Healthcare Ecosystems

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1.State Health Information Exchange Cooperative Agreement Program The State HIE program falls under The Health Information Technology for Economic and Clinical Health (HITECH) Act, and funds the implementation and creation of statewide health information exchange. States can work independently to complete the task, or they can combine their finances and work together on a multi-state program. The awardees have the important job of creating and putting into action a State plan that makes sure HIE is in effect statewide before Medicare payment penalties begin in 2015. This program is an application based one, and with that comes criteria for approval. So the awardees are impacted by licensure, certification, or accreditation standards because they have to qualify for the State HIE program award. The program itself holds the awardees accountable for implementing the health information exchange plan that they submit with their application. The plans that are implemented have to fall within the Federal accreditation guidelines for the EHR. This program is important because it gets each state involved in the EHR implementation at a more global responsibility level which has a trickle-down effect to the medical communities within the state, and promotes continuous advancement to a nationwide health information exchange (State Health, 2011). The State HIE program will impact clinical quality, reimbursement for services, and patient access to care overall in as much as each state has successful implementation. This program will aid each state individually, and as each state is on a different level in the current plan, the impact will be different. But overall, if each state is successful with EHR integration, each of the 3 aforementioned aspects will be improved drastically going by the Meaningful Use description alone. Since this particular program builds upon what is already being done as well as new implementation, I would assume the most drastic changes will...
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