Sustainability modelling of health information exchanges in dynamic environments

Abdulaziz Ahmed, Wenfei Shen, Mohammad T. Khasawneh

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Healthcare practitioners have realised that sharing patient data is beneficial, which can be accomplished by joining a healthcare information exchange (HIE) network. Many challenges confront those joining an HIE network, and one of the most serious is the network’s financial sustainability. This paper develops three linear programming models to study the sustainability of an HIE network. Two types of agent are considered: the healthcare provider (HCP) and the HIE network owner. Model 1 aims to maximise the benefits for HCPs, while Models 2A and 2B are intended to maximise the benefits for HIE owners. The results of model 1 showed that the benefits for HIE owners and HCPs were positive. In models 2A and 2B, the benefits for HIE owners were sometimes negative because in some cases there were not enough joined HCPs. This study helps decision makers understand the sustainability of HIE networks in a dynamic environment.

Original languageEnglish (US)
Pages (from-to)413-434
Number of pages22
JournalInternational Journal of Industrial and Systems Engineering
Issue number4
StatePublished - 2019


  • Dynamic behaviour
  • HIE
  • Healthcare information exchange
  • Linear programming
  • Optimisation
  • Sustainability


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