HIE: Noun or Verb?

HIE: Noun or Verb?

“Health data exchange” has found a durable home among our industry’s lexicon—and justifiably, therefore.

A generation misery, health data exchange merely depicted what happened once two physicians mentioned a patient’s condition and prognosis by phone or in an exceedingly hospital corridor. Now, it embodies a systemized, skilled normal of care needing new technologies and workflows. Actually, the construct and plan of “health data exchange” desire additional refinement.

Central to its objective is informative the excellence between Health data Exchange (the noun), and health data exchange (the verb).

Only Effective Health Information Exchange can Drive HIE Success

The number of Health data Exchanges or HIEs—as freelance entities—has grownup chop-chop in recent years. They span each the overall public (e.g., state-wide organizations) and thus the private sectors (e.g., ClinicalConnect hotfoot in western Pennsylvania). Their intent is noble: to help suppliers and thus the care team communicates, coordinate and collaborates to spice up patient outcomes and reduce excess prices.

But, in truth, this can’t occur while not adequate health data exchange—the verb. The business should focus its attention on ensuring clinicians have access to relevant and comprehensive patient data at the aim of care— data that's substantive and could be acted upon so on own an instant impact on clinical deciding, yet because the event and execution of excellent care found out.

So, however, will that concentrate on the verb facilitate the noun be additional successful? HIEs should make sure they accomplish health data exchange that renders crucial data:

1. Accessible: information that affects patient care—history, laboratory results, medications, procedures, allergies, care plans, chronic conditions and more—must be obtainable to suppliers once and wherever they need it. Clinician’s area unit is infamous for his or her resistance to clicking in and out of applications, or gap and shutting multiple windows and documents.

The industry must focus its attention on ensuring clinicians have access to relevant and comprehensive patient information at the purpose of care

2. Understandable: on an equivalent line, providers and different caregivers should be ready to understand both the detail and thus the importance of the knowledge being presented to them. It must be semantically harmonized, for one thing, so as that each one of the vocabularies and formats imposed by varied supply clinical data systems is standardized according to the provider’s preference. And, it should be formulated therefore the practitioner isn't forced to hunt and peck, kind, and reason, or prioritize and eliminate. To the aim created in #1, busy suppliers have neither the time nor the inclination to make a way of confusion of data.

3. Reliable: Clinicians should be ready to trust the knowledge they reference once identification and treating a patient. They have to understand they need the whole image, a comprehensive read of that patient’s standing and conditions. Only with all relevant information will they be fairly positive of delivering optimal care.

4. Actionable: during a manner, the three previous points roll up into the fourth. as long as suppliers have access to timely, understandable and reliable patient data will they feel assured acting upon it. If that data is represented to them inside their approved workflow—or even integrated directly into their native EHR—they can act in a timely and impactful manner.

Information Exchange Among the proper Entities

Another vital question we would like to boost ourselves once examining effective health data exchange—and, thereby, sure-fire HIEs—are:

Are we connecting the right entities?

When HIEs initially gained a toehold within the eye trade, it had been natural to organize them around state lines. And, for a couple of functions like malady and immunization registries, that is also sensible.

But, for active provision, we must deem outside of the geographic box. Take under consideration Long Island State, as an example. Patients (and their providers) within the NY city metro area might benefit more from health data exchange that bridges NY, Connecticut, and New Jersey as a result of it’s conceivable that care could even be delivered across these various geographies. Residents of Buffalo, however, likely have less need for his or her health data to be simply available to a medico in Manhattan than a resident of Newark may.

As the trend towards establishing HIEs continue—and it should—we should nevertheless confirm the movement of health data follows equivalent pathways as patients seeking care.

A case in purpose is that the ClinicalConnect hie in western Pennsylvania referenced above. It creates a network among twelve community health systems in rural areas of the state to switch health data exchange—and likewise connects them to UPMC in Pittsburgh wherever patients will choose specialty care. In any setting, clinicians have access to patients’ complete, up-to-date anamnesis, created obtainable through the Allscripts dbMotion interoperability solution.

In short, HIEs play an important role in health care nowadays. We are ready to guarantee their continuing success and increased relevancy by ensuring that active, robust health data exchange remains a top priority.


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