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Aude Motulsky

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    OS19 - Experiences in Adoption & Use (ID 25)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 205B
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      OS19.03 - Usage Patterns of a Health Information Exchange Network in Quebec (ID 115)

      Aude Motulsky, Research Centre, Centre hospitalier de l'Université de Montréal; Montreal/CA

      • Abstract
      • Slides

      Purpose/Objectives: The objective of this study is to describe the usage patterns of a medication health information exchange (HIE)1 network in Quebec 2 years after its full implementation. (1This system is also described as a Drug Information System and an Electronic Health Record by Canada Health Infoway)

      Methodology/Approach: Longitudinal analysis of usage data of the HIE network between January 1st 2015 and July 30th 2016 was performed to describe the number of users, number of accesses and tools used to access the data. Usage data were obtained from the Health Ministry of Québec.

      Finding/Results: During the 18 month study period, a total number of 30 996 unique users accessed the medication data of the HIE. Access was possible using a Viewer application, an electronic medical record (EMR) application, or a Pharmacy application. In 2015, only 5% of users accessed the medication data through an EMR, while this proportion increased to 19% in the first 6 months of 2016. This suggests that a greater number of clinicians were using the advanced features of an EMR to access the data. Figure 1 shows the mean and median number of accesses to the medication data per month, and per tool used. The level of use was higher when clinicians accessed the data through an EMR (mean number of accesses per month in 2016 was between 101 and 264 per user) compared to the Viewer (between 42 and 90). Table 1 presents a detailed description of the number of users per year, the tool used to access the data, and the number of accesses for all users. <img alt="table1.jpg" annotation="" id="image://18" src="" title="table1.jpg" /><img alt="figure1.jpg" annotation="" id="image://19" src="" title="figure1.jpg" />

      Conclusion/Implication/Recommendations: These results suggest that using an EMR application facilitates the integration of medication data from an HIE network into clinical activities. Further research should explore the heterogeneity between commercial EMRs in terms of integrating data from HIE networks.

      140 Character Summary: The level of medication data usage from the HIE network was higher when clinicians used an EMR versus a Viewer application

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