Running Head: HIE j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j 1
2-2 Short Paper: Technology and Data Extraction Techniques
HIM 350
SNHU
HIE j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j 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 j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j 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
get a comprehensive insight into the information that is available within the system. An important
HIE j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j 4
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.
References
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HIE j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j 6
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