Health Information Exchange is a fairly new concept in the healthcare field. There were several precursors to HIE that were in use throughout the United States, these include Community Health Management Information Systems, Community Health Information Networks, and Regional Health Information Organizations. There are several data factors that make up a Health Information Exchange, the Electronic Health Record and the Personal Health Record. One of the biggest concerns about medical information is keeping it safeguarded, and there are three ways to accomplish this, with administrative, physical, and technical safeguards. Finally, there are a number of benefits to having a secure Health Information Exchange. The benefits include; accessibility, wherein multiple users can access the data at the same time, communication, wherein providers can share information quickly with no corruption of critical data, and better healthcare management. By building disease and chronic care registries, symptoms, treatment, and outcomes are tracked. The Health Information Exchange also enables contagious disease and bioterrorism tracking, but reporting symptoms to the CDC daily.
History of Health Information Exchange
Health Information Exchange or HIE is a relatively new aspect of technology in the 100 year history of medical records. (Clark) “Health Information Exchange is the transmission of healthcare-related data among facilities, health information organizations, and government
Health Information Exchange (HIE) supports both transferring and sharing of health related information that is usually stored in multiple organizations, while maintaining the context and integrity of the information being exchanged (HIE, 2014). The goal of health information exchange is to expedite access to and retrieve clinical data to provide safe efficient, effective, equitable, timelier patient-centered care (HIE, 2014). HIE “provides access and retrieval of patient information to authorized users in order to provide safe, efficient, effective, and timely patient care” (HIE, 2014).
Healthcare providers and patients have since been allowed to securely access and share medical information electronically using the electronic health information exchange (HIE) system, thus improving quality care, safety, cost and swiftness.
Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically. With improving the value, speed, safety, and cost of the totals patient care.
Electronic health information exchange allows doctors, nurses, pharmacists, other health care providers and patients to access and securely share a patient’s vital medical information electronically improving the speed, quality, safety and cost of patient care. In this paper I am going to explain the challenges of exchanging health information, privacy and security concerns, cost of set up and maintenance. Also, the three different types of exchanges. The benefits of health information exchange.
RHIOs are examples of the government funded HIE platform. This type of HIE must have buy-in support from several syndicate stakeholders such as regional hospitals, clinics, providers, public health departments, and testing centers; to achieve successful exchange through meaningful use of patient data information (“Health care”, n.d.). According to Adler-Milstein, McAfee, Bates, & Jha (2008), the HIE implementation began with RHIOs because it was thought to have a greater chance for success within a local community versus other approaches. RHIOs are dependent upon the standards, legal agreements, services, specifications, and regulations that facilitate secure electronic HIE via
Health Information Exchange (HIE) has become a major component in today’s healthcare. Health information exchange provides a secure way for providers to appropriately access and electronically share a patient’s medical information. Therefore, reducing duplicate testing, minimizing medication errors and providing a link among electronic health records (EHR) in order to provide quality healthcare.
HIE face a range of challenges as they try to get hundreds and even thousands of participants in sharing data. Getting data in front of doctors and other clinicians is one of the biggest challenges HIEs face. Ideally, it would be delivered directly to a providers' EMR system, so when a patient goes to an outside lab for blood tests, the results would show up in the electronic record at the doctor's office, and the doctor would be notified that the results are there. However, with limited EMR use across the country, HIEs have had to provide alternative delivery methods. HIE is considered to be one of the key components of the national health IT infrastructure being established by the HITECH Act. Policymakers and health care providers believe this health IT infrastructure will produce a number of benefits, many of which are directly related to HIE.
Electronic health information exchange is the exchange of a patient’s medical information electronically. The information is accessible to the healthcare team and to the patient in a timely manner. With electronic health information exchange, healthcare providers will improve quality, safety, and cost of patient care. However, the systems the providers and the patient use must be interoperable before the information can be shared.
Health Information Exchange (HIE) allows health care professionals and consumers to securely access medical information electronically ("Official Information about Health Information Exchange (HIE) | Providers & Professionals | HealthIT.gov," n.d.). For example, the information and data that is scanned electronically would be exported to patients’ Electronic Health Record (EHR) which would reduce the chances of repeating patient tests, exams, blood work, etc. There are three categories of HIE: directed (used by providers to send patient information directly to another physician), query-based (used by providers to find and discover clinical resources for a patient), and consumer-mediated (gives patients access to their health information
Health information exchange and information technology are essential tools that healthcare providers and consumers often utilize to assist in improving health care. An electronic health information exchange promises potential benefits for health care systems through improved clinical care, reduced cost and the needed elements for a national health information network. As with any other industry, the exchange of such information has its many benefit, but it
Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving
Health information technology (HIT) involves trading of health information in an electronic format to advance health care, reduce health expenditures, improve work efficiency, decrease medication errors, and make health care more accessible. Maintaining privacy and security of health information is crucial when technology is involved. Health information exchange plays an important role in improving the quality and delivery of health care and cost-effectiveness. “There is very little electronic information sharing among clinicians, hospitals, and other providers, despite considerable investments in health information technology (IT) over the past five years” (Robert Wood Johnson Foundation, 2014, p. 1).
14. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically
The Health information exchange or also known as HIE is the sending of healthcare-related data electronically to facilities, health information organizations and government agencies according to national standards. The goal is to be able to access and retrieve data more efficient, safer, and to improve the quality of care and patient safety and reduce healthcare costs.
After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital