Information Systems Assignment 4 - Consumer Acceptance of HIE
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AB120015_Ch10.pptxIntroduction to Healthcare Informatics, Second Edition
Chapter 10:
Health Information Interoperability
© 2017 American Health Information Management Association
© 2017 American Health Information Management Association
Objectives
Describe the history of health information exchange (HIE) in the United States
List and define the different types of HIE organizational structures
Explain the advantages and disadvantages of the different types of HIE consent models
Analyze the issues and challenges encountered when securing provider and consumer acceptance of HIE
Describe the difference between population and public health
Discuss the use of HIE in relationship to Accountable Care Organizations
© 2017 American Health Information Management Association
Introduction
Data liquidity
Interoperability
Standards as a key
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Health Information Exchange
Definition
Noun
Verb
Role of Health Information Technology for Economic and Clinical Health Act
Meaningful use
State Health Information Exchange Cooperative Agreement Program
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History of Health Information Exchange
Community health information management systems
Community health information networks
Regional health information organizations
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Considerations for Continued Development of US HIEs
Adoption of an improved business model
Acknowledgement of the public health benefits
Monitoring of activities to assure that private health information is private and secure
The setting of state borders as the standard geographical unit
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Structure
Technical
Aggregated HIE
Federated HIE
Organizational
Public
Cooperative
Private
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HIE Consent Options
No-consent
Opt-out
Opt-out with exceptions
Opt-in
Opt-in with restrictions
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Adoption
Public-private collaborative
HealtheWay, Inc. (federal)
Rules of the Road
Data Use and Reciprocal Support Agreement (DURSA)
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Adoption (continued)
Usage of HIEs
Encounter-based
Organizational factors
Setting
Relationship between cost savings and utilization
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Stakeholder Perceptions
Providers or users
Value
Legal liability
Competitive advantage
HIE utility
Consumer perceptions
Privacy and security of information
Consumer engagement
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Future Efforts
Increase systems interoperability
Add public health measures
Remove barriers to consumer engagement in HIEs
HITECH funding for HIEs
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Aggregating Health Information
Population health
The level and distribution of disease, functional status, and well-being of a defined group with specific characteristics
Accountable Care Organizations (ACO) regulations
Role of HIM
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Aggregating Health Information
Public health
World Health Organization
Centers for Disease and Control
State health departments
They all
Track causes of mortality and morbidity
Surveillance
Public health systems requirements
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Use Cases for HIE to Improve Public Health
Mandated reporting of laboratory diagnoses
Nonmandated reporting of laboratory data
Mandated reporting of physician-based diagnoses
Nonmandated reporting of clinical data
Public health investigation
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Use Cases for HIE to Improve Public Health (continued)
Clinical care in public health clinics
Population-level quality monitoring
Mass-casualty events
Disaster medical response
Public health alerting: patient level
Public health alerting: population level
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Summary
HIE is necessary to the continued evolution of effective health information technology use
© 2017 American Health Information Management Association
