In general, providers of both types reported increased satisfaction with their ability to exchange data, the ease of data exchange, and that patient care was improved following the CHIC RHIO intervention . One potential outcome of improved information exchange is client retention; at baseline, the ASOs reported perfect satisfaction with their ability to retain clients in care (5.0), which was modestly reduced at follow-up (4.1). CAREWare also allows for the tracking of AIDS Drug Assistance Program (ADAP) services, which is important to HIV care and case management. There was a slight reduction in clinic provider satisfaction with ADAP services at follow-up (from 2.0 to 1.8). Of importance, however, are the reported improved perceptions that the IT system, CAREWare, was a good use of agency resources. Both ASO and medical clinic respondents reported improved satisfaction with their relationship from baseline following the CHIC RHIO intervention (ASO: 1.1 to 4.4; clinic: 2.3 to 4.4).
Both provider types had high hopes for the multiple ways the introduction of data exchange would positively affect their work; ASO baseline values ranged from 4.5 to 4.7 while the medical clinic baseline values ranged from 3.9 to 4.6. By the end of the project, however, neither type of provider reported their hopes had been fully realized. Instead, follow-up perceptions for how the IT intervention had positively affected their work ranged from 2.1 to 2.7. The ASOs, who reported the highest expectations, also reported the lowest satisfaction following the intervention.