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Health Information Exchange Model

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Health information exchange model and standards
Health information exchange (HIE) is defined as “the electronic movement of health-related information among organizations according to nationally recognized standards” . Occasionally, HIE is also called health information network (HIN). HIE lets doctors, pharmacists, nurses, radiologists, lab technicians and other health care providers and patients to properly access and securely share a patient’s vital medical information electronically. This will lead to an improving in the safety, cost, speed and quality of patient care. The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA) , was signed …show more content…

The first form is Directed exchange. Directed exchange is the ability to send and receive secure information electronically between care providers to support coordinated care. Directed exchange is being used for sending immunization data to public health organizations or to report quality measures to The Centers for Medicare & Medicaid Services (CMS). The second form of HIE is Query-based exchange which is ability for providers to find and/or request information on a patient from other providers, often used for unplanned care. The third form of Health information exchange is Consumer-mediated exchange which is ability for patients to aggregate and control the use of their health information among …show more content…

The first level is Foundational interoperability which allows data exchange from one information technology system to be received by another and does not require the ability for the receiving information technology system to interpret the data. The second level is Structural interoperability which is an intermediate level that defines the structure or format of data exchange (i.e., the message format standards) where there is uniform movement of health data from one system to another such that the clinical or operational purpose and meaning of the data is preserved and unaltered. The third level is Semantic interoperability. This level gives interoperability at the highest level, which is the ability of two or more elements or systems to exchange information and to use the information that has been exchanged. Semantic interoperability takes advantage of both the codification of the data including vocabulary and the structuring of the data exchange so that the receiving information technology systems can interpret the

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Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.

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This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. It also contains requirements concerning the use of these standards by health plans, health care clearinghouses, and certain health care providers. The use of these standard transactions and code sets will improve the Medicare and Medicaid programs and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the system and enabling the efficient electronic transmission of certain health information. It implements some of the requirements of the Administrative Simplification subtitle of the Health Insurance.

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The article stated that business associates can offer DDE as an option to health plans and also DDE can be customized as well. Since DDE is an option, health plans can offer DDE to certain providers but DDE system must meet the requirements of HIPAA because of the information that is transmitted via electronic. However, some critical issues involved were sending as a transaction which is not DDE and health care plans are not to offer incentives to use the DDE system. Also, electronic data interchange (EDI) could not replace DDE because it is an option to providers but EDI has to used (Nachimsom,

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It involves conveying important information such as patient diagnosis, details, and records through emails, letters, and text messages. This helps ensure that all parties involved in the patient's care have access to accurate and up-to-date information, which can lead to better

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Health Information Exchange Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count

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The focus of this paper will be geared toward the impact that the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Health Information Technology have on the cost of health care. The regulations connected to HIPAA have an impact on cost through enforcement, noncompliance, and implementation. HIPAA is a vital tool in the protection of PHI of patients and the improvement of the Medicare and Medicaid programs (Cleverly). Trying to contribute to the improvement of Medicare alone can be a daunting and expensive task alone, but to add the addition of protecting the health records of millions of patients adds to the rising cost. Health Information Technology (HIT), aids in the enforcement of HIPAA and helps with billing patients accurately for services that they have received (Wizemann).

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In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR

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As records were shared electronically rules were implemented for clinicians to follow known as The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Summary of the HIPAA Security Rule ,2013). These rules were implemented for clinicians to protect the

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Imagine one hospital with two or three different departments uniquely coding their information. Then imagine multiple hospitals doing the same thing. The exponential level of complications that would arise from every system creating and using their own version of information would have led to virtually no information exchange. Whatever exchange would occur in this setting would come at an excessive cost and effort, multiple stakeholders would have to come together to interpret each other's coding system. This is how clinical interface specialists realized that there was a need for a standard of information exchange that was overarching and at the same time not overly

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Query-based exchange is the “ability for providers to find and/or request information on a patient from other providers, often used for unplanned care. Query-based exchange is used to search and discover accessible clinical sources on a patient” For example, a query-based exchange can assist a provider in obtaining a health record on a patient who is visiting from another state, resulting in more informed decisions about the care of the patient. Consumer-mediated exchange is the “ability for patients to aggregate and control the use of their health information

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Other than HIPAA, Health Information Technology for Economic and Clinical Health (HITECH) Act is a major federal policy initiative that affects the healthcare information technology (HIT) in the past years. However, its policy is used to protect the EHR system from a security breach that can cause multi-million dollar fines to the company (Campus Safety Magazine, 2010). In 2009, President Obama signed HITECH Act as part of the American Recovery and Reinvestment Act to support the Department of Health and Human Services (HHS) with authority, so it can establish programs that will improve healthcare quality, safety, and efficiency using HIT (Hebda & Czar, 2013). Certainly, HITECH is one of the significant health care reforms that have a major

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