Health information exchange

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Devry University

Health Information Exchange

4/8/2013
Table of Contents

Cover Page: Page 1
Table of contents: Page 2
Introduction of HIE: Page3
Outline US History of HIE: Page 4-5
Benefits of HIE: Page 5-6
Privacy and Security: Page 6-7
Challenges: Page 7-8
Conclusion: Page 8
Works Cited: Page 9

In 1990 Hartford Foundation funds, “Community Health Management Information Systems.” They gave grants to seven states and cities to develop those early prototype HIE’s. HIE focuses on quality assessments and cost reduction by streamlining patient eligibility information for billing. The problems of HIE are immature technology including slow internet connections and data integration. By the mid 1990’s Community Health Information Networks focused on cost savings associated with moving data between providers, decentralized architecture to address privacy concerns. Most CHIN’s failed at this. Between 1990-2001 the Institute of Medicine reports on patient safety and quality. In 2005 HIE Networks’ principals Dr. Dan Kaelin and Allen Byington establish the Big Bend Regional Healthcare Information Organization and form a board of directors comprised of industry leaders in the North Florida healthcare field. BBRHIO is awarded $810,375 in grant funding from the Agency for Health Care Administration FHIN Grants Program, plus stakeholders donate over $1 million of in-kind products and services to develop a community health information exchange in 2006. Also in 2006 the BBRHIO board completes an extensive RFP process to find a local-provider-driven HIE solution. The subsequent national vendor search produced no viable off-the-self products and Avocare is contracted to develop customized software for the HIE infrastructure. The following year 2007, BBRHIO launches BigBendHealth.com, a secure website with live data feeds from physicians and hospitals to be used by credentialed health care providers to share patient records and communicate electronically. More than 200 credentialed users connect to the site. Secure e-communication tools – including electronic referrals, secure messaging and document publishing – are integrated into BigBendHealth.com, greatly reducing community healthcare providers’ reliance on phones, fax machines and mail communications. In 2009 BBRHIO hires a lobbyist and works with the Florida Hospital Association and the Florida Medical Association to represent the position of local-provider-driven exchanges. The voices of the healthcare providers are heard, preventing detrimental legislation while encouraging support for a network of connected, local-provider-driven exchanges across the state. “Capitalizing on the success of BBRHIO, HIE stakeholders expand and build out technical infrastructure to prepare for large-scale operations and partners with Uber Operations, LLC for highly-experienced, interfacing personnel resources.”(2). Additional customers are added by a contract with the Gulf Coast Health Information Exchange, based out of Bradenton, Florida in 2010. In 2011 HIE Networks, LLC is created to manage the technical, social, legal, and security aspects of HIE under one management team to replicate the success of BBRHIO and offer provider-driven health information exchange at the local and regional levels across the nation. Health information exchange, enabling the interoperability of automated health data, can facilitate important improvements in healthcare quality and efficiency, according to a perspective paper published in the September edition of the Journal of the American Medical Informatics Association. Gilad J. Kuperman, MD, PhD, from the department of information systems at New York-Presbyterian Hospital in New York City, sought to describe how interoperability activities have unfolded over the last decade and how recent initiatives are likely to affect the directions and benefits of HIE. In the 1980s and 1990s, such leading healthcare organizations as Intermountain...
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