Week 3 Discussion

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Kenyatta University *

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3505

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Health Science

Date

Nov 24, 2024

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4

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1 National Interoperability Name Institution Course Instructor Date
2 National Interoperability Challenge of Interoperability within the Nationwide Healthcare Framework Interoperability symbolizes the underlying capability for more than one framework to interchange healthcare Big Data and in turn utilize the pertinent data after being attained. There are various forms of issues faced in extending comprehensive and robust interoperability capabilities within national healthcare frameworks (Torab-Miandoab et al., 2023). One of the issues stems from a lack of uniformity of exchanged healthcare information coupled with no or reduced efficacy for the standardization of the involved healthcare Big Data framework. The challenge arises from data being kept in different and unaligned database sources that may integrate non-uniform formats that are not harmonious in nature (Torab-Miandoab et al., 2023). Another issue arises from possible healthcare Big Data confidentiality, security and privacy challenges such as malware and a lack of adherence to the underlined Health Insurance Portability and Accountability Act (HIPAA) (Torab-Miandoab et al., 2023). These aspects tend to hamper the goal of steering extensive fortification of individual patients and patient populations' personal health information. Another issue is facilitated by reduced or no uniform communications standards within the confines of Electronic Healthcare Records (EHRs) that can be used within the national healthcare framework (Torab-Miandoab et al., 2023). The context reduces the attainability of a harmonized communication framework that is significant for data exchange, acquisition, analysis, curation and evaluation. Systems by Centers for Medicare and Medicaid Services (CMS) for Steering Interoperability
3 The Centers for Medicare and Medicaid Services (CMS) integrated the Medicare Promoting Interoperability Program for steering interoperability attainability on a nationwide scale. The program is intended for implementation by eligible professionals (EPs), qualified healthcare settings, and Critical Access Hospitals (CAHs) (CMS.gov, 2023). The context is for fostering, enacting, making innovations and exerting noteworthy utilization of Certified Electronic Health Record Technology (CEHRT). There is also the mandated requirement for the underlined eligible entities to make reporting for various forms of score objectives or goals for the CEHRT (CMS.gov, 2023). The score metrics include electronic prescribing, healthcare information interchanges, provider-to-patient interchanges, and population healthcare and clinical health information interchanges. Additionally, there is a necessity for certifying Security Risk Analysis standards (CMS.gov, 2023). Another context is the need for certifying Safety Assurance Factors for Electronic Healthcare Records Resilience (SAFER) protocols and reduction or thwarting of compatibility coupled with interoperability CERT certification. Another aspect is the necessity for certifying adherence to the Office of the National Coordinator for Health Information Technology (ONC) outright reviewing (CMS.gov, 2023).
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4 References CMS.gov. (2023). 2022 Medicare promoting Interoperability Program Requirements . CMS.gov. https://www.cms.gov/regulations-guidance/promoting-interoperability/2022-medicare-pro- moting-interoperability-program-requirements Torab-Miandoab, A., Samad-Soltani , T., & Jodati, A. (2023). Interoperability of heterogeneous health information systems: a systematic literature review. BMC Medical Informatics and Decision Making , 23 (18). https://doi.org/10.1186/s12911-023-02115-5