HIE Organizations. The HIE landscape in California consists primarily of two types of health information organizations (HIOs): Community – local or community-based initiative, supported by a number of unaffiliated health care organizations, often within a geographic medical service area.
Long before the health information technology boom, California had a community- and enterprise-oriented, decentralized approach to health information sharing . This approach continued during the HITECH era, with the development of the CTEN, a trust framework designed to provide the most flexibility to adapt to California’s complex healthcare ecosystem and emphasize local autonomy to create and operate services that best meet the needs of local users, all supported by volunt ary self-governance as well as local and state government coordination.
The preparations for an HIE include organizing a governing body and establishing financial sustainability. Which of the following is considered a conceptual and sustainable public governance model?
RHIO provides analysis of health information and the secure transfer and reuse of that health information electronically. Health information exchanges can be useful for more than patient care and the uses are described at levels.
The health information exchange requires exchange of health-related information according to nationally recognized standards to link into which of the following as it can provide a standardized, secure, and confidential way to link information systems together for authorized users to share reliable health-related information?
1. Sustainability discussions occur after the implementation phase.
2. The success of the NHIN is not dependent on the state-wide HIEs.
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.
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
HIEs facilitate competition within the health care system by acting as trusted third parties that work with otherwise competitive health care entities.
The STAR HIE Program will build upon federal investments in HIEs and will leverage work done by the industry to advance HIE services for the benefit of public health.
With Morehouse School of Medicine HIE Bridge, GaHIN will connect state correctional facilities across the state to increase the reporting of COVID-19 results to the COVID-19 registries and other state public health registries.
Under this two-year program, HealthShare Exchange (HSX)— a Health Information Exchange (HIE) in Philadelphia that covers three states and more than 12 million people—is establishing services benefitting public health agencies in their current fight against COVID as well as future communicable disease threats, and improve HIE services available to support communities disproportionately impacted by COVID. Specifically, HSX will:
The Georgia Health Information Network (GaHIN) was awarded funding for the ONC STAR HIE Program to support the Georgia Departments of Public Health (DPH) and Community Health (DCH) to better access, share, and use electronic health information, especially data from populations underserved and/or disproportionately affected by the COVID-19 pandemic.
To manage the spread of the virus, public health officials need access to real-time longitudinal medical information for COVID positive patients. This includes demographics, contact information, diagnosis, test results, vaccinations, and characteristics that can help determine risk for inpatient hospitalization.
Health Current is using STAR HIE Program funding to strengthen the existing health information exchange (HIE) infrastructure in Arizona with a goal to improve the public health response to the current COVID-19 pandemic and other emerging public health threats. This two-year project has two main objectives.
HIE implementation initiatives often include partners with disparate financial resources to invest in purchasing and maintaining hardware and software. Some projects met this challenge by engaging local endowments, foundations, and private donors who could contribute.
Maintaining low staff turnover can help to foster trust and a consistent vision over the course of implementing an HIE effort.
Ongoing dialogues with stakeholders are necessary in order to develop the trusting relationships required to enter into legal agreements.
Constructing and fostering confidence in privacy and security measures for partners and consumers are important in ensuring the success of an HIE initiative.
HIE initiatives deal with complex technical considerations to mitigate disparities in technology capacity among information sharing partners in terms of software compatibility and connectivity.
Many HIE initiatives confront the need to develop evaluation metrics that are applicable along the entire continuum of care, not solely for acute care settings.
It is critical for HIE initiatives to research and be aware of relevant State laws and regulations prior to implementation. For example, some States require specific consent forms for the release of health information that may determine whether the HIE can have an opt-in or opt-out approach to engaging consumers.