Table 3.
Practices and Beliefs of Providers Using CliniSync in Ohio (n = 50).
| Question | Response, n (%) |
|
|---|---|---|
| Yes | No | |
| Do you refer your patients to a pharmacy for other health care needs and disease state management? n = 48a | 12 (25%) | 36 (75%) |
| Are you aware of the different services provided by pharmacists in a community pharmacy? n = 50 | 33 (66%) | 17 (33%) |
| How do you typically send a prescription to pharmacists? (Select all that apply), n = 50 | ||
| Electronic | 42 (84%) | |
| Fax | 12 (24%) | |
| Paper Rx | 19 (38%) | |
| What disease states would you consider making referrals to pharmacists to improve patient care? (Select all that apply), n = 50 | ||
| Diabetes | 16 (32%) | |
| Congestive heart failure | 9 (18%) | |
| Depression | 6 (12%) | |
| Osteoporosis | 4 (8%) | |
| Asthma/COPD | 12 (24%) | |
| Hypertension | 14 (28%) | |
| Rheumatoid Arthritis | 5 (10%) | |
| Dyslipidemia | 6 (12%) | |
| Cardiovascular disorders | 7 (14%) | |
| I don’t refer patients to pharmacists | 28 (56%) | |
| Other (please specify) | 13 (26%) | |
| Relationships with pharmacists | Medianb | IQR |
| Pharmacists respect my expertise, n = 49a | 4 | 1 |
| Pharmacists are willing to work together to provide enhanced patient care, n = 50 | 4 | 1 |
| Pharmacists often accept recommendations provided by me, n = 50 | 3 | 1 |
| Pharmacists are willing to share patient information with my team, n = 49a | 4 | 1 |
| Pharmacists are willing to work closely with my team, n = 50 | 3 | 1 |
| I have strong relationships with pharmacists, n = 50 | 3 | 1 |
| Select the reasons why you use HIE networks to retrieve patient medical information or make referrals (select all that apply), n = 45a | ||
| Refer patients to specialists | 11 (24%) | |
| Access complete medication records | 25 (56%) | |
| Access patient laboratory results | 29 (64%) | |
| Access notes from visits with other health care providers for continuity of care | 24 (53%) | |
| Review discharge medications or medication reconciliation | 26 (58%) | |
| Update notes for visits with my team | 10 (22%) | |
| Query the OARRS database | 16 (36%) | |
| Other (please specify) | 12 (27%) | |
| Benefits to an HIE | Medianb | IQR |
| Using the HIE improves the quality of my work, n = 45a | 4 | 1 |
| Using the HIE gives me greater control over my work, n = 45a | 3 | 1 |
| Using the HIE enables me to accomplish tasks quickly, n = 45a | 3 | 1 |
| Using the HIE supports critical aspects of my job, n = 45a | 4 | 1 |
| Using the HIE increases my productivity, n = 44a | 3 | 1 |
| Using the HIE improves my job performance, n = 45a | 3 | 1 |
| Using the HIE makes it easier to do my job, n = 44a | 3 | 1 |
| Using the HIE allows me to better coordinate patient care (using referrals), n = 46a | 3 | 1 |
| I am not educated on the security or privacy of an HIE network, n = 45a | 2 | 2 |
| I am not clear about how the HIE matches patients from disparate systems, n = 44a | 3 | 3 |
| I am not knowledgeable of the patient consent process as it relates to HIE and Ohio law, n = 45a | 3 | 2 |
| I do not want to leave my EHR workflow to log into another portal, n = 44a | 4 | 2 |
| My vendor charges too much to integrate my EHR with the HIE, n = 44a | 3 | 1 |
| I am concerned about the extra time it would take my staff to learn and use the HIE, n = 45a | 3 | 2 |
| There is too much information available in the HIE that is not essential to my care of the patient; I just need a laboratory result, n = 45a | 3 | 1 |
| There are too many clicks to get to the information I need quickly, n = 44a | 3 | 2 |
| I have everything I need within my own system; I do not have a need to use the HIE, n = 43a | 2 | 2 |
| I need to access information from a hospital that is not with CliniSync, n = 44a | 3 | 1 |
Abbreviations: COPD, chronic obstructive pulmonary disease; IQR, interquartile range; OARRS, Ohio Automated Rx Reporting System; HIE, health information exchange; HER, electronic health record.
a
Not all provider respondents answered this question.
b
Median and IQR based on 5 point Likert-type scale (5 = Strongly Agree, 1 = Strongly Disagree).