ipl-logo

Indiana Health Information Exchange Case Study

1831 Words8 Pages

The Indiana Health Information Exchange (IHIE) has been the gold standard for HIE design for decades. One of the reasons for its long-term success has been its implementation strategy. The IHIE built on the success of a regional clinical data repository in Indianapolis and surrounding counties. This repository, known as the Indiana Network for Patient Care (INPC), resulted from the incorporation of five major hospital systems, state and county public health departments, Indiana Medicaid and RxHub, an e-prescription broker (McDonald, 2005). The INPC has been operated by the Regenstrief Institute since 1998. The INPC operates under a centralized model collecting information from multiple sites into a single patient medical record. This data is …show more content…

Sustainability has differentiated the IHIE from the rest. It has been exceptionally difficult to develop a sustainable business plan for HIEs. HIEs are most often non-profit organizations operating through temporary grant funding. Historically many HIEs have failed to appropriately allocate and transition from grant funding to a subscription payment model. One of the policies that helped lead them to success, was the requirement that any new service that they developed needed to be profitable within 24 months (Office of the National Coordinator of Health Information Technology, 2009). This allowed them to avoid the use of grant money for operational costs avoiding catastrophic failure when grant money was unavailable. Another strategy that allowed the IHIE to be sustainable was the use of the same system for both a repository and for clinical messaging. This allowed them to obtain a great amount of value out of an expensive asset. The IHIE continues to use this strategy to layer more services using the current infrastructure. The IHIE has a monopoly over HIE services in Indiana (Office of the National Coordinator of Health Information Technology, 2009). This has allowed them to begin in the Indianapolis area, a region able to sustain a HIE, and expand to markets in Indiana that could not support a HIE alone. This has provided them with the ability to grow their network and develop …show more content…

The best design for success would be incremental implementation of new technologies. This would allow for the greatest provider buy-in and would allow for appropriate allocation of resources. These technologies should optimally be integrated into existing interfaces to optimize the value generated from these high value assets. In implementing the HIE I believe utilizing a high population area to initially start the HIE would be highly beneficial. This would allow a focused development of the interface followed by further growth and expansion. This method would also allow the HIE to become well established before expanding to rural Iowa which would not be able to support a critical data mass. Des Moines would be an excellent location for initial implementation, since it is the home of UnityPoint Health, Iowa’s largest health system.. Iowa has done a great deal to promote the value of its HIE. The continued use of policy and legislation can help to make the use of HIE a necessity rather than a luxury. Iowa utilized this well already through the use of HITECH and ACO mandate. Passing legislation mandating the reporting of public health information could additionally increase the value of HIE use. One of the largest issues the IHIN is faced with is financial sustainability. The IHIN would be wise to follow in the footsteps of the IHIE. First and foremost, the IHIN

Show More
Related
554 Words | 3 Pages

INFORMATION SYSTEM STRATEGIC PLAN Abstract Kaiser Permanente is a not-for-profit integrated health care organization based in Oakland, California, that serves as an umbrella for a federation of for-profit medical groups. The organization was founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield. Kaiser Permanente is committed to help shape the future of health care. Care for members and patients is focused on their total health and guided by their personal physicians, specialists, and team of caregivers.

Read More
658 Words | 3 Pages

Kaiser providers receive a fixed amount of money per member, so as a cost saving measure, the system is geared toward keeping patients healthy and away from costlier and frequent service utilization. Kaiser Permanente utilizes a patient portal EMR system that they have named KP Connect. It is the largest civilian electronic medical record system, and is reported to have has improved clinical process measures and member retention, as well as elicited some operational savings and changes in utilization of

Read More
535 Words | 3 Pages

There are distinct advantage to embracing Health IT. Fully integrated EHRs enable rapid adaptation away from a volume-based care delivery model toward an alternative quality-based model. Tracking and improving quality of care with key performance indicators is essential to meet HHS and consumer expectation. Providers and clinicians participating in the CMS Shared Savings Program will find access to clinical intelligence enables efficient reporting and performance monitoring.

Read More
87 Words | 1 Pages

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

Read More
682 Words | 3 Pages

Within the general environment category, the political and legal factors such as the health related legislature influence QSSI’s ability to elevate its position in the Health IT industry marketplace. In 2010, the Affordable Health Care legislation, which includes the Patient Protection and Affordable Care Act in addition to the Health Care and Education Reconciliation Act were enacted. The significance of these pieces of legislation is the fact that collectively they provide an opportunity for millions of low-income and unemployed Americans to gain access to medical care (Affordable Care Act, n.d.). Over the last five years, a government agency, the Centers for Medicare and Medicaid Services (CMS), has been charged with making access to affordable health care its

Read More
409 Words | 2 Pages

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

Read More
797 Words | 4 Pages

Description of the legislation/policy Health information technology can advance the health of individuals and aid with the performance of providers to produce and improve quality and cost savings in patients’ health. In 2009, Congress passed, and former President Obama signed into law the Health Information Technology for Economic and Clinical Health (HITECH) Act, as part of the American Recovery and Reinvestment Act (Buntin, Burke, Hoaglin and Blumenthal, 2011). Authorized by the HITECH Act, the Office of the National Coordinator for Health Information Technology’s (ONC) has worked on health IT. The Health IT created legislation and regulations to provide requirements and certification criteria that the EHRs must meet to ensure health care

Read More
932 Words | 4 Pages

This service offers the opportunity for subscribers to better engage in care coordination and make sure that proper follow-up care is received. The AHIMA report that was released in 2012 also stated some ways that would help data integrity be at its best. They suggested that there be oversight and accountability mechanisms, acceptance criteria and patient identification practices as part of an internal review processes, and an understanding by exchange participants on how and when corrections will be made to patient data. To facilitate data quality, the ultimate goal of any HIE should be accurate identification of the patient. HIE patient identity and administration has three patient identification profiles: (1) the patient identifier cross-reference profile that matches patients by cross-referencing IDs; (2) the patient demographics query profile queries a central patient information server; (3) patient administration management has knowledge on the status of the patient which means they know where the patient is, was, or is

Read More
1362 Words | 6 Pages

Health information exchange (HIE) is an important tool for improving efficiency and quality and is required for providers to meet Meaningful Use certification from the United States Centers for Medicare and Medicaid Services. However widespread adoption and use of HIE has been difficult to achieve, especially in settings such as smaller-sized physician practices and federally qualified health centers (FQHCs). There are currently three key forms of health information exchange: • Directed Exchange – ability to send and receive secure information electronically between care providers to support coordinated care • Query-based Exchange – ability for providers to find and/or request information on a patient from other providers, often used for unplanned

Read More
1758 Words | 8 Pages

The context of health data and the numerous factors that go into patient outcomes are important to understanding multiple population health issues. For example, in order to properly address the development of chronic disease, the excess healthcare costs of a system, or the rise in poor patient outcomes, analysts need full comprehensive health data. This data is scattered across various locations and sources, and for it to become useful it needs to be streamlined into a standardized format. For this reason, HL7's FHIR standard is becoming highly relevant to population health management

Read More
872 Words | 4 Pages

Health information exchange or HIE allows doctors, nurses, pharmacists, and other health care providers and patients to access vital medical information. It also allows them to share medical information securely and electronically. HIE improves the speed, quality, safety, and the cost of patient care. For many years patient's files were stored using paper methods, transferring them by mail, fax or transferred it by hand to every appointment. Changing to electronic file improves the completeness of patient's medical records.

Read More
686 Words | 3 Pages

Although a health information organization is not required to support the Direct Project services and specifications. The Direct Project does offer capabilities that can be used, optionally, by the HIO to complement existing approaches. It is my hope that I have given some understanding as to exactly what the Direct Project is and the goals that it

Read More
1165 Words | 5 Pages

The American Health Information Management Association is recognized for being the leading source of HIM knowledge. AHIMA was founded in 1928 and its certificate is considered harder to get compared to

Read More
426 Words | 2 Pages

The U.S. health care is plagued with inefficiencies and poor quality even though 1.7 trillion dollars is invested annually into healthcare. But by using IT in healthcare can increase the cost saving by adopting an HIT or Health Information Technology system. An HIT or Health Information Technology system is a group of data sources that includes a patient electronic medical records, decision support systems, and computerized physician order entry for medications (RAND Corporation, 2005). If hospitals and doctor office adopt an HIT, it can maximize the saving for both inpatient and outpatient care by $77 billion per year (RAND Corporation, 2005). Most of the saving will come from reduced hospital stays, reduced administrative time, and more efficient drug utilization.

Read More
672 Words | 3 Pages

With healthcare being one of the most robust industries in the United States today, the choice to contribute to this industry is one that could offer tremendous pay out, financially, professionally, and personally (Fried, B. J., & Fottler, M. D., 2011). In this essay, I will explore the specifications and challenges for breaking into the health information management field. Health information management (HIM) is a diverse and continuously changing field. I will describe the many opportunities for employment in the healthcare industry, today and in the future. I started my research by first reviewing the requirements to secure an entry level position in the field of HIM.

Read More

More about Indiana Health Information Exchange Case Study

Related Topics

Open Document