Module 5 HIE Standards and EHR Strategy_06142024
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Rasmussen College, Saint Cloud *
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Course
2655C
Subject
Health Science
Date
Jun 22, 2024
Type
docx
Pages
6
Uploaded by jennifermontonews
1
Health Information Exchange
Jennifer Montone
Rasmussen University
HIM2655C/Healthcare Technologies
Laura Nelson
June 14, 2024
2
Health Information Exchange
Despite the availability and security of electronic data transfer today, most medical records are still on paper, filed in filing cabinets in healthcare clinics or boxes or folders in our homes. Providers share medical information through the mail, usually by fax, but mostly by patients taking copies of their records for their appointments between providers. HIE can’t replace a patient's face-to-face communication with their provider, but it has many benefits. HIE
can improve the health provided to a patient altogether if done correctly. More and more healthcare providers are participating in health information exchange to track patient’s medical histories better and more securely. Health Information Exchange (HIE) helps care teams work together, cuts down on repeated treatments, and prevents expensive mistakes. Many health providers are adopting HIE because it's clear that it's needed, and the benefits are important. Other benefits of the HIE include:
1.
Provides a vehicle for improving quality and safety of patient care by reducing medication and medical errors
2.
Stimulates consumer education and patients' involvement in their own health care
3.
Increases efficiency by eliminating unnecessary paperwork
4.
Provides caregivers with clinical decision support tools for more effective care and treatment
5.
Eliminates redundant or unnecessary testing
6.
Improves public health reporting and monitoring
7.
Creates a potential loop for feedback between health-related research and actual practice
8.
Facilitates efficient deployment of emerging technology and health care services
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9.
Provides the backbone of technical infrastructure for leverage by national and State-level initiatives
10. Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations
11. Reduces health-related costs
(HealthIT, 2020)
The HIE is valued for the information that can be incorporated directly into the electronic
record, further improving patient care. For instance, if lab results are sent electronically and integrated into the provider’s EHR, a list of patients with a certain condition, such as high cholesterol and elevated cholesterol levels, can be called in for follow-up appointments to readjust medication. Currently, there are three key forms of HIE.
1.
Directed Exchange is sending and receiving secure information electronically between care providers to support coordinated care.
2.
Query-based Exchange allows providers to find and/or request information on a patient from other providers, often used for unplanned care.
3.
Consumer Mediated Exchange allows patients to collect and control the use of their health information among providers.
(HealthIT, 2020).
Not only does the HIE electronically exchange information between providers, but also between labs and pharmacies with the same level of interoperability. All organizations must follow standards so that data is stored in the same format; data fields have the exact definition, the same diagnosis, procedure coding systems, and more (Sayles, 2021).
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The federal government encouraged state-wide health information exchange (HIE) to support the nationwide health information network (NwHIN), now referred to as eHealth Exchange. According to the ONC, the NwHIN “is broadly defined as the set of standards, specifications, and policies that enable the secure exchange of health information over the Internet. This program provides a foundation for the exchange of health information across diverse entities, within communities, and across the country, helping to achieve the goals of the HITECH Act. The Nationwide Health Information Network Exchange is the first community to implement these standards, specifications, and policies in production (ONC n.d.) (Sayles, 2021).
The requirements and needs for sharing health information differ from one medical practice to another, and the available solutions differ from one state to another. Even though there may be multiple options, doctors must ask specific questions to determine which solution is
best for them (HealthIT, 2020). The Health Information Exchange enables healthcare providers to share crucial patient health information. Today, numerous standards and guidelines exist for the Health Information Exchange, particularly regarding the terminology used to communicate information between systems (Blackboard, 2024). Health Level Seven International (HL7) and Fast Healthcare Interoperability Resources (FHIR) are two healthcare data exchange standards created to meet the demand for interoperability and the exchange of health information across the
healthcare industry (Victor, 2023). The American National Standards Institute is an organization that accredits organizations to develop standards for health information exchange. Digital Imaging and Communications in Medicine is an organization that creates standards for the display and transport of radiology images. The National Institute of Standards and Technology is another organization that develops standards that are owned and operated by the government. The National Council for Prescription Drugs Program creates standards for the exchange of
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prescription drugs and other pharmacy information and The Health Level Seven International is the most common standardized format for messaging in healthcare (Blackboard, 2024).
The EHR has completely transformed the way that organizations operate by improving the quality of care, but it has its challenges. Challenges include the complexity of the system, costs, workflow disruptions, data migration, interoperability issues, and potential breaches of data security and privacy. Some organizations are also reluctant to change. To successfully handle the complexity of implementing EHR systems, healthcare providers must create a thorough implementation plan that includes a detailed timeline, allocate resources, design new workflows, provide training, test and optimize the system, continuously monitor progress, and support and maintain end-users for sustained EHR adoption (Victor, 2023).
The EHR and HIE aren’t going anywhere, and these electronic systems are constantly being updated to improve communication between providers and patient care. To make this work everyone involved has to do their part for it to work, just like anything else.
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References
HealthIT.gov. (2020, July 24). What is Hie?
. https://www.healthit.gov/topic/health-it-and-health-
information-exchange-basics/what-hie
Blackboard. (2024, June 13). Multi-factor authentication. Blackboard Learn. https://learning.rasmussen.edu/ultra/courses/_153883_1/outline/edit/document/
_16047438_1?courseId=_153883_1&view=content
Sayles, N. B., Kavanaugh-Burke, L. (2021). Introduction to Information Systems for Health Information Technology, 4th Edition. [[VitalSource Bookshelf version]]. Retrieved from vbk://9781584267430
Victor, A. (2023, April 12). EHR adoption challenges and how to mitigate them. Custom Software Engineering Services. https://insights.daffodilsw.com/blog/ehr-adoption-
challenges-and-how-to-mitigate-them
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