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Health Information Exchange

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Recommended: Health information exchange pros and cons

“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” (HealthIT, 2014). Health Information exchange is becoming important in the communication between providers to provide the best care possible to patients. Every state along with their hospitals has their own way of exchanging information between each other.
South Carolina’s health information exchange is called “SCHIEx” (AHIMA, 2010). “SCHIEx provides a state-level information infrastructure for connecting local healthcare providers and other stakeholders” (AHIMA, …show more content…

These participants include some health facilities. In Spartanburg, two facilities participate and they are South Carolina School of Deaf and Blind and Spartanburg Area Mental Health Center. Patients choose if they would like to participate. Recently, Georgia has combined with South Carolina to form a state to state information exchange. This connection allows providers to easily receive healthcare information from both states. SCHIEx is designed as a federated model. “SCHIEx minimizes the amount of information that will be managed centrally” (Bolisetty & Cassell, …show more content…

One example of a challenge with health information exchange is sustaining the health information exchange without government help (Markus, Matthews, & Tripathi, 2014). There is always the question of who should pay for what and how much. Another challenge is determining which governing structure should be used. A big challenge that many patients and physicians worry about is how safe sensitive information are and how to treat that information. Security should always be required when accessing patient records. Data use agreements and connections between HIE organizations are also a concern with health information exchange. “The types of healthcare partners that are needed is a challenge when determining the trading area needed for a viable HIE” (PHII, 2005).
Although there are challenges, there are opportunities with implementing a health information exchange system. One opportunity is HIE can improve reporting to public health and in return improve the health of the community. Another opportunity HIE have is that it can improve the communication between physicians and can lower the number of duplicate services and decrease the cost of services. Implementing health information exchange systems can overall help improve care for

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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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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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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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EHR has its advantages and disadvantages of implementing new technology in the health care system, EHR can help improve collaboration, communication, performance, and decrease added work. The author believes that the incentives that the government is providing for physicians and hospitals to adopt electronic health records system will help improve accessibility to patient data, improve preventative health, and provide a collaboration from both patients and health professionals to increase patient ’s outcomes of their overall

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Confidentiality and data breaches are a few of the main concerns, as many providers become neglectful when sharing patient electronic health information. Current use of Electronic Health Records (EHR) has proven to be helpful for hospitals and independent medical practice to provide efficient care for patients. Balestra reports that using computers to maintain patient health records and care reduces errors, and advances in health information technology are saving lives and reducing cost (Balestra, 2017). As technology advances EHR are going to continue to be the main method of record keeping among medical providers. Therefore, staff and medical providers need to be trained on how to properly share patients EHR safely and in a secure form in order to maintain patient confidentiality.

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Among the wide range of standards available for the integration and interoperability of medical information systems is data exchange or messaging standards. The purpose is to broadly provide instructions or specifications for the structure, format, and elements for data pertaining to health related operations that involve clinical, financial and administrative data. More specifically messaging standards defines the relationship among data elements for structuring data as they are interchanged. 7.1.1 HL7. V3 - Health Level 7 Messaging Standards Version 3

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Therefore, security and protection is dictated by where the healthcare data is initiated within the healthcare delivery system. Futuristically, the concept of security and privacy is determined by where patient’s data begins which creates a huge question of how to protect data exchange since today’s healthcare is so patient centric. Presently, the healthcare community is promoting increased patient involvement in their care via technology such as patient portals. Furthermore, implementing HIPAA and HITECH can seem restrictive and cumbersome to the patient thereby creating opposing forces between two very important goals of the future healthcare system: increased patient involvement as well as increased healthcare information

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They are able to use secure messaging to ask point related questions and receive shorter response times than waiting on a phone calls. This method is efficient with the doctors as well, they are not being overloaded with incoming phone calls and patients avoid miscommunication or missed phone calls. Once they leave their doctor they are able to review doctors' notes in the case the patient did not remember what was discussed. Health information exchange has many benefits, however there are many challenges as well. HIEs have to select one or more vendor to deliver services in a successful manner.

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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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Beyond application, HMD can be used to send critical value to providers immediately negating the need to telephone several parties. The information acquired instantly can be used to boost patient safety. Safety concerns could be addressed by enhanced communication speed. Ultimately allowing the nurse to apply this information to give faster more effective interventions. Outside patient care, social media and HMD can be used for staffing communication, job postings, blogs and bulletin boards to foster unit communication (Piscotty, Martindell, & Karim,

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