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HIM Principles In Health Information Exchange

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HIM Principles In Health Information Exchange
HIM Principles in Health Information Exchange

HIM Principles in Health Information Exchange (Practice Brief)
Emerging health information exchange initiatives must focus on more than their IT model. They must make important early decisions on HIM issues that hard-wire data quality, privacy, and security into the network, ensuring that the ultimate goals of improved patient safety and quality of care are met.

The value of electronic healthcare data exchange was demonstrated in the aftermath of Hurricane Katrina, when healthcare organizations throughout the region and nationwide shared patient data to aid in the care of residents displaced by the storm.
The Department of Veterans Affairs found that more than 2,300 users exchanged electronic
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The checklist also provides definitions for the RHIO building blocks diagram and directs the reader to additional documents and references. Clinical Data Exchange Models
Health information exchange is the actual electronic mobilization or movement of healthcare information across organizations within a region or community. HIE is the capability to move clinical information electronically between disparate healthcare information systems while maintaining the accuracy of the information being exchanged. Its goal is to facilitate access to and retrieval of clinical data to provide safer, more timely, efficient, effective, and patient-centered care. The term does not define the governance of the exchange model or the purpose of the information exchange.
The Healthcare Information and Management Systems Society outlines three different clinical data exchange models: federated,
3

centralized, and hybrid. Numerous and broad variations of these architectures currently exist. These architectures also are used
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7 (July–Aug. 2005): 64A–D.

http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_035095.hcsp?dDocName=bok1_035095 (6 of 9)3/31/2009 3:44:26 PM

HIM Principles in Health Information Exchange

AHIMA e-HIM Workgroup on Assessing and Improving Healthcare Data Quality in the EHR. “Assessing and Improving EHR
Data Quality.” Journal of AHIMA 78, no. 3 (Mar. 2007): 69–72.
AHIMA e-HIM Work Group on Maintaining the Legal EHR. “Update: Maintaining a Legally Sound Health Record—Paper and
Electronic.” Journal of AHIMA 76, no. 10 (Nov.–Dec. 2005): 64A–L.
AHIMA Workgroup on Electronic Health Records Management. “The Strategic Importance of Electronic Health Records
Management. Appendix A: Issues in Electronic Health Records Management.” Journal of AHIMA 75, no. 9 (Oct. 2004): Web extra.
Avalere Health. “Evolution of State Health Information Exchange: A Study of Vision, Strategy, and Progress.” January 2006.
Available online at www.avalerehealth.net/research/docs/State_based_Health_Information_Exchange_Final_Report.pdf,
Burrington-Brown, Jill, Beth Hjort, and Lydia Washingon. “Health Data Access, Use, and Control.” Journal of AHIMA 78, no. 5
(May 2007):

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