Document Type

Research Project

Publication Date



The monitoring of interoperability of information in healthcare organizations is of increasing interest due to patient safety, operational and financial considerations. This monitoring is referred to as information governance (IG) and is a complex topic based on several underlying concepts. Interfacing information at the foundational, structural and semantic level is necessary for meaningful use of health information. Issues that arise range from incongruent transfer of information from source systems to receiving systems, discrepancies in the source system and receiving system and failures in interfacing information. This research project examines information governance from the perspective of failures in interfacing information from the perspective of people, process and technology in monitoring interface errors between health information systems. The research design is evaluation and the methodology is case study in order to evaluate the effectiveness of interfaces between source and receiving systems. Particularly 17 Health Level Seven (HL7) interfaces were reviewed within a Critical Access Hospital (CAH) to investigate information governance from a people, process and technology perspective. This case study helped to identify needed information governance within the organization and plan for implementation of an information governance committee in order to address foundational and structural issues and to monitor unintended consequences caused by interface errors in the areas of patient safety, operational and financial impact due to interface errors.