HIE: Noun or Verb?

HIE: Noun or Verb?

“Health data exchange” has found a permanent home among our industry’s lexicon—and with reason therefore.

A generation agone, health data exchange merely delineated  what happened once two physicians mentioned a patient’s condition and prognosis by phone or in an exceedingly hospital corridor. Now, it symbolizes a systemized, skilled normal of care requiring new technologies and workflows. In reality, the construct and plan of “health data exchange” desires additional refinement.

Central to it objective is informative the distinction 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 general public (e.g., state-wide organizations) and therefore the non-public sectors (e.g., ClinicalConnect hotfoot in western Pennsylvania). Their intent is noble: to assist suppliers and therefore the care team communicate, coordinate and collaborate to boost patient outcomes and scale back excess prices.

But, in truth, this can’t happen while not effective health data exchange—the verb. The business should focus its attention on ensuring clinicians have access to relevant and comprehensive patient data at the purpose of care— data that's substantive and might be acted upon so as to own an instantaneous impact on clinical deciding, yet because the development and execution of a good care set up.

So, however will that specialize in the verb facilitate the noun be additional successful? HIEs should make certain 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 have it. Clinicians square measure 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 making sure clinicians have access to relevant and comprehensive patient information at the point of care

2.Understandable: on the same lines, providers and different care givers should be able to understand both the detail and therefore the significance of the information being presented to them. It must be semantically harmonized, for one thing, in order that all of the vocabularies and formats imposed by varied supply clinical data systems are standardized consistent with the provider’s preference.  And, it should be organized therefore the practitioner isn't forced to hunt and peck, kind and reason, or prioritize and eliminate. To the purpose created in #1, busy suppliers have neither the time nor the inclination to create sense of a confusion of knowledge.

3.Reliable: Clinicians should be able to trust the information they reference once identification and treating a patient. they have to know they need the entire image, a comprehensive read of that patient’s standing and conditions. only with all relevant data will they be moderately positive of delivering optimal care.

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

Information Exchange Among the right Entities

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

Are we connecting the correct entities?

When HIEs initial gained a toehold within the attention trade, it was natural to prepare them around state lines. And, for a few functions like malady and immunization registries, that also is sensible.

But, for effective provision, we must suppose outside of the geographic box. take into account big apple State, as an example. Patients (and their providers) within the new york city metro area might benefit more from health data exchange that bridges new york, Connecticut and New Jersey as a result of it’s conceivable that care could also be delivered across these various geographies. Residents of Buffalo, however, likely have less need for their health data to be simply available to a medico in Manhattan than a resident of newark might.

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

A case in purpose is that the ClinicalConnect hie in western Pennsylvania, referenced higher than. It creates a network among twelve community health systems in rural areas of the state to modify health data exchange—and likewise connects them to UPMC in pittsburgh wherever patients will opt for 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 a vital role in health care nowadays. we are able to guarantee their continuing success and increased relevancy by making certain that active, robust health data exchange remains a top priority