What Is The Difference Between Health Information Exchange And Patient Reported Outcomes

One of the issues with the electronic systems in health care for MU is the ability to retrieve laboratory results during a patient’s visit. In 2013, Hinrichs and Zarcone reveal that over 70% of medical decisions are determined by laboratory results. In 2007, AU Health implemented Cerner Millennium PowerChart that displays clinical data to improve the point of care for patients. With the PowerChart solution, the patient’s information can be easily verified, vital signs can be entered, and family history can be updated. The Affordable Care Act (ACA) signed by President Obama in 2013 places emphasis on expanding insurance coverage of medical care for everyone. As part of the ACA, the improvements in the way these results are exchanged and transmitted will add value to quality, safety, efficiency of health information (Hinrichs & Zarcone, 2013). The transmission and availability of EHR affect how other health professionals send and receive information at the local, state, and national levels.

Health Information Exchange (HIE) has become a major component in today’s healthcare. Health information exchange provides a secure way for providers to appropriately access and electronically share a patient’s medical information. Therefore, reducing duplicate testing, minimizing medication errors and providing a link among electronic health records (EHR) in order to provide quality healthcare.

Healthcare systems are highly complex, fragmented, and use multiple information technology systems and vendors who incorporate different standards resulting in inefficiency, waste, and medical errors (Healthinformatics, 2016). A patient 's medical information often gets trapped in silos, which prevents information from being shared with members of the healthcare community (Healthinformatics, 2016). With increasing healthcare costs, a system needed to be created that would lead to the development and nationwide implementation of an interoperable health information technology system to improve the quality and efficiency of healthcare. Introducing the National Health Information Network (NHIN), this organization can be defined as a set of

14. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically

Health Information Exchange (HIE) supports both transferring and sharing of health related information that is usually stored in multiple organizations, while maintaining the context and integrity of the information being exchanged (HIE, 2014). The goal of health information exchange is to expedite access to and retrieve clinical data to provide safe efficient, effective, equitable, timelier patient-centered care (HIE, 2014). HIE “provides access and retrieval of patient information to authorized users in order to provide safe, efficient, effective, and timely patient care” (HIE, 2014).

In 2010, Stage 1 was introduced which focused on EHR data and sharing. Healthcare providers were obligated to store health information electronically in a standardize format that allowed authorized providers and patients to easily access the info. Stage 2 began in 2014, this stage broadened the use of EHR software for health information exchange among providers which will feature enhanced integration for e-prescribing and lab results, increased sharing of patient care summaries, and continuing to encourage patients to engage in their care in order to earn the incentives. Stage 3 began in 2016 which was set out to improve outcomes. To improve the outcome of health for patients on a large scale, the quality of health information exchanged needed to be focused on, giving providers efficient and easy access to comprehensive patient data (LeGate, 2013).

HIE face a range of challenges as they try to get hundreds and even thousands of participants in sharing data. Getting data in front of doctors and other clinicians is one of the biggest challenges HIEs face. Ideally, it would be delivered directly to a providers' EMR system, so when a patient goes to an outside lab for blood tests, the results would show up in the electronic record at the doctor's office, and the doctor would be notified that the results are there. However, with limited EMR use across the country, HIEs have had to provide alternative delivery methods. HIE is considered to be one of the key components of the national health IT infrastructure being established by the HITECH Act. Policymakers and health care providers believe this health IT infrastructure will produce a number of benefits, many of which are directly related to HIE.

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

An Electronic Health Record (also known as EHR) is an official health record for a patient that is stored with multiple facilities and agencies. The main purpose of this electronic system is to improve efficiency, quality of care, and reduce costs. How can one system possibly do all these improvements to health records? Well let’s break it down to simpler terms. It will improve efficiency for individuals seeking healthcare from a different facility in the future. There will be no more paper trails, meaning no more faxing, emails, by mail, or playing the waiting game to get your records from another facility. With EHR the records will already be in the data base and they can pull up your charts within a few

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving

Electronic health records (EHRs): Medical records are now kept in an electronic versus a paper chart. All health information regarding past and current medical history, treatment plans, and medications are kept in the EHR. The system also allows sharing of medical information from provider to provider as needed. Many HER systems have a feature to allow patients to log into a patient portal to review lab results, diagnostic tests, plans of care, and email access to the provider

There are many different healthcare settings, which Electronic Health Records (EHR) have been implemented. One may think EHR’s are the same for all settings; however, based on the needs and application to each area, there are similarities and differences. This paper will delve into the Perioperative setting and Ambulatory setting in primary care. Information provided will highlight the value of Electronic Health Information (EHI), its impact at the warehouse and regional level as it improves patient care among the respective practitioners in these settings and its impact to Public Health Information Networks (PHIN) and National Health Information Networks (NHIN).

The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.

Health information exchange and information technology are essential tools that healthcare providers and consumers often utilize to assist in improving health care. An electronic health information exchange promises potential benefits for health care systems through improved clinical care, reduced cost and the needed elements for a national health information network. As with any other industry, the exchange of such information has its many benefit, but it

It is important to understand that patients are very satisfied with electronic health systems. For example, patients see a vast improvement in the speed at which they are being seen when they go their doctors’ office. Patients no longer have to wait on their physicians for hours due to the fact that their information can be readily available to their physicians when they come to see them. Moreover, all their information is transparent to their health care provider since all their data is in electronic form.