Table 1

Example of physician leadership and health information exchange literature

Author/yearType of studySummary from literatureHow could a physician leader achieve collaboration?
Miller and Miller, 200719Conceptual
  • Santa Barbara project cited the lack of compelling value propositions to key stakeholders such as physicians.

  • Infuse value proposition.

Tripathi, et al, 200921Conceptual
  • Blue Cross Blue Shield of Massachusetts used physician leadership and support to demonstrate the costs and benefits of EHR and HIE and also to evaluate options for extending implementation state-wide.

  • Gain buy-in from other physicians.

Goroll, et al, 200933Conceptual
  • Massachusetts eHealth Collaborative (MAeHC) initiative elected a physician to show support and commitment to the healthcare professionals.

  • Gain buy-in from other physicians.

Gold, et al, 201234Literature review
  • Study cited that senior administrative leadership, including hospital management and boards, as well as physician clinical leadership, promoted clinical involvement.

  • Promote involvement and buy-in.

Fontaine, et al, 201031Case study
  • Study cited that trust is essential to create HIE collaboration. HIE networks should include leaders who are clinically experienced, IT savvy and well respected within the healthcare community.

  • Address trust issues.

Mostashari, et al, 200935Case study
  • Study cited that the MAeHC was founded based on the physician leadership of the Massachusetts chapter of the American College of Physicians and the Massachusetts Medical Society, and a $50 million financial commitment from Blue Cross Blue Shield of Massachusetts.

  • Promote involvement and buy-in.

Heath, et al,
  • Study cited physician champion as an important role to build internal trust among the HIE participants. The physician champion is responsible for making a decisive contribution to the process by actively and enthusiastically promoting the HIE, building support and overcoming resistance.

  • Internal trust, promoting and building support.

Frisse, 201022Conceptual
  • The exchange successful transformation required the engagement of leadership at the healthcare delivery level to ensure issues related to trust and competition among providers were addressed.

  • Address competition and trust issues.

Akhlaq, et al, 201636Literature review
  • Study cited lack of leadership and coordination to ensure collection and exchange of information between community and national levels make decision-making difficult, especially in times of disasters and emergency (Seyedin and Jamali 2011; WHO 2011a; Cohn and Xiong 2012; Razzak et al 2012).

  • Promoting and building support.

  • EHR, electronic health record; HIE, health information exchange; IT, information technology.