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HIM 0 Guidelines and Rubric 35 Final Project
Overview
Electronic health informaon exchange (HIE) is a budding, dynamic landscape that is emerging to improve data sharing between providers and to empower
paents with full acce t ir alth records. Hss to he he IE enhances the c n of care by oordinatio enab n althli g he care pr and paen to a y acce anoviders ts ppr riatop el ss d
securely share comple ent alth inform ion. Data and informte pa he at ation exchange y are ke factors in delivering quality re and ca ensu n organizatiri g ons are
eecve. The prope mely sh of tal pr, ti aring vi atient informaon can info r clinical n makin by redurm bette decisio g cing errors, preventing duplicaon o sts anf te d
de dmcreasing rea issions. The v ious mode thre are ar ls at can be implemented do this ba on st, interope , e iciency, security, an in to sed co rability ff d improvements
care delivery. Yet, of the vity obecause sensiti f patient health inform ion, there a s eral laons anat re ev regu d standar at alds th so nee to be cd onsidered prior to
implementing HIEs. Consequen y, tl he uaalth informa on mana ti gers are eval ting the availa e models r t benets and i act to all aected stakehol rs. In bl fo heir mp de
developing your HIE implementa n, tion pla you will c r the dier t types oonside en f HIE mode ls as well as w these models lve the perienced bho so challenges ex y
the se ca study organiza , Memorial spital. u will se ct the tec tools, staon Ho Yo le hnologies, ndards, and regula s t t tion ha you will a and state the ra ale pply on for
your choices. u will also Yo determine the means by which u will promote adop on and achieve -in yo ti buy for you plan f m all ant stakehol rs. r ro relev de
In th assignmen u will demonstis t, yo rate your maste of the ry following course outcome s:
Develop an eecve informaon governance plan for facilitang the adopon of health informaon systems and technologies
Recommend strategies for implemenng an appropriate health informaon exchange model that promotes accurate data capture and exchange
Develop data management strategies for ensuring secure and compliant collecon and use of patient data across an organizaon
Determine the impact of health informaon exchange on data quality and coordinaon of patient care for informing improvements to the connuum
of care
Prompt
Memorial Hospital is the largest trauma hospital in Manchester County. It consists of a main hospital with 1,100 beds and six surrounding outpaent and
specialty clinics. Memorial h bee having as n a dicult time sh ng informari ation and c rdinang the c of its p throughout the care cy e. Currenoo are atients cl tly,
when a patient disch d from the spital, there is no way track the pati outcomes he or she r isits o is rea d the spital. is arge ho to ent’s unless ev r dmitte to ho
Addionally, w n a tient comes i o Memorial as a w tra a patient or is t nsferred f m dierent spital, it ta he pa nt ne um ra ro a ho kes a great deal of t e retrieve thim to e
paent’s medical inform n (past medical h tory, comorbidie sts ceived, cu t medatio is s, te re rren ications, etc.). These challenges have led to furthe uer iss s such as
duplicate tests, ys in d in rs, more dela iagnoses, creased med a oic ti n erro ho pi dms tal rea issions, an paent satisfacon. d decreased
In an attempt combat t iss Memorial spital recently joi d a topic is leading an inia ve to cto hese ues, Ho ne that ti reate w communi de alth a ne ty-wi he
information exchange (HIE) network. G er Mancreat hester County is p ing to lann build the Manchester alth A Netwo (MHAN). The MHA is He ccess rk N a
nonprot HIE s tem th would be gover by th local community lic alth topic. The p mary ys at ned is pub he ri objective for esta thb hinlis g e MHAN is nk all to li
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healthcare pr in the r ion anoviders eg d improve care c rdination via a sec e netwo of ele medical reco s s. The MHAN w cover teoo ur rk ctronic rd ystem ould n
boroughs with rough 6 millio and w ld involve 1, 0 pr 12 membe spitals. ly 2. n people ou 95 oviders in r ho
The community topic ed state f s complete the project, t on a t budget. The gooreceiv und to bu it is tigh d news is that all the providers in the netwo rk already
store patient information electronically via e onic medical records (E t t c olectr MRs) ha onsist f useful rtals po and inte es th can ickly an y rfac at qu d securel
transmit information. However, while Memorial spital h Ho as a funconal clinical warehou (CDW) and an a data dicti ary data se ccompa inny g on that de bescri s
the co cted datlle a types, formats, structures, and usage components, t all of the spitals in the netw k do yet. The exist of the no ho or as ence CDW an ta d da
diconary will lp facilitate interope y, which is a key component of the pr ect. he rabilit oj
The topic will nee to consider a al d ddion building blocks for interope ty ll. The s ds th MHAN w ld like to employ to rabili as we tandar at ou achieve successful
interoperability in e t set rth by the onwide alth Infor on Netwo (clud hose fo Nati He mati rk NHIN). The NHIN was established by the O of the N ional ce at
Coordinator for Health Information Technology (ONC) provide recommend ions for a common, web-ba m alth informto at sed plaor for he ation exchange.
These recommend ions involve secuat ring HIE transmiss n via ser protocols, staio vices, ndards, s s an legal agreemen such as the fol : pecication d ts lowing
sta dindar zed healthcare classica s tion and vocabularies like ICD- - SNOM10 CM and ED CT for homogenizing 7 fo normalizing strmeanings; HL r uctures; laws,
policies, and formal procedures for regulang the trans of inform ion; port at Nati teonal Instu of Standards and Techno ndlogy (NIS sT) ta ards for con o ntr lli g
security; and applicaon prog inramm g interfaces ( Is) AP for sta reovendardizing serv ices. Mo r, MHA would like u a mN to se aster patient i x ( ensunde MPI) to re
p ien nfor oat t i mati n is s red in e record and is t duplicated. Th to on no is MPI database makes certain that every patient is lis d ju once within ate st ll hospital data
syst s.em
