Table 5 Levels of barriers and benefits to HIE in small physician practices and FQHCs
Level | Types of barriers cited | Types of benefits cited |
|---|---|---|
Regional | - Lack of well-functioning area-level exchange | Â |
| Â | - Large number/diverse range of partner organizations difficult to incorporate | Â |
Inter-Organizational | - Heterogeneous relationships and previous experiences with exchange partners | Â |
| Â | - Challenge achieving a critical mass of users | Â |
Intra-organizational: providers and/or patients | Providers: | Providers: |
|  | - Lack of integration into organization’s pre-existing workflow | - Completeness of patient records |
| Â | - Data ownership and liability concerns | Patients: |
| Â | Â | - Avoidance of duplicative services and financial risk |
| Â | Â | - Improved productivity at initial-visit |
| Â | Â | - Improved non-visit consults |