Running Head: HIE a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a 1
2-2 Short Paper: Technology and Data Extraction Techniques
HIM 350
SNHU
HIE a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a a a a a 2
Technology lies in the central position of Health Information Exchange systems and
ensures that these systems effectively serve the intended purpose in healthcare settings. One of the
main technical requirements of HIE is related to architectural models and data source integration.
The architecture that is adopted mainly influences how data and information flow within the
system and meets the needs of the users. Repositories and registries also serve as important
technologies that ensure that the involved organizations are able to share health-related data in an
efficient and convenient manner. An Enterprise Master Patient Index (EMPI) acts as a key
technology that helps to maintain data about each and every patient in an accurate and consistent
manner (DelVecchio & Holman, 2017). Another important technology that would be required
while working on the new HIE system is Record Locator Service (RLS). Its main function would
be to provide the ability to identify the location where records are situated, based on criteria like
person ID, and/or record data type. There is also the need to focus on technologies relating to the
security and privacy aspects relating to the new HIE system. As the HIE system would be
connected to diverse source systems, the adoption of a robust cybersecurity framework would be
integral. Thus, antivirus software, firewalls, and/or intrusion detection and prevention systems
could be integrated so that the possibility of malicious actors to violate and invade the network
could be restricted considerably (Health Information Exchange functionality and technology,
2014). Apart from these security tools, blockchain technology, could also be incorporated so that
the level of security, privacy, and interoperability of the healthcare data could be further
strengthened (Esmaeilzadeh & Mirzaei, 2019).
Extraction of data from the technologies using the Hybrid HIE model
The Hybrid HIE model would play a cardinal role by impacting the data extraction process
from the identified HIE technologies. The hybrid architecture would influence the data extraction
HIE a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a a a a a 3
by mainly relying on the use of care coordination as well as population health management
instruments (Bresnick, 2015). For example, a matching engine such as a master patient index
would be used that would help to not only extract data from a centralized data warehouse but to
also manage admission, discharge as well as transfer-related data. All the data under this HIE
model would be interconnected with the centralized infrastructural elements. The data would be
mainly extracted from the central repositories, and the information would be added to the
Electronic Health Records (EHR) data so that it could be effectively and strategically used by
member hospitals belonging to the network. Both the centralized and decentralized attributes of
the new HIW model would come into play and influence the extraction of health-related data. The
specific data types that would be extracted from the centralized infrastructural components
include patient identifiers, diagnoses, procedures and protocols, details relating to medication,
laboratory results, etc. (Ehrenstein et al., 2019). The coordination aspect of the hybrid HIE model
would also ensure that the physicians and doctors are able to use the Record Locator Service for
locating as well as accessing patient information that has been shared by member hospitals within
the network.
Analysis of data
The proper analysis of data from the identified technologies would be of cardinal
importance so that it could be transformed into insightful and useful information. In order to make
sure the new HIE system is able to function optimally, the focus on advanced analytics at diverse
levels would be integral. In fact, it would have a direct implication on the improved health
outcome of the patients as well as the core objectives of the healthcare organization (HIE data and
an analytics platform: A key to PHM Goals. Health Catalyst, 2021). While performing the data
analysis, the role of centralized components of the model would play a key role as it would help to
HIE a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a a a a a 4
get a comprehensive insight into the information that is available within the system. An important
aspect that must be taken into consideration while analyzing the data is high-quality data quality
reporting. Suitable reporting quality measures would have to be established so that the input from
all the players from within the network, which form a part of the centralized component, is able to
function in a streamlined manner. The application of Master Patient Indexes (MPI), as well as
integrated terminology management tools, would be vital to clean and normalize health data for
the purpose of analytics and reporting. In order to analyze the health data comprehensively, the
data analysis process must be conducted at the source, in the network, and at the end-point as well.
Such a comprehensive analysis could strengthen the role of the HIE system in the healthcare
setting.
HIE a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a a a a a 5
References
Bresnick, J. (2015, February 19). How Health Information Exchange Models Impact Data
Analytics. HealthITAnalytics. Retrieved November 8, 2021, from
https://healthitanalytics.com/news/how-health-information-exchange-models-impact-data-
analytics.
DelVecchio, A., & Holman, T. (2017, August 10). What is Enterprise master patient index
(EMPI)? - definition from whatis.com. SearchHealthIT. Retrieved November 8, 2021, from
https://searchhealthit.techtarget.com/definition/master-patient-index-
MPI#:~:text=An%20enterprise%20master%20patient%20index,registered%20by%20a%2
0healthcare%20organization.&text=An%20EMPI%20ensures%20that%20every,all%20sys
tems%20of%20hospital%20data.
Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Obtaining Data From
Electronic Health Records. In Tools and Technologies for Registry Interoperability,
Registries for Evaluating Patient Outcomes: A User’s Guide, 3rd Edition, Addendum 2
[Internet]. Agency for Healthcare Research and Quality (US).
Esmaeilzadeh, P., & Mirzaei, T. (2019). The potential of blockchain technology for health
information exchange: experimental study from patients’ perspectives. Journal of medical
Internet research, 21(6), e14184.
Health Information Exchange functionality and technology. (2014). Retrieved November 8, 2021,
from https://chimecentral.org/wp-content/uploads/2014/11/Health-Information-Exchange-
Functionality-and-Technology-Selection-Crite....pdf.
HIE a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a a a a a 6
HIE data and an analytics platform: A key to PHM Goals. Health Catalyst. (2021, August 3).
Retrieved November 8, 2021, from https://www.healthcatalyst.com/insights/HIE-data-
analytics-platform-key-phm-goals/.
