What is a regional health information organization?
What is HIE in healthcare?
What is a diagnostic image exchange network?
What is HIE system?
What are the benefits of HIE?
What is federated HIE?
What is GLHC in Michigan?
See 4 more
About this website
Why have health information exchange efforts been developed?
Electronic exchange of clinical information is vital to improving health care quality, safety, and patient outcomes. Health information exchange (HIE) can help your organization: Improve Health Care Quality: Improve health care quality and patient outcomes by reducing medication and medical errors.
Who runs HIE?
A health information exchange (HIE) is a regional collaboration among independent healthcare organizations for sharing clinical information. Often, administrative information is shared as well. HIEs may be categorized in terms of their approach to governance. In some countries, they may be run by a governmental agency.
Where does HIE information come from?
This information is sent over the internet in an encrypted, secure, and reliable way amongst health care professionals who already know and trust each other, and is commonly compared to sending a secured email. This form of information exchange enables coordinated care, benefitting both providers and patients.
What is the difference between HIE and EHR?
A Health Information Exchange addresses this issue. An HIE is a secure central repository of patient data aggregated across multiple facilities and EHR systems in the same region. The goal is to provide a holistic view of the patient's electronic health record through a secure, standardized system.
What are the three types of HIE?
Three forms of HIE currently exist, each providing a different type of access to health information and in a different manner.Directed Exchange. Through directed exchange, health care providers can simply and securely share patient data with other providers directly. ... Query-Based Exchange. ... Consumer-Mediated Exchange.
How many states have health information exchanges?
Coverage. There are more than 15 community HIEs, with an operational presence in 39 of 58 counties statewide.
What information should not be exchanged in a HIE?
What Information Is Not Exchanged? Certain types of sensitive health information (such as psychotherapy notes, records of substance use treatment, and genetic testing) may not be disclosed under federal laws without the patient's prior written authorization.
What errors would HIE help prevent?
Using HIE to share important patient information helps both patients and physicians make healthcare decisions. The shared information helps prevent mistakes such as medication errors, wrong diagnoses and duplicate testing.
What is the difference between HIE and Hix?
HIE, Known as HIX These exchanges are newly created entities that have evolved as a result of the PPACA. Simply said, these entities will offer patients the ability to choose a health plan based on price. HIXs have longer term goals, including assistance in health insurance market reform.
What is the greatest benefit of health information exchange?
HIE helps facilitate coordinated patient care, reduce duplicative treatments and avoid costly mistakes. This practice is growing among health providers because the need for HIE is clear and the HIE benefits are significant.
Are interoperability and HIE the same?
January 09, 2013 - While health information exchange (HIE) plays a key role in interoperability, the two terms are not interchangeable, according to Director of the Office of Standards and Interoperability and the Acting Chief Scientist in the Office of the National Coordinator for Health Information Technology (ONC).
What are 2 patient specific benefits of utilizing HIE?
HIE benefits include: Provides a vehicle for improving quality and safety of patient care by reducing medication and medical errors. Stimulates consumer education and patients' involvement in their own health care. Increases efficiency by eliminating unnecessary paperwork.
Who is responsible to update and maintain personal health records?
Individuals own and manage the information in the PHR, which comes from healthcare providers and the individual. The PHR is maintained in a secure and private environment, with the individual determining rights of access. The PHR does not replace the legal record of any provider.
Which government agency department have focused on the adoption of Ehrs?
A certified EHR system is one that meets the requirements adopted by the US Department of Health and Human Services.
What is HIE consent?
This “consent decision" concerns the sharing and accessing of the patient's health information through an HIE for TPO. Privacy and Confidentiality Law & Policy. Health care providers and HIEs adopt different approaches to obtain consent from patients for sharing or limiting access to their health information.
What is a state HIE?
The State HIE Cooperative Agreement Program funds states' efforts to rapidly build capacity for exchanging health information across the health care system both within and across states.
The 3 Key Forms of Health Information Exchange - Office of the National ...
The 3 Key Forms of Health Information Exchange. There are currently three key forms of health information exchange (HIE):. Directed Exchange: Directed exchange gives health care providers the ability to electronically send and receive secure information – such as such as laboratory orders and results, patient referrals, or discharge summaries – to other health care providers involved in a ...
What is HIE? | HealthIT.gov
What is HIE? 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—improving the speed, quality, safety and cost of patient care.
Health Information Exchange - Health Current
Health Current | 3877 N. 7th St., Ste. 150 | Phoenix, AZ 85014 | 602-688-7200 | [email protected]
What Is HIE, Why Is It Important & Its Impact On Interoperabiliy
You probably have multiple options for joining an HIE. These options could include: Vendor integration – While you likely can’t get a full HIE connection with query capabilities, your EHR may have Direct Secure Message integrated into the software. That means you can send HIPAA-compliant email messages without leaving your EHR.
Health Information Exchange - an overview | ScienceDirect Topics
Julia Adler-Milstein, Brian E. Dixon, in Health Information Exchange, 2016. Abstract. Health information exchange (HIE) seeks to facilitate the electronic sharing of patient information across organizations so that it available when and where it is needed by clinicians and other key stakeholders. While HIE has been pursued at both policy and organizational levels for many years, it is still a ...
Part One – The Early Years
As an advocate for the streamlined exchange of health information via a health information exchange (HIE), I am fascinated by our industry’s remarkable journey. Have you ever wondered how we reached our current state? Today, we take for granted things like HL7 formatted reports and master patient indexes.
About the Author: John Reifenberger
John Reifenberger, known to colleagues as JR, is the Director of Project Management and Customer Success for eHealth Technologies Image Exchange. He has over thirty years of experience in Health Care Information Technology including fifteen years of leadership in Health Information Exchange.
What is HIE in healthcare?
The National Rural Health Resource Center has made available a set of practical health information exchange (HIE) resources to assist providers in understanding and implementing Health Information Exchange. Visit the HIE Toolkit
What is HIE?
Health Information Exchange allows health care professionals and patients to appropriately access and securely share a patient’s medical information electronically. There are many health care delivery scenarios driving the technology behind the different forms of health information exchange available today.
When did the EHR become interoperable?
However, Congress also declared achieving widespread exchange of health information through interoperable certified EHR technology by December 31, 2018, as a national objective in MACRA.
When digital systems seamlessly exchange data with each other, it is referred to as "interoperability"?
When digital systems seamlessly exchange data with each other, it is referred to as interoperability. More specifically, true interoperability occurs when information held in one EHR transfers through a standardized wire format to a separate EHR in such a way that the information exchanged proves to be machine readable by the accepting EHR. Once that information is accepted in transfer, the receiving EHR should have enough appreciation of the content and the context of the data shared to be able to represent the information appropriately in the workflow of the clinicians using the transferred information.
Why are surgeons frustrated with EHR?
Surgeons are frustrated when EHR requirements demand more data entry , leaving less face time with patients. More and more, surgeons find themselves managing digital health information from all its various sources. Many surgeons point to EHR frustrations as a large contributor to burnout, adding to the physician wellness conundrum. EHRs should have workflow services built for patients and surgeons that fit the clinical circumstances and advance care.
What is interoperability in healthcare?
MACRA defined interoperability as “the ability of two or more health information systems or components to exchange clinical and other information and use the information that has been exchanged by means of common standards to provide access to longitudinal information for health care providers to facilitate coordinated care and improve patient outcomes.” 4
What is the HITECH Act?
The HITECH Act authorized CMS to establish the Medicare and Medicaid EHR Incentive Programs. These programs paid approximately $35 billion in incentive payments to eligible professionals, hospitals, and critical access hospitals to adopt, implement, upgrade, and demonstrate the use of certified EHR technology (CEHRT). 3 The reporting requirements involve the ability of an EHR to perform such functions as generating problem lists, exchanging patient clinical data, or e-prescribing. 3
What is the ONC for HIT?
health care sector. 1 The Health Information Technology for Economic and Clinical Health (HI TECH) Act was passed as part of the larger American Recovery and Reinvestment Act of 2009. 2 In 2011, the meaningful use (MU) component of HITECH was implemented to expand the adoption of HIT and facilitate the use of EHRs. 2
What is MU in ONC?
In 2014, the ONC created Stage 2, which sought to extend the requirements of Stage 1 and promote more advanced clinical processes. Stage 3 began this year and extends into 2018. Its focus is on improving overall outcomes, and the MU program is now a component of the Merit-based Incentive Payment System —specifically the Advancing Care Information performance category—under the Quality Payment Program (QPP). 3,4
What is the future of health information management?
Today’s health information management industry is still based on the founding goal of the first medical record librarians: to increase and improve the clinical documentation standards.
When did the HIM industry start?
The HIM industry can trace its roots back to the 1920s, when healthcare professionals realized that documenting patient care benefited both providers and patients. Patient records established the details, complications and outcomes of patient care.
What was the impact of the 80s on healthcare?
The ‘80s produced huge leaps in healthcare software development. The advent of computerized registration meant patients were able to benefit from a more efficient electronic check-in process for the first time ever.
Why is electronic health records important?
Electronic health records would allow “providers to make better decisions and provide better care” while “reducing the incidence of medical error by improving the accuracy and clarity of medical records .”. ( CMS.gov) President George W. Bush called for computerized health records in his 2004 State of the Union Address.
Why is documenting medical history important?
Documentation became wildly popular and was used throughout the nation after healthcare providers realized that they were better able to treat patients with complete and accurate medical history. Health records were soon recognized as being critical to the safety and quality of the patient experience.
When were medical records first maintained?
Medical records in the information age. Paper medical records were steadily maintained from the 1920s onward, but the advancing technology of the ‘60s and ‘70s introduced the beginnings of a new system. The development of computers encouraged pioneering American universities to explore the marriage of computers and medical records.
What is the name of the organization that standardized medical records?
The ACOS standardized these clinical records by establishing the American Association of Record Librarians , a professional association that exists today under the name American Health Information Management Association (AHIMA). These early medical records were documented on paper, which explains the name “record librarians.”.
How to opt out of health information exchange?
Patients given the opportunity to opt-out of a health information exchange must actively choose not to participate in the health information exchange by signing an opt-out form or through patient mailings/brochures, posted notices, or an online patient portal. The patient’s health information is exchanged through a network unless the patient formally elects to opt-out. Opt-out models typically exclude specially protected health information such as psychiatric records or drug and alcohol treatment covered in 42 CFR 2. 8
What is HIE exchange?
The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic health information exchange in the report titled “Information for Health, A Strategy for Building the National Health Information Infrastructure.” Formally codified by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the Office of the National Coordinator for Health IT (ONC) has supported the development of standards, services, and policies for HIEs. The number of HIEs and HIE stakeholders exchanging information has grown exponentially as a result of ONC's efforts.
What is the business case for electronic exchange?
The introduction of payment and delivery reforms, which range from the establishment of accountable care organizations (ACOs) to bundled payments and patient-centered medical homes , is creating a compelling business case for electronic exchange. In response to HIE-infused initiatives like the federal government’s “meaningful use” EHR Incentive Program, healthcare systems and small providers now desire to link to an HIE. Innovative approaches to electronic information exchange are emerging as a result, including private HIE networks advanced by hospital systems pursuing ACO status, exchange services offered by electronic health record (EHR) vendors, and regional- and state-level information exchange initiatives. According to a recent KLAS survey, the number of active private HIEs tripled from 52 in 2009 to 161 in 2010. 1
What is the EHR incentive program?
In stage 1 of the program, providers must show that their EHR systems could exchange health information. The final rule for stage 2 involves higher expectations for HIEs, such as tougher requirements for e-prescribing, structured laboratory results, and expectations that providers will electronically transmit patient care summaries to support care transitions. The increasingly robust expectations for health information exchange expected in stage 3 will support the overall goal of having information follow the patient.
What is the first step in developing an HIE?
The first step in developing an HIE is to establish a governing structure. If the HIE will include facilities competing in the same local or regional market, a structure for building consensus on sharing patient information is imperative.
What is the information contained in this practice brief?
The information contained in this practice brief reflects the consensus opinion of the professionals who developed it. It has not been validated through scientific research.
What is the HIPAA privacy rule?
Many laws and regulations currently govern how, when, what, and to whom protected health information is released. The Health Insurance Portability and Accountability Act (HIPAA) privacy rule and HITECH Act contain specific requirements for the management of personally identifiable health information that balance confidentiality of the individual with the need for complete and timely exchange of health information. These regulations create a new paradigm where we must adapt the traditional release of information functions.
What is a regional health information organization?
The latter organizations (often called Regional Health Information Organizations, or RHIOs) are ordinarily geographically defined entities which develop and manage a set of contractual conventions and terms, arrange for the means of electronic exchange of information, and develop and maintain HIE standards.
What is HIE in healthcare?
Health information exchange ( HIE) is the mobilization of health care information electronically across organizations within a region, community or hospital system. Participants in data exchange are called in the aggregate Health Information Networks (HIN). In practice the term HIE may also refer to the health information organization (HIO) that facilitates the exchange.
What is a diagnostic image exchange network?
Hospitals in the Dutch provinces Groningen, Friesland and Drenthe have created an (diagnostic) image exchange network in order to phase out CD/DVD based exchanges using an IHE (XDS) platform. St. Gerrit, the local HIE organization has gradually expanded the network since 2014, spanning 10 hospitals to date. Diagnostic images and related reports are exchanged to support a number of use-cases including radiology referrals to the Academic Medical Center Groningen ( UMCG ), radiotherapy treatments, CVA Stroke Traumas and proton therapy. The HIE network has development a number of cross-enterprise workflows using IHE XDW .
What is HIE system?
HIE systems facilitate the efforts of physicians and clinicians to meet high standards of patient care through electronic participation in a patient's continuity of care with multiple providers. Secondary health care provider benefits include reduced expenses associated with:
What are the benefits of HIE?
HIE systems facilitate the efforts of physicians and clinicians to meet high standards of patient care through electronic participation in a patient's continuity of care with multiple providers. Secondary health care provider benefits include reduced expenses associated with: 1 the manual printing, scanning and faxing of documents, including paper and ink costs, as well as the maintenance of associated office machinery 2 the physical mailing of patient charts and records, and phone communication to verify delivery of traditional communications, referrals, and test results 3 the time and effort involved in recovering missing patient information, including any duplicate tests required to recover such information
What is federated HIE?
In short, in a federated HIE, records are exchanged electronically among providers when they need them. In a centralized model, all patient information is uploaded to a single database from which any provider in the HIE can download a patient's full medical record.
What is GLHC in Michigan?
Great Lakes Health Connect (GLHC), based in Grand Rapids, is the largest provider of Health Information Exchange (HIE) services in Michigan . GLHC was founded in 2009 as Michigan Health Connect (MHC) when several health systems in West Michigan (including Spectrum Health, Trinity Health, Metro Health, Lakeland Health, and Northern Michigan Regional Health System) agreed to collaborate and not compete on clinical data exchange. In March of 2010 MHC was formally launched as a charitable [509 (a)2] non-profit corporation in Michigan. In June of 2014 Michigan Health Connect merged with Great Lakes Health Information Exchange (GLHIE) to form Great Lakes Health Connect.
