Table 2.

Summary of physician perceptions of current, pre-HIE use of outside information requested from outside hospitals

Reasons for not requesting	Problems encountered
1. Time	1. Process
● Outside information is too old	● Need to re-request
● Physician assumes the OI request process takes too long	● Delay in sending or scanning outside information after work hours
● Emergent situations	● Transitions-of-care communication problems
● Brief Hospital stay	● Problems with outside information transfer patients
	● Do not receive any outside information
	● OI comes too late
	● Delay waiting for imaging to be loaded from CD
	● Unaware of where outside information is in the process or if it has arrived
2. Relevance	2. Information
● Current admission unrelated to outside information	● Unhelpful physician or nursing notes
● Unnecessary to request outside information based on clinical expertise	● Difficulty finding useful information in unorganized and abundant amount of outside information
	● Skepticism of imaging or culture reads from outside facility
3. Patient
● Patient or family is good historian and record keeper
● Patient does not know where to request outside information from

OI outside information