No.5, 2010, 382-385. https://doi.org/10.1056/NEJMp0912825
  11. Blumenthal, D. and M. Tavenner, "The "Meaningful Use" Regulation for Electronic Health Records", N Engl J Med, Vol.363, No.6, 2010, 501-504. https://doi.org/10.1056/NEJMp1006114
  12. Bouhaddou, O., J. Bennett, T. Cromwell, G. Nixon, J. Teal, M. Davis, R. Smith, L. Fischetti, D. Parker, Z. Gillen, and J. Mattison, "The Department of Veterans Affairs, Department of Defense, and Kaiser Permanente Nationwide Health Information Network Exchange in San Diego : Patient Selection, Consent, and Identity Matching", AMIA Annu Symp Proc, 2011, 135-143.
  13. Byrne, C.M., L.M. Mercincavage, O. Bouhaddou, J.R. Bennett, E.C. Pan, N.E. Botts, L.M. Olinger, E. Hunolt, K.H. Banty, and T. Cromwell, "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", Int J Med Inform, Vol.83, No.8, 2014, 537-547. https://doi.org/10.1016/j.ijmedinf.2014.04.005
  14. Campion Jr, T.R., J.S. Ancker, A. Edwards, V. Patel, R. Kaushal, and HITEC Investigators, "Push and Pull : Physician Usage of and Satisfaction with Health Information Exchange", AMIA Annu Symp Proc, 2012, 77-84.
  15. Carr, C.M., C.S. Gilman, D.M. Krywko, H.E. Moore, B.J. Walker, and S.H. Saef, "Observational Study and Estimate of Cost Savings from Use of a Health Information Exchange in an Academic Emergency Department", J Emerg Med, Vol.46, No.2, 2014, 250-256. https://doi.org/10.1016/j.jemermed.2013.05.068
  16. Center for Interoperable EHR, "EHR System Functionality and Health Information Exchange", Elsevier Korea, Seoul, 2010. (EHR핵심공통기술연구개발사업단, "EHR 시스템기능 및 진료정보교류", 엘스비어코리아, 서울, 2010.)
  17. Cha, Y., "Big Data, Open an Era of the Personalized Care", Sisajournal-e 2017, Available at http://www.sisajournal-e.com/biz/article/168071(Accessed April 20. 2017). (차여경, "빅데이터, 맞춤진료 시대 여나", 시사저널e, 2017.)
  18. Chung, J.J. and J.J. Cho. "Use of Qualitative Research in the Field of Health", J Korean Acad Fam Med, Vol.29, No.8, 2008, 553-562. (정진주, 조정진, "보건의료분야에서의 질적연구의 적용", 가정의학회지, 제29권, 제8호, 2008, 553-562.)
  19. Cromwell, J., M.G. Trisolini, G.C. Pope, J.B. Mitchell, and L.M. Greenwald, Pay for Performance in Health Care : Methods and Approaches, RTI Press Publication, Research Triangle Park, 2011.
  20. Dixon, B.E., J.J. McGowan, and S.J. Grannis, "Electronic Laboratory Data Quality and the Value of a Health Information Exchange to Support Public Health Reporting Processes", AMIA Annu Symp Proc, 2011, 322-330.
  21. Dixon, B., T. Miller, and M. Overhage, "Barriers to Achieving the Last Mile in Health Information Exchange : A Survey of Small Hospitals and Physician Practices", J Healthc Inf Manag, Vol.27, No.4, 2013, 55-58.
  22. Dobalian, A., M.L. Claver, J.M. Pevnick, H.R. Stutman, A. Tomines, and P. Fu, "Organizational Challenges in Developing One of the Nationwide Health Information Network Trial Implementation Awardees", Journal of Medical Systems, Vol.36, No.2, 2012, 933-940. https://doi.org/10.1007/s10916-010-9557-1
  23. Doherty, R.B., "Goodbye, Sustainable Growth Rate-Hello, Merit-Based Incentive Payment System", Ann Intern Med, Vol.163, No.2, 2015, 138-139. https://doi.org/10.7326/M15-0992
  24. Dullabh, P. and L. Hovey, "Large Scale Health Information Exchange : Implementation Experiences from Five States", Stud Health Technol Inform, Vol.192, 2012, 613-617.
  25. Dullabh, P., P. Ubri, and L. Hovey, "The State HIE Program Four Years Later : Key Findings on Grantees' Experiences from a Six- State Review", 2014. Available at https:// www.healthit.gov/sites/default/files/Case StudySynthesisGranteeExperienceFinal_121014.pdf(Accessed April 10, 2017).
  26. Eden, K.B., A.M. Totten, S.Z. Kassakian, P.N. Gorman, M.S. McDonagh, B. Devine, M. Pappas, M. Daeges, S. Woods, and W.R. Hersh, "Barriers and Facilitators to Exchanging Health Information : A Systematic Review", International Journal of Medical Informatics, Vol.88, 2016, 44-51. https://doi.org/10.1016/j.ijmedinf.2016.01.004
  27. eHealth Initiative, "Post HITECH : The Landscape of Health Information Exchange", 2014, Available at http://visit.medicity.com/rs/aet nainc/images/2014%20eHI%20Data%20Ex change%20Survey%20Key%20Findings.pdf (Accessed April 20. 2017).
  28. Fairbrother, G., T. Trudnak, R. Christopher, M. Mansour, and K. Mandel, "Cincinnati Beacon Community Program Highlights Challenges and Opportunities on the Path to Care Transformation", Health Affairs, Vol.33, No.5, 2014, 871-877. https://doi.org/10.1377/hlthaff.2012.1298
  29. Feldman, S.S. and T.A. Horan, "Collaboration in Electronic Medical Evidence Development : A Case Study of the Social Security Administration's MEGAHIT System", International Journal of Medical Informatics, Vol.80, No.8, 2011, e127-e140. https://doi.org/10.1016/j.ijmedinf.2011.01.012
  30. Feldman, S.S., B.L. Schooleym, and G.P. Bhavsar, "Health Information Exchange Implementation : Lessons Learned and Critical Success Factors from a Case Study", JMIR Medical Informatics, Vol.2, No.2, 2014, e19. https://doi.org/10.2196/medinform.3455
  31. Foldy, S., "Inventory of Electronic Health Information Exchange in Wisconsin", Wisconsin Medical Journal, Vol.106, No.3, 2006, 120-125.
  32. Fontaine, P., T. Zink, R.G. Boyle, and J. Kralewski, "Health Information Exchange : Participation by Minnesota Primary Care Practices", Archives of Internal Medicine, Vol.170, No.7, 2010, 622-629. https://doi.org/10.1001/archinternmed.2010.54
  33. Frisse, M.E., K.B. Johnson, H. Nian, C.L. Davison, C.S. Gadd, K.M. Unertl, P.A. Turri, and Q. Chen, "The Financial Impact of Health Information Exchange on Emergency Department Care", Journal of the American Medical Informatics Association, Vol.19, No.3, 2012, 328-333. https://doi.org/10.1136/amiajnl-2011-000394
  34. Frohlich, J., S. Karp, M.D. Smith, and W. Sujansky, "Retrospective : Lessons Learned from the Santa Barbara Project and their Implications", Health Affairs, Vol.26, 2007, w589-w591. https://doi.org/10.1377/hlthaff.26.5.w589
  35. Gadd, C.S., Y.X. Ho, C.M. Cala, D. Blakemore, Q. Chen, M.E. Frisse, and K.B. Johnson, "User Perspectives on the Usability of a Regional Health Information Exchange", Journal of the American Medical Informatics Association, Vol.18, No.5, 2011, 711-716. https://doi.org/10.1136/amiajnl-2011-000281
  36. Gelijns, A. and N. Rosenberg, "The Dynamics of Technological Change in Medicine", Health Affairs, Vol.13, 1994, 28-46. https://doi.org/10.1377/hlthaff.13.3.28
  37. Genes, N., J. Shapiro, S. Vaidya, and G. Kuperman, "Adoption of Health Information Exchange by Emergency Physicians at Three Urban Academic Medical Centers", Appl Clin Inform, Vol.2, No.3, 2011, 263-269. https://doi.org/10.4338/ACI-2011-02-CR-0010
  38. Goldwater, J., J. Jardim, T. Khan, and K. Chan, "Emphasizing Public Health within a Health Information Exchange : An Evaluation of the District of Columbia's Health Information Exchange Program", EGEMS(Wash DC), Vol.2, No.3, 2014, 1090. https://doi.org/10.13063/2327-9214.1090
  39. Grossman, J.M. K.L. Kushner, and E.A. November, "Creating Sustainable Local Health Information Exchanges : Can Barriers to Stakeholder Participation be Overcome?", Research Briefs, Vol.2, 2008, 1-12.
  40. Halamka, J., J.M. Overhage, L. Ricciardi, W. Rishel, C. Shirky, and C. Diamond, "Exchanging Health Information : Local Distribution, National Coordination", Health Affairs, Vol.24, 2005, 1170-1179. https://doi.org/10.1377/hlthaff.24.5.1170
  41. Herwehe, J., W. Wilbright, A. Abrams, S. Bergson, J. Foxhood, M. Kaiser, L. Smith, K. Xiao, A. Zapata, and M. Magnus, "Implementation of an Innovative, Integrated Electronic Medical Record(EMR) and Public Health Information Exchange for HIV/AIDS", Journal of the American Medical Informatics Association, Vol.19, No.3, 2012, 448-452. https://doi.org/10.1136/amiajnl-2011-000412
  42. Herzlinger, R.E., "Why Innovation in Health Care Is So Hard", Harvard Business Review, Vol.84, 2006, 58-66.
  43. Hessler, B.J., P. Soper, J. Bondy, P. Hanes, and A. Davidson, "Assessing the Relationship between Health Information Exchanges and Public Health Agencies", Journal of Public Health Management and Practice, Vol.15, No.5, 2009, 416-424. https://doi.org/10.1097/01.PHH.0000359636.63529.74
  44. Hincapie, A.L., T.L. Warholak, A.C. Murcko, M. Slack, and D.C. Malone, "Physicians' Opinions of a Health Information Exchange", Journal of the American Medical Informatics Association, Vol.18, No.1, 2011, 60-65. https://doi.org/10.1136/jamia.2010.006502
  45. Huang, M.E., S.R. Laker, and P.C Smedberg, "Merit-Based Incentive Payment System : Preparing Your Practice for Upcoming Change", PM&R, Vol.8, No.8, 2016, 792-797. https://doi.org/10.1016/j.pmrj.2016.06.021
  46. Iezzoni, L., Risk Adjustment for Measuring Healthcare Outcomes, 4th Ed., Health Administration Press, Chicago, 2012.
  47. Johnson, K.B., C.S. Gadd, D. Aronsky, K. Yang, L. Tang, V. Estrin, J.K. King, and M. Frisse, "The MidSouth eHealth Alliance : Use and Impact in the First Year", AMIA Annu Symp Proc, 2008, 333-337.
  48. Jones, S.S., M.W. Friedberg, and E.C. Schneider, "Health Information Exchange, Health Information Technology Use, and Hospital Readmission Rates", AMIA Annu Symp Proc, 2011, 644-653.
  49. Kan, J.T., "The 2011 Medicare Electronic Health Records Incentive Program", J Oncol Pract, Vol.7, No.4, 2011, 271-272. https://doi.org/10.1200/JOP.2011.000348
  50. Kern, L.M., Y. Barron, E.L. Abramson, V. Patel, and R. Kaushal, "Promoting Interoperable Health Information Technology in New York State", Health Affairs, Vol.28, No.2, 2009, 493-504. https://doi.org/10.1377/hlthaff.28.2.493
  51. Kern, L.M., A.B. Wilcox, J. Shapiro, K. Yoon- Flannery, E. Abramson, Y. Barron, and R. Kaushal, "Community-based Health Information Technology Alliances : Potential Predictors of Early Sustainability", The American Journal of Managed Care, Vol.17, No.4, 2011, 290-295.
  52. Kern, L.M., Y. Barrón, R.V. Dhopeshwarkar, and R. Kaushal, "Health Information Exchange and Ambulatory Quality of Care", Appl Clin Inform, Vol.3, No.2, 2012a, 197-209. https://doi.org/10.4338/ACI-2012-02-RA-0005
  53. Kern, L.M., A. Wilcox, J. Shapiro, R.V. Dhopeshwarkar, and R. Kaushal, "Which Components of Health Information Technology Will Drive Financial Value?", The American Journal of Managed Care, Vol.18, No.8, 2012b, 438-445.
  54. Kierkegaard, P., R. Kaushal, and J.R. Vest, "How Could Health Information Exchange Better Meet the Needs of Care Practitioners?", Applied Clinical Informatics, Vol.5, No.4, 2014, 861-877. https://doi.org/10.4338/ACI-2014-06-RA-0055
  55. Lammers, E.J., J. Adler-Milstein, and K.E. Kocher, "Does Health Information Exchange Reduce Redundant Imaging? Evidence from Emergency Departments", Medical Care, Vol.52, No.3, 2014, 227-234. https://doi.org/10.1097/MLR.0000000000000067
  56. Korea Evaluation Institute of Industrial Technology, "Big Data Technology Realizes a Dream of the Bio-health Power", Dongailbo, 2017, Available at https://pdfs.semanticscholar.org/2c85/fcf8511faa4f839209e181b83a91f23 c2673.pdf(Accessed April 20. 2017). (한국산업기술평가관리원, "빅데이터 기술로 '바이오헬스 강국의 꿈' 이룬다", 동아일보, 2017.)
  57. Lang, E., M. Afilalo, A.C. Vandal, J.F. Boivin, X. Xue, A. Colacone, R. Léger, I. Shrier, and S. Rosenthal, "Impact of an Electronic Link between the Emergency Department and Family Physicians : A Randomized Controlled Trial", Canadian Medical Association Journal, Vol.174, No.3, 2006, 313-318. https://doi.org/10.1503/cmaj.050698
  58. Lee, S.I., H. Park, J.W. Kim, H. Hwang, E.Y. Cho, Y. Kim, and K. Ha, "Physicians' Perceptions and Use of a Health Information Exchange : A Pilot Program in South Korea", Telemedicine and e-Health, Vol.18, No.8, 2012, 604-612. https://doi.org/10.1089/tmj.2011.0261
  59. Lobach, D.F., K. Kawamoto, K.J. Anstrom, K.R. Kooy, E.L. Eisenstein, G.M. Silvey, J.M. Willis, F. Johnson, and J. Simo, "Proactive Population Health Management in the Context of a Regional Health Information Exchange Using Standards-based Decision Support", AMIA Annu Symp Proc, 2007, 473-477.
  60. Maass, M.C., P. Asikainen, T. Mäenpää, O. Wanne, and T. Suominen, "Usefulness of a Regional Health Care Information System in Primary Care : A Case Study", Computer Methods and Programs in Biomedicine, Vol.91, No.2, 2008, 175-181. https://doi.org/10.1016/j.cmpb.2008.04.005
  61. Machan, C., E. Ammenwerth, and T. Schabetsberger, "Evaluation of the Electronic Transmission of Medical Findings from Hospitals to Practitioners by Triangulation", Methods of Information in Medicine, Vol.45, No.2, 2006, 225-233. https://doi.org/10.1055/s-0038-1634055
  62. Maenpaa, T., P. Asikainen, M. Gissler, K. Siponen, M. Maass, K. Saranto, and T. Suominen, "Outcomes Assessment of the Regional Health Information Exchange", Methods of Information in Medicine, Vol.50, No.4, 2011, 308-318. https://doi.org/10.3414/ME10-01-0048
  63. Magnus, M., J. Herwehe, D. Gruber, W. Wilbright, E. Shepard, A. Abrams, J. Foxhood, L. Smith, K. Xiao, K. DeYoung, and M. Kaiser, "Improved HIV-related Outcomes Associated with Implementation of a Novel Public Health Information Exchange", International Journal of Medical Informatics, Vol.81, No.10, 2012, e30-e38. https://doi.org/10.1016/j.ijmedinf.2012.06.005
  64. Mainz, J., "Defining and Classifying Clinical Indicators for Quality Improvement", Int J Qual Health Care, Vol.15, No.6, 2003, 523-530. https://doi.org/10.1093/intqhc/mzg081
  65. McCarthy, D.B., K. Propp, A. Cohen, R. Sabharwal, A.A. Schachter, and A.L. L. Rein, "Learning from Health Information Exchange Technical Architecture and Implementation in Seven Beacon Communities", EGEMS (Wash DC), Vol.2, No.1, 2014, 1060. https://doi.org/10.13063/2327-9214.1060
  66. McCullough, J., F.J. Zimmerman, D.S. Bell, and H.P. Rodriguez, "Electronic Health Information Exchange in Underserved Settings : Examining Initiatives in Small Physician Practices & Community Health Centers", BMC Health Services Research, Vol.14, No.1, 2014, 415. https://doi.org/10.1186/1472-6963-14-415
  67. McGowan, J.J., C. Jordan, T. Sims, and J.M. Overhage, "Rural RHIOs : Common Issues in the Development of Two State-wide Health Information Networks", AMIA Annu Symp Proc, 2007, 528-532.
  68. Merrill, J.A., M. Deegan, R.V. Wilson, R. Kaushal, and K. Fredericks, "A System Dynamics Evaluation Model : Implementation of Health Information Exchange for Public Health Reporting" Journal of the American Medical Informatics Association, Vol.20, No.1, 2013, e131-e138. https://doi.org/10.1136/amiajnl-2012-001289
  69. Messer, L.C., H. Parnell, R. Huffaker, R. Wooldredge, and A. Wilkin, "The Development of a Health Information Exchange to Enhance Care and Improve Patient Outcomes among HIV+Individuals in Rural North Carolina", International Journal of Medical Informatics, Vol.81, No.10, 2012, e46-e55. https://doi.org/10.1016/j.ijmedinf.2012.07.009
  70. Miller, R.H., "Satisfying Patient-consumer Principles for Health Information Exchange : Evidence from California Case Studies", Health Affairs, Vol.31, No.3, 2012, 537-547. https://doi.org/10.1377/hlthaff.2011.0531
  71. Miller, A.R. and C. Tucker, "Health Information Exchange, System Size and Information silos", Journal of Health Economics, Vol.33, 2014, 28-42. https://doi.org/10.1016/j.jhealeco.2013.10.004
  72. Ministry of Health and Welfare, "Guideline for Management and Maintenance of Electronic Medical Records", 2016, Available at http:// www.mohw.go.kr/front_new/jb/sjb0406vw. jsp?PAR_MENU_ID=03&MENU_ID=030406& CONT_SEQ=333744&page=1(Accessed April 10, 2017) (보건복지부, 전자의무기록의 관리. 보존에 필요한 시설과 장비에 관한 기준, 2016.)
  73. Morris, G., S. Afzal, M. Bhasker, and D. Finney, "Query-Based Exchange : Key Factors Influencing Success and Failure", 2012, Available at https://www.healthit.gov/sites/default/files/query_based_exchange_final.pdf (Accessed April 10. 2017).
  74. Myers, J.J., K.A. Koester, D. Chakravarty, C. Pearson, A. Maiorana, S.B. Shade, and W.T. Steward, "Perceptions Regarding the Case of Use and Usefulness of Health Information Exchange Systems among Medical Providers, Case Managers and Non-clinical Staff Members Working in HIV Care and Community Settings", International Journal of Medical Informatics, Vol.81, No.10, 2012, e21-e29. https://doi.org/10.1016/j.ijmedinf.2012.07.005
  75. Nagykaldi, Z.J., B. Yeaman, M. Jones, J.W. Mold, and D.C. Scheid, "HIE-i-Health Information Exchange With Intelligence", The Journal of Ambulatory Care Management, Vol. 37, No.1, 2014, 20-31. https://doi.org/10.1097/JAC.0000000000000002
  76. National Law Information Center, "Law of Cloud Computing", 2015, Available at http://www. law.go.kr/법령/클라우드컴퓨팅%20발전%20 및%20이용자%20보호자에%20관한%20법률 (Accessed April 10. 2017). (국가법령정보센터, 클라우드컴퓨팅 발전 및 이용자 보호에 관한 법률, 2015.)
  77. National Law Information Center, "Health Information Exchange Standard", 2017. Available at http://www.korealaw.go.kr/admRulLs InfoP.do?admRulSeq=2100000069269(Accessed April 10. 2017). (국가법령정보센터, 진료정보교류 표준, 2017.)
  78. Nykanen, P. and E. Karimaa, "Success and Failure Factors in the Regional Health Information System Design Process-results from a Constructive Evaluation Study", Methods of Information in Medicine, Vol.45, No.1, 2006, 85-89. https://doi.org/10.1055/s-0038-1634042
  79. Overhage, J.M., L. Evans, and J. Marchibroda, "Communities' Readiness for Health Information Exchange : the National Landscape in 2004", Journal of the American Medical Informatics Association, Vol.12, No.2, 2005, 107-112. https://doi.org/10.1197/jamia.M1680
  80. Overhage, J.M., S. Grannis, and C.J. McDonald, "A Comparison of the Completeness and Timeliness of Automated Electronic Laboratory Reporting and Spontaneous Reporting of Notifiable Conditions", American Journal of Public Health, Vol.98, No.2, 2008, 344-350. https://doi.org/10.2105/AJPH.2006.092700
  81. Ozkaynak, M. and P.F. Brennan, "Revisiting Sociotechnical Systems in a Case of Unreported Use of Health Information Exchange System in Three Hospital Emergency Departments", Journal of Evaluation in Clinical Practice, Vol.19, No.2, 2013, 370-373. https://doi.org/10.1111/j.1365-2753.2012.01837.x
  82. Pagliari, C., M. Gilmour, and F. Sullivan, "Electronic Clinical Communications Implementation (ECCI) in Scotland : A Mixed-Methods Programme Evaluation", Journal of Evaluation in Clinical Practice, Vol.10, No.1, 2004, 11-20. https://doi.org/10.1111/j.1365-2753.2004.00475.x
  83. Pan, E., C. Byrne, D. Damico, and M. Crimmins, Guide to Evaluating Health Information Exchange Projects (Prepared for the Agency for Healthcare Research and Quality under Contract No. 290200900023-I) AHRQ Publication No.14-0015-EF, Agency for Healthcare Research and Quality, Rockville, MD, 2014.
  84. Park, H., S.I. Lee, Y. Kim, E.Y. Heo, J. Lee, J.H. Park, and K. Ha, "Patients' Perceptions of a Health Information Exchange : A Pilot Program in South Korea", International Journal of Medical Informatics, Vol.82, No.2, 2013, 98-107. https://doi.org/10.1016/j.ijmedinf.2012.05.001
  85. Park, H., S.I. Lee, H. Hwang, Y. Kim, E.Y. Heo, J.W. Kim, and K. Ha, "Can a Health Information Exchange Save Healthcare Costs? Evidence from a pilot program in South Korea", International Journal of Medical Informatics, Vol.84, No.9, 2015, 658-666. https://doi.org/10.1016/j.ijmedinf.2015.05.008
  86. Park, M., "Provide Hospital Medical Data Analysis to Pharmaceutical Companies", Dongailbo, 2017, Available at http://news.donga.com/3/all/20170417/83910784/1#csidxb4dd9eea1e0d7ffbacf0835c7db18ff(Accessed April 20. 2017). (박민우, "병원 의료데이터 분석치, 제약사 등에 제공 길 열린다" 동아일보, 2017.)
  87. Pemble, K.R., "The Business Case for Payer Support of a Community-based Health Information Exchange : A Humana Pilot Evaluating its Effectiveness in Cost Control for Plan Members Seeking Emergency Department Care", Am Health Drug Benefits, Vol.4, No.4, 2011, 207-216
  88. Phillips, A.B., R. V. Wilson, R. Kaushal, and J.A. Merrill, "Implementing Health Information Exchange for Public Health Reporting : A Comparison of Decision and Risk Management of Three Regional Health Information Organizations in New York State", Journal of the American Medical Informatics Association, Vol.21, No.1, 2014, e173-e177. https://doi.org/10.1136/amiajnl-2013-001716
  89. Pirnejad, H., R. Bal, and M. Berg, "Building an Inter-organizational Communication Network and Challenges for Preserving Interoperability", International Journal of Medical Informatics, Vol.77, No.12, 2008, 818-827. https://doi.org/10.1016/j.ijmedinf.2008.05.001
  90. Ross, S.E., T.A. Radcliff, W.G. LeBlanc, L.M. Dickinson, A.M. Libby, and D.E. Nease, "Effects of Health Information Exchange Adoption on Ambulatory Testing Rates", Journal of the American Medical Informatics Association, Vol.20, No.6, 2013, 1137-1142. https://doi.org/10.1136/amiajnl-2012-001608
  91. Ross, S.E., L.M. Schilling, D.H. Fernald, A.J. Davidson, and D.R. West, "Health Information Exchange in Small-to-medium Sized Family Medicine Practices : Motivators, Barriers, and Potential Facilitators of Adoption", International Journal of Medical Informatics, Vol.79, No.2, 2010, 123-129. https://doi.org/10.1016/j.ijmedinf.2009.12.001
  92. Rudin, R.S., S.R. Simon, Volk, L.A., M. Tripathi, and D. Bates, "Understanding the Decisions and Values of Stakeholders in Health Information Exchanges : Experiences from Massachusetts", American Journal of Public Health, Vol.99, No.5, 2009, 950-955. https://doi.org/10.2105/AJPH.2008.144873
  93. Saff, E., C. Lanway, A. Chenyek, and D. Morgan, "The Bay Area HIE. A Case Study in Connecting Stakeholders", Journal of Healthcare Information Management : JHIM, Vol. 24, No.1, 2009, 25-30.
  94. Schabetsberger, T., E. Ammenwerth, S. Andreatta, G. Gratl, R. Haux, G. Lechleitner, K. Schindelwig, C. Stark, R. Vogl, I. Wilhelmy, and F. Wozak, "From a Paper-Based Transmission of Discharge Summaries to Electronic Communication in Health Care Regions", International Journal of Medical Informatics, Vol.75, No.3, 2006, 209-215. https://doi.org/10.1016/j.ijmedinf.2005.07.018
  95. Shapiro, J.S., J. Kannry, M. Lipton, E. Goldberg, P. Conocenti, S. Stuard, B.M. Wyatt, and G. Kuperman, "Approaches to Patient Health Information Exchange and their Impact on Emergency Medicine", Annals of Emergency Medicine, Vol.48, 2006, 426-432. https://doi.org/10.1016/j.annemergmed.2006.03.032
  96. Silvester, B.V. and S.J. Carr, "A Shared Electronic Health Record : Lessons from the Coalface", Med J Aust, Vol.190, No.11, 2009, S113-S116.
  97. Sicotte, C. and G. Pare, "Success in Health Information Exchange Projects : Solving the Implementation Puzzle", Social Science & Medicine, Vol.70, No.8, 2010, 1159-1165. https://doi.org/10.1016/j.socscimed.2009.11.041
  98. Slavitt, A. and K.D. Salvo, "Replacing Meaningful Use, Advancing Care Information", 2016, Available at http://thehealthcareblog.com/blog/2016/04/27/advancing-care-information/ (Accessed April 10. 2017).
  99. Steward, W.T., K.A. Koester, S.P. Collins, A. Maiorana, and J.J. Myers, "The Essential Role of Reconfiguration Capabilities in the Implementation of HIV-related Health Information Exchanges", International Journal of Medical Informatics, Vol.81, No.10, 2012, e10-e20. https://doi.org/10.1016/j.ijmedinf.2012.07.004
  100. The Centers for Medicare and Medicaid Services, "Stage 2 Overview Tipsheet", 2012. Available at https://www.cms.gov/Regula tions-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage2Overview_ Tipsheet.pdf(Accessed April 10. 2017).
  101. The Centers for Medicare and Medicaid Services, "EHR Incentive Programs : 2015 through 2017 (Modified Stage 2) Overview", 2014, Available at https://www.cms.gov/Regula tions-and-Guidance/Legislation/EHRIncen tivePrograms/Downloads/Stage3Overview 2015_2017.pdf(Accessed April 10. 2017).
  102. The Centers for Medicare and Medicaid Services, "Electronic Health Records Incentive Programs", 2016a, Available at https://www. cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html? redirect=/EHRIncentivePrograms(Accessed April 10. 2017).
  103. The Centers for Medicare and Medicaid Services, "Notice of Proposed Rulemaking : Advancing Care Information Fact Sheet", 2016b, Available at https://www.cms.gov/ Medicare/Quality-Initiatives-Patient-Assess ment-Instruments/Value-Based-Program s/MACRA-MIPS-and-APMs/Advancing-Care-Information-Fact-Sheet.pdf(Accessed April 10. 2017).
  104. The Office of the National Coordinator for Health Information Technology of the Department of Health & Human Services, "Defining Key Health Information Technology Terms", 2008, Available at http://www.hitechanswers.net/wp-content/uploads/2013/05/NAHIT-Defini tions2008.pdf(Accessed April 10. 2017).
  105. The Office of the National Coordinator for Health Information Technology of the Department of Health & Human Services, "Request for Comment Regarding the Stage 3 Definition of Meaningful Use of Electronic Health Records( EHRs)", 2013, Available at http://www. healthit.gov/sites/default/files/hitpc_stage3_rfc_final.pdf(Accessed April 10. 2017).
  106. The Organisation of Economic Co-operation and Development, Improving Health Sector Efficiency : The Role of Information and Communication Technologies, OECD Publishing, Paris, 2010.
  107. The Organisation of Economic Co-operation and Development, "OECD Health Statistics 2016", 2016, Available at http://stats.oecd.org/Index.aspx?DataSetCode=SHA(Accessed April 10. 2017).
  108. Thomas, E.J. and L.A. Petersen, "Measuring Errors and Adverse Events in Health Care", Journal of General Internal Medicine, Vol.18, No.1, 2003, 61-67. https://doi.org/10.1046/j.1525-1497.2003.20147.x
  109. Thorn, S.A., M.A. Carter, and J.E. Bailey, "Emergency Physicians' Perspectives on their Use of Health Information Exchange", Annals of Emergency Medicine, Vol.63, No.3, 2014, 329-337. https://doi.org/10.1016/j.annemergmed.2013.09.024
  110. Tripathi, M., D. Delano, B. Lund, and L. Rudolph, "Engaging Patients for Health Information Exchange", Health Affairs, Vol.28, No.2, 2009, 435-443. https://doi.org/10.1377/hlthaff.28.2.435
  111. Tzeel, A., V. Lawnicki, and K.R. Pemble, " 'Hidden' value : How Indirect Benefits of Health Information Exchange Further Promote Sustainability", American Health & Drug Benefits, Vol.5, No.6, 2012, 333-340.
  112. Unertl, K.M., K.B. Johnson, C.S. Gadd, and N.M. Lorenzi, "Bridging Organizational Divides in Health Care : An Ecological View of Health Information Exchange", JMIR Medical Informatics, Vol.1, No.1, 2013, e3. https://doi.org/10.2196/medinform.2510
  113. Unertl, K.M., K.B. Johnson, and N.M. Lorenzi, "Health Information Exchange Technology on the Front Lines of Healthcare : Workflow Factors and Patterns of Use", Journal of the American Medical Informatics Association, Vol.19, No.3, 2012, 392-400. https://doi.org/10.1136/amiajnl-2011-000432
  114. Vest, J.R., "Health Information Exchange and Healthcare Utilization", Journal of Medical Systems, Vol.33, No.3, 2009, 223-231. https://doi.org/10.1007/s10916-008-9183-3
  115. Vest, J.R., "More Than Just a Question of Technology : Factors Related to Hospitals' Adoption and Implementation of Health Information Exchange", International Journal of Medical Informatics, Vol.79, No.12, 2010, 797-806. https://doi.org/10.1016/j.ijmedinf.2010.09.003
  116. Vest, J.R. and L.D. Gamm, "Health Information Exchange : Persistent Challenges and New Strategies", Journal of American Medical Informatics Association. Vol.17, 2010, 288-294. https://doi.org/10.1136/jamia.2010.003673
  117. Vest, J.R., T.R. Campion, R. Kaushal, and HITEC Investigators, "Challenges, Alternatives, and Paths to Sustainability for Health Information Exchange Efforts", Journal of Medical Systems, Vol.37, No.6, 2013, 9987. https://doi.org/10.1007/s10916-013-9987-7
  118. Vest, J.R., L.M. Kern, T.R. Campion Jr, M.D. Silver, and R. Kaushal, "Association between Use of a Health Information Exchange System and Hospital Admissions", Appl Clin Inform, Vol.5, No.1, 2014, 219-231. https://doi.org/10.4338/ACI-2013-10-RA-0083
  119. Vest, J.R., L.M. Kern, M.D. Silver, R. Kaushal, and HITEC investigators, "The Potential for Community-based Health Information Exchange Systems to Reduce Hospital Readmissions", Journal of the American Medical Informatics Association, Vol.22, No.2, 2015, 435-442. https://doi.org/10.1136/amiajnl-2014-002760
  120. Walker, J., E. Pan, D. Johnston, J. Adier-Milstein, D.W. Bates, and B. Middleton, "The Value of Health Care Information Exchange and Interoperability", Health Affairs, Vol.24, 2005, W5-10-W5-18.
  121. Winden, T.J., L.L. Boland, N.G. Frey, P.A. Satterlee, and J.S. Hokanson, "Care Everywhere, a Point-to-point HIE Tool : Utilization and Impact on Patient Care in the ED", Appl Clin Inform, Vol.5, No.2, 2014, 388-401. https://doi.org/10.4338/ACI-2013-12-RA-0100
  122. Yonhapnews, "Strategy for the Utilization of Healthcare Big Data", 2017, Available at http://www.yonhapnews.co.kr/bulletin/2017/03/15/0200000000AKR20170315073800017.HTML(Accessed April 27, 2017). (연합뉴스, "보건의료 빅데이터 활용 전략 수립한다", 2017.)