USE OF ELECTRONIC HEALTH INFORMATION SYSTEMS (EHIS) BY HEALTHCARE PROFESSIONALS (HCPS) AND THE PERCEPTION OF ITS VALUE IN REDUCING MEDICATION RISKS AND SAFETY FOR PATIENTS

Author(s)

Narayanan S1, Bullman WR2, Rucker NL3, Rausch P4
1Market Access Solutions, LLC, Potomac, MD, USA, 2NCPIE, Rockville, MD, USA, 3Enhance Value, Bethesda, MD, USA, 4Food and Drug Administration, Silver Spring, MD, USA

OBJECTIVES: Assess the use of eHIS by HCPs and the perception of its value in reducing medication risks and safety for patients. METHODS: A cross-sectional online survey of HCPs was conducted (FDA cooperative-agreement #5U18FD004653-01) in Nov-Dec 2013 using a U.S HCP panel. A geographically diverse sample of HCPs (Primary Care Physicians (PCPs), Pharmacists, Nurse Practitioners (NPs) and Physician Assistants (PAs)) spending >=50% of time in direct ambulatory patient care (PCP/PA/NP) or working in a retail pharmacy (Pharmacists), with >=2 yrs of practice experience and seeing/consulting >=20 pts/wk were recruited. Survey collected beliefs about medication risks, information seeking behavior and communication on medication risk/safety. RESULTS: Eight hundred HCPs (200 each of PCPs/NPs/PAs/Pharmacists) participated. Approximately two-thirds reported using eHIS for >50% of their patients in respective clinical practices/pharmacies. HCPs reported following computerized/eHIS capabilities in their settings: record patient history/demographic information (87%), record clinical notes (incl. patient’s medications/allergies) (86%), order medications (82%), view/order lab tests (75%), eHIS ability provide warnings of drug interaction/contraindications (to prescribers) (66%), share patient information electronically with other prescribers/providers (53%), provide patients with clinical summaries for each visit (52%), provide reminders for guideline-based interventions or screening tests (46%), provide patients with alerts if medications they take receives an FDA safety alert or recall (35%), allow patients to access their medical records or information on medications they are taking, incl. risk/safety information (34%), and exchange secure messages with patients (31%). These responses varied by HCP-type. Eighty-two percent of HCPs agreed their eHIS adds value to their practice by reducing medication risks/safety for patients. CONCLUSIONS: eHIS was widely used and was reported to provide value in reducing medication risks/safety. However, eHIS use to provide medication alerts regarding medicine risk/safety or provide patients access to medical records or information on medication risks/safety was reported by only one-third of study participants.

Conference/Value in Health Info

2016-10, ISPOR Europe 2016, Vienna, Austria

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PHP134

Topic

Real World Data & Information Systems

Topic Subcategory

Health & Insurance Records Systems

Disease

Multiple Diseases

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