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Health information exchange

December 02, 2023

Not to be confused with Health insurance exchange (HIX).

Health information exchange (HIE) is the mobilization of health care information electronically across organizations within a region, community or hospital system. Participants in data exchange are called in the aggregate Health Information Networks (HIN). In practice, the term HIE may also refer to the health information organization (HIO) that facilitates the exchange.

The goal of HIE is to facilitate access to and retrieval of clinical data to provide to public health authorities in analyses of the health of the population.

Formal organizations support financial statewide health information exchange grants from the Office of the National Coordinator for Health Information Technology. These grants were legislated into the HITECH components of the American Recovery and Reinvestment Act of 2009.[1] The Regional Health Information Organizations, or RHIOs, are ordinarily geographically defined entities which develop and manage a set of contractual conventions and terms, arrange for the means of electronic exchange of information, and develop and maintain HIE standards.[2]

In the United States, federal and state regulations regarding HIEs and health information technology (HIT) are still being defined. Federal regulations and incentive programs such as "Meaningful Use", which is formally known as the EHR Incentive Program,[3][4] are changing. The vast majority of HIEs and RHIOs remain tied to federal, state, or independent grant funding in order to remain operational. Some exceptions exist, such as the Indiana HIE.[5][6]

Storage and gathering of information edit

Data architecture models edit

In a centralized model of HIE, there is a central (or master) database that holds a copy of all of the records of every patient contained. In a federated model of HIE, there is no master database.

In a centralized model, patient information is uploaded to a single database from which any provider in the HIE can download. In a federated model, records are exchanged electronically among providers when they need them.[7][8]

Patient consent edit

Exchanges in the US must operate with patient consent to comply with not only the Health Insurance Portability and Accountability Act (HIPAA) and also variety of state and federal laws and regulations. This was clarified by the Office of Civil Rights in the January 2013 Final Omnibus Rule Update to HIPAA.[9]

There are two methods for gaining patient consent. One is explicit consent and is termed opt-in. With this method, a patient is not automatically enrolled into the HIE by default and generally must submit a written request to join the exchange.

The other method is implicit patient consent and is termed opt-out. In this method, patients give implicit consent to join an HIE when they agree to use the services of a health care provider who is submitting data into an HIE and sign the provider's Notice Of Privacy Practices. Patients can request to opt out of the HIE, generally with a written form.[10]

Notable European health information exchanges edit

Netherlands edit

Frysian Health Information Exchange
Connects Medical Centre Leeuwarden and Academic Center in Groningen with community hospitals like Nij Smellinghe Hospital in Drachten.[11][12]
The Friesland Regional Cardiology Network reduces the length-of-stay for patients in hospitals by one or two days.[12] Once the records were uploaded to the cardiology network, records remain available for consultation at any time so that previous episodes of a patient's care can be consulted.

North of the Netherlands – XDS Network edit

Hospitals in the Dutch provinces Groningen, Friesland and Drenthe have created an (diagnostic) image exchange network in order to phase out CD/DVD based exchanges using an IHE (XDS) platform. St. Gerrit, the local HIE organization, has gradually expanded the network since 2014, spanning 10 hospitals to date.

Other edit

United Kingdom edit

  • Sussex and Surrey
  • Bristol
  • Great Ormond Street Hospital

Ireland edit

  • NIMIS

Finland edit

  • Helsinki-Uusimaa Health district

Notable United States health information exchanges edit

Individual exchanges edit

Chesapeake Regional Information System for our Patients
CRISP is a non-profit corporation that is implementing health information exchange in the state of Maryland. The organization also serves as the Health IT Extension Center for Maryland. CRISP was created by Johns Hopkins Medicine, MedStar Health, the University of Maryland Medical System and Erickson Retirement Communities.[19] Audacious Inquiry, a health information system consulting firm, serves as the technical architect and strategic partner for the health information exchange while Dynamed Solutions provides operational, project management and organizational support under CRISP.
Health Current
Health Current, formerly Arizona Health-e Connection (AzHeC), is the health information exchange (HIE) that shares information across Arizona.[20] Health Current grew out of a gubernatorial executive order in 2007.[21]
Delaware Health Information Network
Delaware Health Information Network (DHIN) is a non-profit public-private partnership enacted by the Delaware General Assembly in 1997. DHIN has adopted regulations to govern its operations and has policies and procedures. DHIN started in May 2007. In February 2012, The Delaware Health Information Network announced full participation of all acute care hospitals and skilled nursing facilities in the state, along with the vast majority of Delaware providers, in the first statewide community health record. As of June 2013, DHIN has the participation of 97 percent of Delaware providers, tracks around 88 percent of Delaware's population, and delivers more than 10 million clinical results and reports to participating providers annually.[22]
Idaho Health Data Exchange
The Idaho Health Data Exchange (IHDE) is the state designated Health Information Exchange (HIE) for Idaho. Health Information Exchange enables doctors, nurses, labs, and other medical providers to securely access their patient's electronic health information quickly, 24/7/365. IHDE is a non-profit 501(c)(6) company. Located in Boise, Idaho, the staff consists of an Executive Director, Executive Assistant, Sr. Marketing Coordinator, Business Analysts (Implementations), Training/Support Specialists, and IT systems support. Members of the Board of Directors and Privacy and Security Committee represent the private and public sectors, and delivery systems.[23]
Indiana Health Information Exchange
The Indiana Health Information Exchange (IHIE) operates the U.S.' largest HIE and one of the oldest with data on more than 7 million patients. Created by the Regenstrief Institute, a medical informatics think tank, the Indiana Network for Patient Care (INPC) is a secure network that provides patient records to participating doctors. This HIE grew from 12 hospitals in the center of the state with approximately 5,000 physicians, to 106 hospitals out of 126 in the state and more than 14,000 physicians in Indiana.[24]
Ohio Health Information Partnership
The Ohio Health Information Partnership (with CliniSync; HIE) is a nonprofit, public/private partnership initially funded with $14.8 million in federal HITECH funds under the Office of the National Coordinator for HIT. It is the state-designated statewide health information exchange founded by the Ohio State Medical Association, the Ohio Osteopathic Association, the Ohio Hospital Association, BioOhio and the Ohio Department of Insurance.[citation needed] CliniSync is an independent nonprofit founded in 2009.[25] It received $43.8 million in HITECH funding.[25]
Federal funds paid for the creation of the technological infrastructure, powered by Medicity, as well as discounted implementation fees for hospitals in Ohio.[citation needed] As of 2016, CliniSync has 148 hospitals contracted, with 123 "live," and over 400 long-term and post-acute care facilities.[25]
In 2015, CliniSync enabled practices and other authorized users to look up and find (query and retrieve) a longitudinal Community Health Record on a patient.
CliniSync members will receive notifications when a patient is discharged or admitted to the hospital or Emergency Department in late 2016.

See also edit

References edit

  1. ^ . The Office of the National Coordinator for Health Information Technology. U.S. Department of Health & Human Services. 27 January 2011. Archived from the original on February 9, 2011. Retrieved December 23, 2010.
  2. ^ Overhage JM, Evans L, Marchibroda J (2005). "Communities' readiness for health information exchange: the National Landscape in 2004". J Am Med Inform Assoc. 12 (2): 107–12. doi:10.1197/jamia.M1680. PMC 551542. PMID 15561785.
  3. ^ "Electronic Health Records (EHR) Incentive Programs". Centers for Medicare & Medicaid Services.
  4. ^ . Health Information Technology. U.S. Department of Health & Human Services. 16 March 2010. Archived from the original on April 20, 2010. Retrieved April 21, 2010.
  5. ^ "Home". Indiana Health Information Exchange. Retrieved 13 April 2016.
  6. ^ McGee, Marianne (7 June 2012). . Information Week. UBM. Archived from the original on 25 April 2016. Retrieved 10 June 2012.{{cite web}}: CS1 maint: bot: original URL status unknown (link)
  7. ^ HIMSS HIE Guide Work Group (November 2009). (PDF). Healthcare Information and Management Systems Society (HIMSS). Archived from the original (PDF) on 2014-03-19.
  8. ^ . HIMSS. Healthcare Information and Management Systems Society. Archived from the original on 2008-09-26.
  9. ^ (PDF). American Medical Association. 19 February 2013. Archived from the original (PDF) on 2013-04-18.
  10. ^ (PDF). Missouri Department of Social Services. 14 April 2010. Archived from the original (PDF) on 2010-05-27.
  11. ^ . Forcare. Forcare Canada Inc. Archived from the original on 20 September 2016. Retrieved 15 September 2016.
  12. ^ a b Brosky, John (21 May 2010). "Dutch cardiology network enables real-time consultations". healthcare-in-europe.com. European Hospital. Retrieved 15 September 2016.
  13. ^ "Home". ZorgNetOost (in Dutch). Retrieved 27 September 2017.
  14. ^ "Stichting Regionaal Elektronisch Netwerk West-Brabant" (in Dutch). Retrieved 27 September 2017.
  15. ^ "Newsletter" (PDF). ihe-nl.org. 2015. Retrieved 2019-05-21.
  16. ^ "Newsletter" (PDF). ihe-nl.org. Retrieved 2019-05-21.
  17. ^ "Trijn" (in Dutch). Retrieved 27 September 2017.
  18. ^ "Stichting Zorgring NHN" (in Dutch). Retrieved 27 September 2017.
  19. ^ Sentementes, Gus G. (2021). . Health Care in USA. Archived from the original on January 8, 2022. Retrieved 2009-11-26.
  20. ^ . Archived from the original on 2018-01-10. Retrieved 2018-01-09.
  21. ^ "About Us".
  22. ^ "Statewide Health Information Exchange Generates High Levels of Participation and Many Reports of Improved Quality and Efficiency". Agency for Healthcare Research and Quality. 2013-06-05. Retrieved 2013-06-06.
  23. ^ IHDE (2014). "IHDE".
  24. ^ "Trends in Health Information Exchanges: A Conversation With J. Marc Overhage, MD, PhD, Chief Medical Informatics Officer at Siemens Healthcare, Health Services". Agency for Healthcare Research and Quality. 2013-06-05. Retrieved 2013-06-06.
  25. ^ a b c "Our Approach". CliniSync. Retrieved 15 September 2016.

Sources edit

  • McGowan, Julie J.; Overhage, J. Marc; Barnes, Mike; McDonald, Clement J. (April 2004). "Indianapolis I3: The third generation Integrated Advanced Information Management Systems". Journal of the Medical Library Association. 92 (2): 179–87. PMC 385298. PMID 15098046.
  • Marchibroda, Janet; Bordenick, Jennifer Covich (29 August 2005). Emerging Trends and Issues in Health Information Exchange: Selected findings from eHealth Initiative Foundation's Second Annual Survey of State, Regional and Community-based Health Information Exchange Initiatives and Organizations (PDF) (Report). Washington, DC: eHealth Initiative. OCLC 61482941.
  • Hagland, Mark (2009). Transformative Quality: The Emerging Revolution in Health Care Performance. New York: CRC Press. ISBN 978-1-4200-8492-4. OCLC 502919031.

December 02, 2023
health, information, exchange, confused, with, health, insurance, exchange, this, article, multiple, issues, please, help, improve, discuss, these, issues, talk, page, learn, when, remove, these, template, messages, examples, perspective, this, article, deal, . Not to be confused with Health insurance exchange HIX This article has multiple issues Please help improve it or discuss these issues on the talk page Learn how and when to remove these template messages The examples and perspective in this article deal primarily with the United States and do not represent a worldwide view of the subject You may improve this article discuss the issue on the talk page or create a new article as appropriate March 2014 Learn how and when to remove this template message This article contains wording that promotes the subject in a subjective manner without imparting real information Please remove or replace such wording and instead of making proclamations about a subject s importance use facts and attribution to demonstrate that importance April 2016 Learn how and when to remove this template message Learn how and when to remove this template message Health information exchange HIE is the mobilization of health care information electronically across organizations within a region community or hospital system Participants in data exchange are called in the aggregate Health Information Networks HIN In practice the term HIE may also refer to the health information organization HIO that facilitates the exchange The goal of HIE is to facilitate access to and retrieval of clinical data to provide to public health authorities in analyses of the health of the population Formal organizations support financial statewide health information exchange grants from the Office of the National Coordinator for Health Information Technology These grants were legislated into the HITECH components of the American Recovery and Reinvestment Act of 2009 1 The Regional Health Information Organizations or RHIOs are ordinarily geographically defined entities which develop and manage a set of contractual conventions and terms arrange for the means of electronic exchange of information and develop and maintain HIE standards 2 In the United States federal and state regulations regarding HIEs and health information technology HIT are still being defined Federal regulations and incentive programs such as Meaningful Use which is formally known as the EHR Incentive Program 3 4 are changing The vast majority of HIEs and RHIOs remain tied to federal state or independent grant funding in order to remain operational Some exceptions exist such as the Indiana HIE 5 6 Contents 1 Storage and gathering of information 1 1 Data architecture models 1 2 Patient consent 2 Notable European health information exchanges 2 1 Netherlands 2 1 1 North of the Netherlands XDS Network 2 1 2 Other 2 2 United Kingdom 2 3 Ireland 2 4 Finland 3 Notable United States health information exchanges 3 1 Individual exchanges 4 See also 5 References 5 1 SourcesStorage and gathering of information editData architecture models edit In a centralized model of HIE there is a central or master database that holds a copy of all of the records of every patient contained In a federated model of HIE there is no master database In a centralized model patient information is uploaded to a single database from which any provider in the HIE can download In a federated model records are exchanged electronically among providers when they need them 7 8 Patient consent edit Exchanges in the US must operate with patient consent to comply with not only the Health Insurance Portability and Accountability Act HIPAA and also variety of state and federal laws and regulations This was clarified by the Office of Civil Rights in the January 2013 Final Omnibus Rule Update to HIPAA 9 There are two methods for gaining patient consent One is explicit consent and is termed opt in With this method a patient is not automatically enrolled into the HIE by default and generally must submit a written request to join the exchange The other method is implicit patient consent and is termed opt out In this method patients give implicit consent to join an HIE when they agree to use the services of a health care provider who is submitting data into an HIE and sign the provider s Notice Of Privacy Practices Patients can request to opt out of the HIE generally with a written form 10 Notable European health information exchanges editNetherlands edit Frysian Health Information Exchange Connects Medical Centre Leeuwarden and Academic Center in Groningen with community hospitals like Nij Smellinghe Hospital in Drachten 11 12 The Friesland Regional Cardiology Network reduces the length of stay for patients in hospitals by one or two days 12 Once the records were uploaded to the cardiology network records remain available for consultation at any time so that previous episodes of a patient s care can be consulted North of the Netherlands XDS Network edit Hospitals in the Dutch provinces Groningen Friesland and Drenthe have created an diagnostic image exchange network in order to phase out CD DVD based exchanges using an IHE XDS platform St Gerrit the local HIE organization has gradually expanded the network since 2014 spanning 10 hospitals to date Other edit ZorgNetOost 13 Radboud University Medical Center Limburg Exchange Network Maastricht University Medical Center Maastro Radiation Therapy Institute Laurentius Hospital Image Exchange South East Brabant Maxima Medical Center Elkerliek Hospital Catharina Hospital Eindhoven St Anna Hospital Regional Exchange Network West Brabant 14 Image Exchange Network Breda Amphia Hospital BVI expand acronym Elisabeth TweeSteden Hospital 15 Rotterdam Exchange Network RijnmondNet 16 TRIJN 17 Zorgring Noord Holland Noord 18 United Kingdom edit Sussex and Surrey Bristol Great Ormond Street HospitalIreland edit NIMISFinland edit Helsinki Uusimaa Health districtNotable United States health information exchanges editIndividual exchanges edit This section needs additional citations for verification Please help improve this article by adding citations to reliable sources in this section Unsourced material may be challenged and removed September 2016 Learn how and when to remove this template message Chesapeake Regional Information System for our Patients CRISP is a non profit corporation that is implementing health information exchange in the state of Maryland The organization also serves as the Health IT Extension Center for Maryland CRISP was created by Johns Hopkins Medicine MedStar Health the University of Maryland Medical System and Erickson Retirement Communities 19 Audacious Inquiry a health information system consulting firm serves as the technical architect and strategic partner for the health information exchange while Dynamed Solutions provides operational project management and organizational support under CRISP Health Current Health Current formerly Arizona Health e Connection AzHeC is the health information exchange HIE that shares information across Arizona 20 Health Current grew out of a gubernatorial executive order in 2007 21 Delaware Health Information Network Delaware Health Information Network DHIN is a non profit public private partnership enacted by the Delaware General Assembly in 1997 DHIN has adopted regulations to govern its operations and has policies and procedures DHIN started in May 2007 In February 2012 The Delaware Health Information Network announced full participation of all acute care hospitals and skilled nursing facilities in the state along with the vast majority of Delaware providers in the first statewide community health record As of June 2013 DHIN has the participation of 97 percent of Delaware providers tracks around 88 percent of Delaware s population and delivers more than 10 million clinical results and reports to participating providers annually 22 Idaho Health Data Exchange The Idaho Health Data Exchange IHDE is the state designated Health Information Exchange HIE for Idaho Health Information Exchange enables doctors nurses labs and other medical providers to securely access their patient s electronic health information quickly 24 7 365 IHDE is a non profit 501 c 6 company Located in Boise Idaho the staff consists of an Executive Director Executive Assistant Sr Marketing Coordinator Business Analysts Implementations Training Support Specialists and IT systems support Members of the Board of Directors and Privacy and Security Committee represent the private and public sectors and delivery systems 23 Indiana Health Information Exchange The Indiana Health Information Exchange IHIE operates the U S largest HIE and one of the oldest with data on more than 7 million patients Created by the Regenstrief Institute a medical informatics think tank the Indiana Network for Patient Care INPC is a secure network that provides patient records to participating doctors This HIE grew from 12 hospitals in the center of the state with approximately 5 000 physicians to 106 hospitals out of 126 in the state and more than 14 000 physicians in Indiana 24 Ohio Health Information Partnership The Ohio Health Information Partnership with CliniSync HIE is a nonprofit public private partnership initially funded with 14 8 million in federal HITECH funds under the Office of the National Coordinator for HIT It is the state designated statewide health information exchange founded by the Ohio State Medical Association the Ohio Osteopathic Association the Ohio Hospital Association BioOhio and the Ohio Department of Insurance citation needed CliniSync is an independent nonprofit founded in 2009 25 It received 43 8 million in HITECH funding 25 Federal funds paid for the creation of the technological infrastructure powered by Medicity as well as discounted implementation fees for hospitals in Ohio citation needed As of 2016 update CliniSync has 148 hospitals contracted with 123 live and over 400 long term and post acute care facilities 25 In 2015 CliniSync enabled practices and other authorized users to look up and find query and retrieve a longitudinal Community Health Record on a patient CliniSync members will receive notifications when a patient is discharged or admitted to the hospital or Emergency Department in late 2016 See also editDICOM Digital Imaging and Communications in Medicine LOINC Logical Observation Identifiers Names and Codes Health informatics Health Level 7 HL7 Integrating the Healthcare Enterprise IHE Medical imaging Regional Health Information Organization RHIO References edit State Health Information Exchange Cooperative Agreement Program The Office of the National Coordinator for Health Information Technology U S Department of Health amp Human Services 27 January 2011 Archived from the original on February 9 2011 Retrieved December 23 2010 Overhage JM Evans L Marchibroda J 2005 Communities readiness for health information exchange the National Landscape in 2004 J Am Med Inform Assoc 12 2 107 12 doi 10 1197 jamia M1680 PMC 551542 PMID 15561785 Electronic Health Records EHR Incentive Programs Centers for Medicare amp Medicaid Services Meaningful Use Health Information Technology U S Department of Health amp Human Services 16 March 2010 Archived from the original on April 20 2010 Retrieved April 21 2010 Home Indiana Health Information Exchange Retrieved 13 April 2016 McGee Marianne 7 June 2012 8 Health Information Exchanges Lead The Way Information Week UBM Archived from the original on 25 April 2016 Retrieved 10 June 2012 a href Template Cite web html title Template Cite web cite web a CS1 maint bot original URL status unknown link HIMSS HIE Guide Work Group November 2009 Topic Series HIE Technical Models PDF Healthcare Information and Management Systems Society HIMSS Archived from the original PDF on 2014 03 19 HIMSS RHIO HIE HIMSS Healthcare Information and Management Systems Society Archived from the original on 2008 09 26 The Health Insurance Portability and Accountability Act HIPAA Omnibus Final Rule Summary PDF American Medical Association 19 February 2013 Archived from the original PDF on 2013 04 18 Opt in Versus Opt out Consent Models for Health Information Exchange through Missouri s Statewide Health Information Exchange Network PDF Missouri Department of Social Services 14 April 2010 Archived from the original PDF on 2010 05 27 Project References Forcare Forcare Canada Inc Archived from the original on 20 September 2016 Retrieved 15 September 2016 a b Brosky John 21 May 2010 Dutch cardiology network enables real time consultations healthcare in europe com European Hospital Retrieved 15 September 2016 Home ZorgNetOost in Dutch Retrieved 27 September 2017 Stichting Regionaal Elektronisch Netwerk West Brabant in Dutch Retrieved 27 September 2017 Newsletter PDF ihe nl org 2015 Retrieved 2019 05 21 Newsletter PDF ihe nl org Retrieved 2019 05 21 Trijn in Dutch Retrieved 27 September 2017 Stichting Zorgring NHN in Dutch Retrieved 27 September 2017 Sentementes Gus G 2021 Basic Tools For Most Common Health Issues Health Care in USA Archived from the original on January 8 2022 Retrieved 2009 11 26 Health Current Home Page Archived from the original on 2018 01 10 Retrieved 2018 01 09 About Us Statewide Health Information Exchange Generates High Levels of Participation and Many Reports of Improved Quality and Efficiency Agency for Healthcare Research and Quality 2013 06 05 Retrieved 2013 06 06 IHDE 2014 IHDE Trends in Health Information Exchanges A Conversation With J Marc Overhage MD PhD Chief Medical Informatics Officer at Siemens Healthcare Health Services Agency for Healthcare Research and Quality 2013 06 05 Retrieved 2013 06 06 a b c Our Approach CliniSync Retrieved 15 September 2016 Sources edit McGowan Julie J Overhage J Marc Barnes Mike McDonald Clement J April 2004 Indianapolis I3 The third generation Integrated Advanced Information Management Systems Journal of the Medical Library Association 92 2 179 87 PMC 385298 PMID 15098046 Marchibroda Janet Bordenick Jennifer Covich 29 August 2005 Emerging Trends and Issues in Health Information Exchange Selected findings from eHealth Initiative Foundation s Second Annual Survey of State Regional and Community based Health Information Exchange Initiatives and Organizations PDF Report Washington DC eHealth Initiative OCLC 61482941 Hagland Mark 2009 Transformative Quality The Emerging Revolution in Health Care Performance New York CRC Press ISBN 978 1 4200 8492 4 OCLC 502919031 Retrieved from https en wikipedia org w index php title Health information exchange amp oldid 1187298995, wikipedia, wiki, book, books, library,

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