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Another key measurement of success for a project at this stage is the anecdotal evidence. In interviews, providers felt that the HIE “saved them time” and “helped deliver better quality care.” Notable effi ciency improvements were evident from the “expedited verifi cation of the medication and allergy list,” which “reduced the need to ask patients questions” and “expedited documentation.”


As the project continues, the North Adams community plans to undertake a number of improvement initiatives for interoperability. These include merging hospital clinical summary (CCD) with CCR, creating a continued merged view of comprehensive clinical summary, and bi-directional exchange of the CCD between the hospital and the com- munity health record.


Lessons learned


A survey of project participants yielded some very interest- ing insights into what factors providers believed drove their adoption of HIE services. The pie chart (right) demonstrates the most frequent reason providers accessed the HIE. The key factor for this project’s success can largely be attributed to the proper cooperation amongst the constitu- ency. The establishment of a single governing body provided representation for all stakeholder groups, allowing for the


organization to effectively administer policies and ensure sustainability through interoperability. The development of strong and effective policies in compliance with federal and state privacy regulations also contributed to the smooth transi- tion to a fully integrated, electronic system.


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