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CareView: Integration of health information exchange (HIE) data with the Cerner electronic health record (EHR)

Description
The CareView software application integrates selected information from the Indiana Health Information Exchange's clinical data repository—the Indiana Network for Patient Care (INPC)—with the Cerner EHR system at Indiana University Health (IUH) Methodist. CareView allows clinicians in the emergency department at IUH Methodist to view health information about their patients from outside of the IUH system. CareView is currently implemented for the conditions of chest pain, abdominal pain, arrhythmia, dyspnea, pregnancy, back/flank pain, and weakness/dizziness/headache. CareView is integrated with the Cerner EHR in such a way that most users do not realize they are interacting with an external application. 

A basic demonstration of the app (limited to the chief complaint of chest pain) is available at https://gallery.smarthealthit.org/app/chest-pain-application. CareView is supported by a collaboration among the Regenstrief Institute (informatics research), the Indiana Health Information Exchange (health information exchange), and IU Health (clinical care).
Start Date
12/15/2017
Projected End Date

    
Project Tags
  • EHR
  • EHR Integration
  • Emergency Medicine
  • FHIR
  • HIE
Project Point of Contact: schleyerremove@removeregenstrief.org
Project Results
Preliminary findings from a mixed-methods evaluation of CareView demonstrated that use of the INPC’s data at Methodist increased compared to EDs without CareView (see https://regenstrief.in/chest-pain-dash). This finding was supported by qualitative interviews with clinicians (1). A FHIR-based solution such as CareView may offer promising approaches to encourage greater accessibility and use of HIE data.

(1)	Schleyer TKL, Rahurkar S, Baublet AM, Kochmann M, Ning X, Martin DK, et al. Preliminary evaluation of the Chest Pain Dashboard, a FHIR-based approach for integrating health information exchange information directly into the clinical workflow. AMIA Informatics Summit 2019. San Francisco, CA.