Examination of Health Care Facilities Over a 20-Year Span

The Health Information exchange really took off with the advent of computers and their ability to engage in communicating with one another. In 2006 the

The high cost of healthcare continues to rise and many in the United States are optimistic for health information technology to reduce and improve our current situation. Health IT encompasses a broad array of new technologies designed to manage and share health-related information. When properly implemented, these systems can help coordinate patient care, reduce medical errors, and improve administrative efficiency. Therefore, implementing a Regional Health Information Organization (RHIO) will help the National Health Information Network (NHIN) achieve their goals in improving quality of care for the citizens of the United States. Thus, in order for the health IT to deliver on its promise, several obstacles must be overcome.

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).

The introduction of information systems in health care industry has made enormous development in patient care and satisfaction. The interoperability of the different systems with in a organization is important to achieve effectiveness of the system. The process of developing and integrating the information system is time consuming, complex and costly. This paper is a report submitted by an informatics director to the chief operating officer of an organization proposing a solution to solve the communication problems within the information system.

"Health information technology can be used to study or improve care coordination and its patient-centeredness. More pointedly, HIT provides an opportunity to organize disparate data sources into one cohesive, patient-centered record" (Steichen & Gregg, 2015, p. 34). With its ability to rapidly share health care information such as care plans and discharge summaries, clinical staff can make more timely decisions. Families will also be prompted to be more involved in the patient care due to the availability of current information and resources. There is no doubt that health care is evolving, and technology is creating new ways for us to stay connected, which is essential for successful care coordination.

It has only been within the last five years that health information management (HIM) has experienced exponential changes, due to the healthcare reform. The electronic health record (EHR) is connected to health information exchanges and other systems of interoperability. The timely completion of charts, coding and release of information (ROI) has become much more efficient with the electronic record. Traditional HIM functions will just be transformed and will always be an integral part of successful patient care. Professionals must be flexible and willing to adapt and even generate change. As Health Information Technology continues to evolve, so will the roles

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.

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

Health information technology (HIT) involves trading of health information in an electronic format to advance health care, reduce health expenditures, improve work efficiency, decrease medication errors, and make health care more accessible. Maintaining privacy and security of health information is crucial when technology is involved. Health information exchange plays an important role in improving the quality and delivery of health care and cost-effectiveness. “There is very little electronic information sharing among clinicians, hospitals, and other providers, despite considerable investments in health information technology (IT) over the past five years” (Robert Wood Johnson Foundation, 2014, p. 1).

According to AHIMA, “Information governance is strategic imperative for the future of health care.”Information governance covers not only medical records within an organization but many departments and tasks. From, sharing of information across facilities with different geographic locations. Developing a shared master patient index. Planning for population health management with analytic. Ensuring accurate data for quality measurements and reporting. Meeting the requirements of the meaningful use program, participating in health information exchange. Developing a centralized approach to managing supplies and medical equipment, improving reimbursement and tracking physician productivity. Information is essential for full-filling its primary purpose of providing quality healthcare. It is a critical assets that must be managed to ensure safe, cost effective, high quality care delivery.

In health care, patients’ lives are in the hands of the health care practitioners, health care organizations, insurance companies, and to some degree, even health care technology. The growth and future implications of evidence-based medicine (EBM) through improvement of technology in health care are important today, because health care practitioners and organizations want to ultimately decrease cost, improve quality of care, and increase access to health care (Glandon, Smaltz, & Slovensky, 2014, p. 28). One way to achieve these goals is through the implementation and improvement of EBM and interoperability which will enhance the efficiency of work production resulting in these positive outcomes. According to Glandon, Smaltz, and Slovensky (2014), EBM is an “information management and learning strategy that seeks to integrate clinical expertise with the best evidence available to make effective clinical decisions that will ultimately improve patient care,” (p. 6). “Interoperability is the ability of different information and communications technology systems and software applications to communicate, to exchange data accurately, effectively, and consistently, and to use information that has been exchanged,” (Iroju, Soriyan, Gambo, & Olaleke, 2013, para. 1). Without interoperability and EBM, fundamental data and information such as patient records cannot be easily shared across and within enterprises having a direct impact on the quality of care. It

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

The variation in information needs across any healthcare provider organization forces healthcare information technologies (HIT) platforms, systems, processes and procedures to align its design to support the unique information needs of each department and role. The greater this alignment of HIT systems and technologies to specific administrator, doctor, nurse and lab technician roles, the higher the level of overall systems performance and results attained (Agrawal, Grandison, Johnson, Kiernan, 2007). Just as an enterprise has strategic information needs that help to define the future direction of the business, healthcare provider organizations also have a comparable set of strategic information needs. The administrative roles in healthcare providers need to have a consolidated view of the organization from a cost, quality management, service level, patient recovery rate, patient satisfaction and profitability standpoint as well (Middleton, 2005). All of these factors are often gathered together in a dashboard that administrators often rely on to manage the core areas of their healthcare business (Leung, 2012). Administrator's information needs are also longer term in nature and more oriented towards the development of strategic initiatives that will last several years, requiring

Healthcare is continuously evolving, and so are the ways physicians are managing patient information. Health informatics has made enhancements in the healthcare industry by tracking disease, assessing hospital quality, and studying trends. It’s also proven valuable by providing insights to physicians so they can adjust treatment plans, ensure effective practices are in place, and further their clinical research. Over the years, health informatics has reinforced provider-patient relationships and encouraged patients to take control of their health care.

Information is a key factor that plays a large role in the day-to-day activities within the health care sector. It is generated and processed by health care providers, such as physicians, nurses and hospitals as they provide care to their patients. However, managing that information and using it productively poses an ongoing challenge. It is especially challenging in the complexity of the U.S. health care sector, with its many different types of providers, services and settings for care (Congressional Budget Office, 2008). Information and communication Technologies (ICT) has the potential to greatly increase the effectiveness and efficiency of the health sector by assisting healthcare providers with managing information. It also has the potential to lead to better cost-efficiency in the health sector.