A CEO’s Perspective on Health Information Exchanges

Defining a Health Information Exchange

The United States is facing the most severe shortage of healthcare professionals in the history of our nation. This is exacerbated by an growing geriatric population. In 2005, there was one geriatrician per 5 000 US people over 65. However, only nine out of the 145 medical schools in the country trained doctors who specialize in geriatrics. Visit:- https://caongua.vn/

In 2020, the healthcare industry is expected to be in short more than one million nurses. In the time of US healthcare have so many services been required with such a small amount of staff. Due to this shortage, along with the growing number of geriatric patients medical professionals have to come up with a method to deliver timely, accurate information to those who require it in a uniform manner. Imagine if flight control personnel spoke the language spoken by their nation instead of that of the international language used for flight, English. This scenario illustrates the urgent and vital requirement for standardization of communication in the field of healthcare. An efficient information exchange will aid in improving safety, reduce the length of hospital stays and reduce errors in medication, decrease the number of lab tests or procedures, and help make the health system more efficient, less bloated and more efficient. The ageing US population, as well as those affected by chronic diseases such as diabetes, cardiovascular disease and asthma will have to visit more specialists and need to figure out a way to connect with primary care physicians efficiently and effectively.

This effectiveness can only be achieved by standardizing the way that the exchange occurs. Healthbridge is an HIE based in Cincinnati located HIE as well as one of the biggest community-based networks has been able to cut the risk of outbreaks of disease between 5 and 8 days to just 48 hours through an exchange of health information across the region. Concerning the standardization process, one writer observed, “Interoperability without standards is like language without grammar. In both cases communication can be achieved but the process is cumbersome and often ineffective.”

United States retailers transitioned over 20 years ago to automatize inventory, sales and accounting controls that all increase efficiency and efficiency. Although it is uncomfortable to think of the patients’ inventory as a way to think, maybe this is the reason behind the absence of a transition from the primary care setting to the automation of the patient’s records and data. Imagine the typical Mom & Pop hardware store anywhere in mid America filled with inventory on shelves, and ordering multiple widgets due to a insufficient information about the current inventory. Imagine the stores like Home Depot or Lowes and you can see the impact of automation on the retail industry in terms of scale and effectiveness. Maybe the “art of medicine” is an obstacle to more effective intelligent, efficient and more effective medical practices. Standards for information exchange exist since 1989, however, recent interfaces have developed faster due to the increase in the standardization of regional and state-wide healthcare information exchanges.

History of Health Information Exchanges

Large urban areas located in Canada as well as Australia are the very first to implement HIE’s. Their success with these initial networks was attributed to their integration with primary health EHR systems that were already in place. The Health Level 7 (HL7) represents the first standardization of health language process within the United States, beginning with an event in the University of Pennsylvania in 1987. The HL7 standardization system has succeeded in replacing outdated interactions such as mail, faxing and direct provider communications, which are often a source of duplicates and inefficiency. Interoperability between processes improves understanding between health systems of networks to connect and communicate. The standardization process will affect the effectiveness of communication in the same manner that grammar standards improve communication. It is the United States National Health Information Network (NHIN) establishes the standards for this exchange of information between health networks. The HL7 standard is currently in its third edition, which was released in 2004. The objectives of HL7 are to improve interoperability, create consistent standards, and educate the industry about standardization, and work with other sanctioning bodies such as ANSI and ISO which are also interested in improving processes.

The United States one of the first HIE’s was established with the name HealthInfoNet in Portland Maine. HealthInfoNet is an open-source partnership that is thought to be the most extensive statewide HIE. The objectives of the network are to enhance patient safety, improve the quality of care provided by clinicians improve efficiency, decrease the number of services duplicated, detect the public threat more quickly, and increase access to patient records. The four founding groups , the Maine Health Access Foundation, Maine CDC, The Maine Quality Forum and Maine Health Information Center (Onpoint Health Data) started their work in 2004.

The project was initiated in Tennessee Regional Health Information Organizations (RHIO’s) established within Memphis as well as within the Tri Cities region. Carespark is an 501(3)c located within the Tri Cities region was considered an immediate project in which clinicians communicate directly with one another through Carespark’s HL7-compliant system as an intermediary to transfer data bi-directionally. Veteran Affairs (VA) clinics were also a key factor in the beginning stages of establishing the network. In the delta, the mid-south eHealth Alliance is a RHIO that connects Memphis hospitals such as Baptist Memorial (5 sites), Methodist Systems, Lebonheur Healthcare, Memphis Children’s Clinic, St. Francis Health System, St Jude, The Regional Medical Center and UT Medical. These regional networks enable doctors to exchange medical records, lab value reports, and other information efficiently.

Seventeen US communities are designated as Beacon Communities across the United States due to their growth of HIE’s. The health-related focus of these communities differs based on the health needs of the population and the prevalence of chronic diseases i.e. asthma, diabetes, cvd. The communities are focused on specific and quantifiable improvements in efficiency, quality, and safety because of improvements in health information exchange. The nearest geographic Beacon neighborhood to Tennessee located in Byhalia, Mississippi, just south of Memphis was awarded an amount of $100,000 by Department of Health and Human Services in September of 2011.

A model of healthcare for Nashville to copy is within Indianapolis, IN based on the city’s size, geographic proximity and demographics of the population. Four Beacon awards have been awarded to the communities close to Indianapolis, Health and Hospital Corporation of Marion County, Indiana Health Centers Inc, Raphael Health Center and Shalom Health Care Center Inc. Additionally, Indiana Health Information Technology Inc has received more than 23 million dollars in grants under the State HIE Cooperative Agreement and the HIE Challenge Grant Supplement programs administered by Federal government. The awards were awarded based on the following criteria: 1) Attaining health goals through health information exchange 2) improving long-term and post-acute health care transitions) Information exchange that is mediated by the consumer 4) Enhancing query capabilities for patients 5) Facilitating distributed, population-level analytics.

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