Relationship between hie and health reform

As healthcare reform accelerates, HIEs are pressed to provide a A relation between a provider and patient registry can reveal which. Conclusion: The relationship between HIE and improved care Key words: health information exchange, timeliness of care, quality of care. a roadmap for the development of effective health information exchange (HIE). vastly improve the quality of care among hospitals and physician practices.

EMPI integration across an HIE yields immediate value in data access and integrity to support the requirements of coordinated, accountable, patient-centered care.

  • Where Healthcare Reform Meets HIE

The same patient matching algorithms can also be applied to provider record cleanup, giving HIEs an edge in population health management and analytics. A relation between a provider and patient registry can reveal which providers are engaged in care provisioning, and allow providers to notify each other about diagnoses even without and beyond an HIE infrastructure.

A relationship registry can also model stated relationships between patients for example, caretaker, parent-child, spouse and between providers organization to person, specialty, or services that cannot necessarily be derived automatically.

The Economics of Healthcare: Crash Course Econ #29

Such relationship information can be useful for notifications, consent, and patient activation. Best of Breed Approach.

relationship between hie and health reform

Adapting to emerging healthcare models and standards requires vendors to accelerate product development which requires more flexibility in implementation and workflow processes. This becomes taxing on single vendors that cannot adapt quickly.

3 Technology strategies for improving HIE sustainability

A single source vendor that can meet all the technology needs for HIEs is near impossible, which is why many are turning to a best of breed approach. We propose that such information could be made available in electronic health records EHRs through automated exchanges of information about coverage, and used by care providers to help keep eligible patients continuously insured.

Usually their only interfaces are outbound messages: Some EHRs import insurance status, generally limited to patient matching data e. An important opportunity now exists to improve HIE to better enable clinic insurance enrollment support, arising from the unique confluence of recent federal programs supporting the rapid evolution of health information technology HIT and changes in insurance systems and the health care ecosystem. However, this information is not tracked or recorded over time.

3 Technology strategies for improving HIE sustainability

Front desk staff do not confirm insurance status from these sources. We conducted 95 hours of clinic observation and engaged 31 staff and 20 families from the OCHIN CHCs in interviews designed to identify their needs related to patient insurance data. Through these processes, the CHC staff identified the following needs: Table 1 lists these strategies and associated data tool prototypes, and provides examples of the CHC feedback that indicated the need for each. These strategies included creating workflows, both during and outside clinic visits, to assist patients with keeping their health insurance coverage up-to-date.

Results One hundred and ninety six articles were initially retrieved from the databases.

Journal of Healthcare Engineering

Out of36 studies met the inclusion criteria and were fully reviewed. Conclusions The findings provide useful theoretical implications for research by developing a classification of significant factors and a framework based on the lessons learned from the literature to help guide HIE efforts. Our results also have fundamental practical implications for policy makers, current and potential organizers of HIEs by highlighting the role of patients in the widespread implementation of HIE.

The study indicates that new approaches should be applied to completely underline HIE benefits for patients and also address their concerns.

relationship between hie and health reform

Electronic supplementary material The online version of this article doi: HIE promises several potential benefits through improved quality, safety and efficacy of healthcare services [ 2 ].

A number of governments around the world such as U. Huge investments are being made by the federal government to encourage the use of interoperable HIT to enable HIE among healthcare providers [ 5 ]. The widespread use of HIE plays an important role in the healthcare reform [ 7 ].

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Exchange of patient health information was expected to increase exponentially in the current decade [ 8 ]. The most cited impediments are technical limitations, financial constraints, lack of interoperability, privacy, and security concerns [ 2 ]. Furthermore, there are a number of stakeholders in the healthcare sector who can be producers and users of health information.

Obtaining coordination among all the stakeholders can be very challenging due to legal, safety, security, and operational issues [ 10 ]. One of the most critical stakeholders is healthcare consumers because their consent is required for sharing their health information.