A framework for systematic evaluation of health information infrastructure progress in communities

Steven E. Labkoff, William A. Yasnoff

Research output: Contribution to journalArticle

Abstract

It is widely agreed that major improvements in the safety, quality, and efficiency of health care in the US require a National Health Information Infrastructure. To accomplish this, efforts are now underway in many communities to build local or regional health information infrastructures (HIIs) that provide secure, ubiquitous access to complete health care information. To facilitate the assessment and monitoring of the progress of operational HIIs toward completion, we propose a framework of four key measures of requirements that must be ultimately be met: (1) completeness of information, (2) degree of usage, (3) types of usage, and (4) financial sustainability. To evaluate the framework, it was used by the authors to qualitatively assess HII projects in cooperation with four leading communities, resulting in ratings of 78% for Bellingham, WA, 63% for Indianapolis, IN, 60% for South Bend, IN, and 74% for Spokane, WA. Qualitative assessment of community HII systems may be helpful in monitoring progress, comparing projects, and understanding the remaining tasks needed for completion. Additional testing and refinement of the proposed framework is needed to further understand and improve HII progress measurement capabilities.

Original languageEnglish (US)
Pages (from-to)100-105
Number of pages6
JournalJournal of Biomedical Informatics
Volume40
Issue number2
DOIs
StatePublished - Apr 2007

Fingerprint

Health
Health care
Health Information Systems
Health Services Accessibility
Quality of Health Care
Monitoring
Sustainable development
Safety
Testing

Keywords

  • Community Networks/economics
  • Community Networks/organization and administration
  • Community Networks/trends
  • Health data exchange
  • Health Planning/economics
  • Health Planning/organization and administration
  • Information dissemination
  • Medical informatics applications
  • Medical records
  • Models, Organizational
  • Regional Health Information Organization
  • Regional Medical Programs/organization and administration

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics
  • Computer Science (miscellaneous)
  • Catalysis

Cite this

A framework for systematic evaluation of health information infrastructure progress in communities. / Labkoff, Steven E.; Yasnoff, William A.

In: Journal of Biomedical Informatics, Vol. 40, No. 2, 04.2007, p. 100-105.

Research output: Contribution to journalArticle

@article{db00eca6a13545499b9cf9ec390279a7,
title = "A framework for systematic evaluation of health information infrastructure progress in communities",
abstract = "It is widely agreed that major improvements in the safety, quality, and efficiency of health care in the US require a National Health Information Infrastructure. To accomplish this, efforts are now underway in many communities to build local or regional health information infrastructures (HIIs) that provide secure, ubiquitous access to complete health care information. To facilitate the assessment and monitoring of the progress of operational HIIs toward completion, we propose a framework of four key measures of requirements that must be ultimately be met: (1) completeness of information, (2) degree of usage, (3) types of usage, and (4) financial sustainability. To evaluate the framework, it was used by the authors to qualitatively assess HII projects in cooperation with four leading communities, resulting in ratings of 78{\%} for Bellingham, WA, 63{\%} for Indianapolis, IN, 60{\%} for South Bend, IN, and 74{\%} for Spokane, WA. Qualitative assessment of community HII systems may be helpful in monitoring progress, comparing projects, and understanding the remaining tasks needed for completion. Additional testing and refinement of the proposed framework is needed to further understand and improve HII progress measurement capabilities.",
keywords = "Community Networks/economics, Community Networks/organization and administration, Community Networks/trends, Health data exchange, Health Planning/economics, Health Planning/organization and administration, Information dissemination, Medical informatics applications, Medical records, Models, Organizational, Regional Health Information Organization, Regional Medical Programs/organization and administration",
author = "Labkoff, {Steven E.} and Yasnoff, {William A.}",
year = "2007",
month = "4",
doi = "10.1016/j.jbi.2006.01.002",
language = "English (US)",
volume = "40",
pages = "100--105",
journal = "Journal of Biomedical Informatics",
issn = "1532-0464",
publisher = "Academic Press Inc.",
number = "2",

}

TY - JOUR

T1 - A framework for systematic evaluation of health information infrastructure progress in communities

AU - Labkoff, Steven E.

AU - Yasnoff, William A.

PY - 2007/4

Y1 - 2007/4

N2 - It is widely agreed that major improvements in the safety, quality, and efficiency of health care in the US require a National Health Information Infrastructure. To accomplish this, efforts are now underway in many communities to build local or regional health information infrastructures (HIIs) that provide secure, ubiquitous access to complete health care information. To facilitate the assessment and monitoring of the progress of operational HIIs toward completion, we propose a framework of four key measures of requirements that must be ultimately be met: (1) completeness of information, (2) degree of usage, (3) types of usage, and (4) financial sustainability. To evaluate the framework, it was used by the authors to qualitatively assess HII projects in cooperation with four leading communities, resulting in ratings of 78% for Bellingham, WA, 63% for Indianapolis, IN, 60% for South Bend, IN, and 74% for Spokane, WA. Qualitative assessment of community HII systems may be helpful in monitoring progress, comparing projects, and understanding the remaining tasks needed for completion. Additional testing and refinement of the proposed framework is needed to further understand and improve HII progress measurement capabilities.

AB - It is widely agreed that major improvements in the safety, quality, and efficiency of health care in the US require a National Health Information Infrastructure. To accomplish this, efforts are now underway in many communities to build local or regional health information infrastructures (HIIs) that provide secure, ubiquitous access to complete health care information. To facilitate the assessment and monitoring of the progress of operational HIIs toward completion, we propose a framework of four key measures of requirements that must be ultimately be met: (1) completeness of information, (2) degree of usage, (3) types of usage, and (4) financial sustainability. To evaluate the framework, it was used by the authors to qualitatively assess HII projects in cooperation with four leading communities, resulting in ratings of 78% for Bellingham, WA, 63% for Indianapolis, IN, 60% for South Bend, IN, and 74% for Spokane, WA. Qualitative assessment of community HII systems may be helpful in monitoring progress, comparing projects, and understanding the remaining tasks needed for completion. Additional testing and refinement of the proposed framework is needed to further understand and improve HII progress measurement capabilities.

KW - Community Networks/economics

KW - Community Networks/organization and administration

KW - Community Networks/trends

KW - Health data exchange

KW - Health Planning/economics

KW - Health Planning/organization and administration

KW - Information dissemination

KW - Medical informatics applications

KW - Medical records

KW - Models, Organizational

KW - Regional Health Information Organization

KW - Regional Medical Programs/organization and administration

UR - http://www.scopus.com/inward/record.url?scp=33847644898&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33847644898&partnerID=8YFLogxK

U2 - 10.1016/j.jbi.2006.01.002

DO - 10.1016/j.jbi.2006.01.002

M3 - Article

C2 - 16530489

AN - SCOPUS:33847644898

VL - 40

SP - 100

EP - 105

JO - Journal of Biomedical Informatics

JF - Journal of Biomedical Informatics

SN - 1532-0464

IS - 2

ER -