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3-2 Milestone One: Draft of Introduction
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Introduction
A. A summary of the hospital issues:
Memorial Hospital is based in Manchester County, which is known as the largest trauma
hospital. Presently, this hospital consists of 6 surrounding outpatient and specialty clinics
along with 1,100 beds in the main hospital. It has been found that the present largest
trauma hospital in Manchester County is experiencing problems while coordinating the care
with its patients and sharing information with them throughout the care cycle. Even
Memorial Hospital is not getting the patient’s track records until the patient is not visiting
the hospital again. Also, the hospital is experiencing a problem in retrieving the patient’s
medical information like tests received, comorbidities, past medical history, current
medications, and many others. If a new trauma patient is getting admission or transferred,
then the hospital does not have the proper information. These hospital issues have brought
more challenges for the hospital in the present context, including increased medication
errors, decreased patient satisfaction, delays in diagnoses, duplicate tests, and more hospital
readmissions.
B. The information and data should be exchanged between organizations:
As the Memorial Hospital is going through many issues, it has planned to create a new
community-wide health information exchange (HIE) network or build the Manchester Health
Access Network (MHAN) that can help to govern the entire local community public health
topic. Here, HIEs frequently work with communities directly to provide secure health-
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related information through electronic sharing. This system helps in transferring health
information by conducting digital access at either a national, regional, or state level (Sorkin,
2021). For instance, the hospital can share or exchange clinical information such as
allergies, current medication, test results, and other clinical information that are vital to
health care. Moreover, certain demographic information related to the individual's identity,
such as an address, name, and birth date, might also be exchanged (Health Information
Exchange (HIE) - ahima. Health Information Exchange (HIE), 2021).
C. The information and data should not be exchanged between organizations:
While using the health information exchange (HIE) network, the Memorial Hospital
needs to also understand the pros and cons of the network. Though the HIEs are helping
the hospital by easing their workload, there is much information that the hospital needs not
to share or exchange with other organizations. These HIEs have some barriers: security
concerns, the need for standards, federated systems, and economic loss to competitors
(Edwards et al., 2010). Here, exchanging patient information can help the service providers
to avoid medication errors, reduce readmissions, and decrease duplicate testing, but the
hospital needs to look into state privacy rules and HIPAA regulations that do not harm the
patient's information.
D. The implementation of the health information exchange (HIE) model:
The health information exchange (HIE) usually permits pharmacists, doctors, nurses,
patients, and other health care providers to securely access and exchange vital medical
information of the patients by improving the cost of patient care, speed, safety, and quality
(What is Hie? HealthIT.gov, 2020). There are different forms of health information
exchange such as directed exchange, query-based exchange, and consumer-mediated
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exchange. Among them, the present hospital must implement the directed exchange health
information exchange (HIE) model where the health care providers can securely share or
exchange the data of the patients with other healthcare providers directly. This model has
given priority because the two healthcare providers can exchange the data more securely
where the presence of trust factor can be witnessed.
E. The extraction of data from the health information system:
The data can be extracted from the health information system based on the directed
exchange HIE model. Here, the health care service provider can use the directed exchange
model to securely send and receive the health information that includes non-clinical staff,
clinicians, public health agencies, registry or quality reporting organizations, local health
departments, and laboratories. The data extraction process is directed exchange model
include secure internet collaboration platforms, web-services exchange standards, secure
messaging applications, direct technical standards, and point-to-point interfaces (What is
Hie? HealthIT.gov, 2020). aa
F. Analysis of data in the HIE network to improve patient outcomes:
Healthcare professionals, policymakers, and the healthcare industry have identified
that a proper solution to improve the overall quality of care and patient safety is Health
Information Exchange (HIE) (Hincapie & Warholak, 2011). Here, the healthcare provider
can pair HIE data with DOS that can provide advantages like machine learning, workflow,
data governance, and professional services. Similarly, the patient’s health outcome data can
be improved.
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References
Edwards, A., Hollin, I., Barry, J., & Kachnowski, S. (2010). Barriers to cross--institutional
health information exchange: a literature review. Journal of healthcare information
management: JHIM, 24(3), 22-34.
Health Information Exchange (HIE) - ahima. Health Information Exchange (HIE). (2021).
Retrieved November 13, 2021, from https://bok.ahima.org/PdfView?oid=104129.
Hincapie, A., & Warholak, T. (2011). The impact of health information exchange on health
outcomes. Applied clinical informatics, 2(04), 499-507.
Sorkin, C. (2021). What is Health Information Exchange (HIE)? Wheel. Retrieved
November 13, 2021, from https://www.wheel.com/companies-blog/what-is-health-
information-exchange-hie.
What is Hie? HealthIT.gov. (2020, July 24). Retrieved November 13, 2021, from
https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-
hie#:~:text=Electronic%20health%20information%20exchange%20(HIE,and%20cost%20
of%20patient%20care.
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