Integrated Care Collaboration

One of the challenges of health information exchange is privacy and security. Even though having electronic health information exchange reduces a lot of privacy and security issues, it raises new issues as well. A breach that formerly affected a single paper record now can expose an entire database of patient records. At the same time, health information exchange presents powerful new ways to improve the privacy and security of patients ' data, including encryption, authentication and authorization controls, and electronic audit trails. Two of the biggest challenges we’ve encountered are patient matching/master patient index synchronization issues and the vendors’ variable use of interoperability standards. The biggest issues we’ve experienced, so far are relate to the MPI synchronization of patients across all the entities. Public HIEs, as well as the private HIE vendors, should focus on this challenge. Technically, interoperable platforms, EHR’s, are often hindered by the inability to determine an exact patient match, because the eMPI solutions aren’t robust enough. This also potentially creates data integrity and patient safety issues, if the clinical data goes across multiple records. There also some struggles with the variable use of the interoperability standards between the EHR vendors. One of

The Health Information Exchange has proven to be convenient and beneficial in essence of improving patient and health professionals’ ability to access patient medical histories and records by providing quicker, more reliable access. There have been some challenges recognized with the implementation of the health information exchange. While speeding up the process of retrieval of sensitive medical records has been a blessing, the process of electronic delivery of medical records has also been seen by some as risky. The electronic health information exchange allows health care providers to release vital private patient healthcare information via

A Health Information Exchange, or HIE, is technology that enables the electronic movement of health-related information among health care providers and others. HIEs are an

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

Mission. The goal of this proposal is to improve health outcomes for consumers. Merging the mental health services sector within the same facility as the rest of the agency will demonstrate what elements of this new model will be effective and what factors still need to be addressed. The creation of this new system will solely be based on evidence-based practices. Creating a communal health care setting will make different silos of care more accessible for consumers, and different aspects of wellness will be highlighted so that a more holistic view of the consumer’s risk factors and overall well being can be depicted. This model emphasizes the concept of self-determination and the person-centered approach, because

Health Information Exchange or HIE is a relatively new facet in the 100 year history of medical records. (Clark) “HIE is the transmission of healthcare-related data among facilities, health information organizations, and government agencies according to national standards.”(HIE defined) More specifically, HIE allows nurses, doctors, pharmacists, and other health care providers and patients to access and share vital patient medical information electronically, thus reducing the cost and increasing the safety, quality and speed of information exchange. (HIE, what is HIE?)

In my area’s HIO the focus of my organization would be for allowing for health information to be securely exchanged of over the internet, via eHealth Exchange. This HIO could allow for services like disability benefit

The future of interoperability has a twofold bearing. Positively, “the seamless exchange of information would improve care, increase operational efficiency and lower costs” (n d, 2017). Interoperability would facilitate care coordination along the continuum of care, enable informatics and advanced analytics within the health sector, (n d, 2017). Negatively, in 2015, the Health Information Technology Policy Committee in its report to Congress, cited the most notable barriers to interoperability as “lack of universal adoption of standard-based EHR systems, complex privacy and security challenges associated with widespread health information exchange and lack of incentive to develop interoperability in the private sector”, (Patil, 2016). To realize

Health information exchange organizations (HIOs) provide the ability to electronically transfer valuable clinical information between several different health care information systems while preserving the meaning of the information being exchanged. Health Information Exchange Organizations also provide the base for secondary use of clinical data for dedications such as public health, clinical, biomedical, and consumer health informatics research as well as provider quality valuation and improvement. Most Health Information Exchange Organizations currently are regional health information organizations (RHIOs) such as the Indiana Network for Patient Care (INPC.) Data is safer since it is stored electronically in a secured environment protected

U.S. healthcare delivery system is very fragmented. In 2004, health information exchange (HIE) was formulated by President Bush. The organizations designed to accomplish HIE are often called regional health information organizations (RHIOs). “RHIO is a type of health information exchange organization that brings together healthcare stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving health and care in that community” (Health Resources & Services Administration [HRSA], n.d.). These organizations work simultaneously to form a network referred as regional health information network (RHIN). “The HIE networks has the potential to reduce up to 18% of patient safety errors and

The government aims to support health IT where providers and patients can be confident that the electronic health IT products and systems are secure, can maintain data confidentially, interoperable, and can perform a set of well-defined functions. (http://healthit.hhs.gov/portal/server.pt)

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Two healthcare information systems I found described on the internet are A Health Information Exchange (HIE) and A Patient Reported Outcomes (PRO). Health Information Exchange (HIE) is an Electronic health information exchange (HIE) that permits the doctors, nurses, pharmacists, other health care providers and patients to correctly admission and securely share a patient’s dynamic medical information electronically and improving the value, protection, speed, and the charge of patient care. A Patient Reported Outcomes (PRO) is the increasing combination of delivery systems that offers an opportunity to manage the complete patient-focused episode of care and to evaluate the influence of care on patient outcomes, including patient-reported outcomes

HIE has many obvious advantages. Better healthcare will be enabled through more information at the time of care; real-time test ordering; real-time receipt of test results, and up-to-date medication lists. Electronic health record exchange is also an advantage to specific populations of people. For example, those who live in rural areas; people who are caregivers to others and need access to their health records; and people who care for foster children (DJ, 2004).

The electronic health record, also known as EHR, is a digital version of a patient’s paper chart. This kind of record makes information available instantly and securely to all authorized users. While an EHR contains medical and treatment history of patients, Electronic health record system is built to go beyond the standard clinical data that is collected in a provider’s office. Electronic health records contain medial history, diagnoses, immunization dates, medications, allergy, treatment plans and test results. One of the key features of electronic health records is that all health information can be created and managed by all authorized providers, in a digital format that is capable of being shared with other providers across more than one health care organization. EHRs are designed and built to share information with all other health care providers and organizations such as laboratories, medical imaging facilities, pharmacies, specialists, hospitals and schools. So they contain information from all the clinics that are involved in a person’s care. A prescription can even be sent through the use of EHR called E-prescribing, which allows a physician to write a prescription that is then sent electronically to a pharmacy 's computer data system. This means that the pharmacy does not have to reenter any of the data at the pharmacy. This saves time and leaves less room for any human errors. There is even a fax-prescribing which is widely used today. While each state may have