A CEO’s Perspective on Health Information Exchanges

Defining a Health Information Exchange

The United States is facing the largest shortage of healthcare practitioners in American history. This is compounded by an ever growing geriatric population. In 2005, there was only one geriatrician per 5,000 US citizens over 65, and only nine of the 145 medical faculties trained physicians who treat geriatric patients. In 2020, the field is estimated to be short more than 1 million nurses. In the time of US healthcare, has so much been needed with such little people. Visit:- https://caongua.vn/

Because of this shortfall, coupled with the increasing number of people living in geriatric homes medical professionals have to come up with a method to offer timely and accurate details to those who require it in a uniform fashion. Imagine if flight controllers could speak the native language of their nation instead of the current international flight language, English. This scenario illustrates the urgent and critical nature of our necessity for a standardized communication system in the field of healthcare. An efficient information exchange will aid in improving safety, reduce the length of hospital stays, cut down on medication errors, reduce the number of lab tests or procedures, and make the healthcare system more efficient, more efficient and more productive. The older US population, as well as those impacted by chronic disease such as diabetes, cardiovascular disease and asthma will require see more specialists who will have to figure out how to connect with primary healthcare providers effectively and efficiently.

This effectiveness is only achieved through standardizing the method in which communication takes place. Healthbridge, one of the largest HIEs in the city, is a Cincinnati based HIE as well as one of the most extensive community-based networks could reduce the risk of outbreaks of disease from 5 to 8 days down to just 48 hours by implementing an exchange of health information across the region. In terms of standardization, one researcher stated, “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 twenty years ago in order to automatize inventory, sales and accounting control which improve efficiency and efficiency. While uncomfortable to think of people as inventories, maybe this is the reason for the lack of transition in the primary care settings to automatization of the patient’s records and data. Imagine that you have a Mom & Pop hardware store anywhere in middle America filled with inventory shelves, and ordering multiple widgets due to the not having information about the current inventory. Take a look at your local Home Depot or Lowes and you’ll see the impact of automation on the retail sector in terms of scale and efficiency. Maybe the “art of medicine” is the biggest obstacle to more efficient innovative, efficient, and more efficient healthcare. Standards in information exchange exist since 1989, however, recent interfaces have developed faster due to the increase in the standardization of regional and state medical information exchanges.

History of Health Information Exchanges

The major cities of Canada as well as Australia had been among the first cities to successfully introduce HIE’s. The success of these early networks was attributed to their integration with primary healthcare EHR systems already in place. Level 7 Health Level 7 (HL7) represents the first standardization of health language process within the United States, beginning with an event at the University of Pennsylvania in 1987. It has been successful in replacing outdated interactions such as faxing, mail and direct provider communication which can lead to redundant and inefficient. Process interoperability increases human understanding across health and networks systems to communicate and integrate. Standardization ultimately affects how effective that communication functions in the same way that grammar standards facilitate better communication. The United States National Health Information Network (NHIN) defines the standards that foster this delivery of communication between health networks. It is currently on its third version , having been released in 2004. The objectives of HL7 are to boost interoperability and develop coherent standards, train the industry on standardization and collaborate with other sanctioning bodies like ANSI and ISO who are also focused on improving processes.

The United States one of the earliest HIE’s started with the name HealthInfoNet in Portland Maine. HealthInfoNet is the result of a partnership between public and private and is thought to be the state’s largest HIE. The main goals of the organization are to improve patients’ safety, improve the quality of healthcare and efficiency, cut down on the number of services duplicated, detect public threats more quickly and expand patient record access. 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.

It was in Tennessee Regional Health Information Organizations (RHIO’s) initiated at Memphis in in the Tri Cities region. Carespark is the organization that is a 501(3)c organization, located in the Tri Cities region was considered as a direct project that allows clinicians to interact directly with each other by using the Carespark HL7 compliant system for bidirectional data translation. The Veterans Affairs (VA) clinics were also a key factor during the beginning of building this network. In the delta, the mid-south eHealth Alliance is a RHIO connecting Memphis hospitals like 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 values of medicines, as well as other reports with greater efficiency.

Seventeen US communities have been identified as Beacon Communities across the United States due to their growth of HIE’s. The focus of these communities on health differs based on the health needs of the population and prevalence of chronic disease conditions i.e. cvd, diabetes, asthma. The communities focus on specific and quantifiable improvements in health, safety and efficiency through the improvement of health information exchange. The closest physical Beacon village to Tennessee is located in Byhalia, Mississippi, just south of Memphis, was granted a grant of $100,000 from Health and Human Services Department Health and Human Services in September of 2011.

A healthcare model that Nashville to copy is found in Indianapolis, IN based on geographic proximity, city size and population demographics. Four Beacon awards have been awarded to communities in and around Indianapolis, Health and Hospital Corporation of Marion County, Indiana Health Centers Inc, Raphael Health Center and Shalom Health Care Center Inc. In addition, Indiana Health Information Technology Inc has been awarded over 23 million dollars in grants via the State HIE Cooperative Agreement and 2011 HIE Challenge Grant Supplement programs administered by Federal government. The grants were awarded on the following criteria:1) Reaching health-related goals through health information exchange 2) improving long-term and post-acute care transitions 3) Consumer-mediated information exchange 4) Enabling enhanced query for healthcare providers 5) Promoting distributed-level population analytics.

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