The Healthcare Information And Management Systems Society

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).

McDonald (1997) points out that health care data is siloed in multiple areas that are inaccessible to others. This kind of management of patient data does not serve the patient well. It is for this reason that SCEMS approached Providence and Swedish hospitals to propose implementation of HDE. Moreover, as stated in the McDonald article a feasible way to integrate data from disparate sources is through the use of interfaces such as the HDE. In addition, a problem that exists in the integration of these two data sources is the fact that the hospital system communicates via the standard HL7 language, while the pre-hospital system communicates via XML. Fortunately, the HDE structure accounts for this difference by translating back and forth between the two different languages.

Two organizations migrating to a common health information system would need a system that meets current regulatory requirements, meets the needs of the combined organization and their practice environment. The implementation of a common health information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology.

One of the most important characteristics of an EHR while storing the clinical information is its ability to be interoperable: to share that information among other authorized users. If different information systems cannot communicate or interact with each other, then sharing is not possible. In order to achieve the objective to exchange clinical

One of the challenges of health information exchange is privacy and security. Even though having electronic health information exchange reduces a lot of privacy and security issues, it raises new issues as well. A breach that formerly affected a single paper record now can expose an entire database of patient records. At the same time, health information exchange presents powerful new ways to improve the privacy and security of patients ' data, including encryption, authentication and authorization controls, and electronic audit trails. Two of the biggest challenges we’ve encountered are patient matching/master patient index synchronization issues and the vendors’ variable use of interoperability standards. The biggest issues we’ve experienced, so far are relate to the MPI synchronization of patients across all the entities. Public HIEs, as well as the private HIE vendors, should focus on this challenge. Technically, interoperable platforms, EHR’s, are often hindered by the inability to determine an exact patient match, because the eMPI solutions aren’t robust enough. This also potentially creates data integrity and patient safety issues, if the clinical data goes across multiple records. There also some struggles with the variable use of the interoperability standards between the EHR vendors. One of

Interoperability is the way information is shared across an organization. Sharing information across all avenues of health care is imperative to quality patient care. Coordination between all members of the health care team can occur through a congruent system, eliminating unnecessary phone calls and paper work that take away from patient care. The sharing of information electronically reduces the likelihood that files could be lost or stolen which creates a liability for all those involved in the care of the patient.

The American Health Information Management Association (AHIMA) is a recognized, respected association of health information management (HIM) professionals worldwide. Founded in 1928, AHIMA has become a respected authority for professional education and training in the effective management of health data and medical records needed to deliver quality healthcare to the public. Throughout AHIMA’s history back to 1928, the American College of Surgeons established the Association of Record Librarians of North America (ARNLA) to “elevate the standards of clinical records in hospitals and other medical institutions” (www.ahima.org, 2015). Since its formation, the Association has undergone several name changes in its evolution of the profession. In 1938 the Association changed its name to the American Association of Medical Record Librarians (AAMRL) for a more concise representation. When the Association became the American Medical Record Association in 1970, health information professionals had increased their involvement in hospitals, community health centers, and other health service facilities. As the health industry continues to evolve, the Association changed its name in 1991 to American Health Information Management Association to capture the expanded scope of clinical data beyond medical records to health information comprising the entire continuum of care.

As the implementation of electronic health records (EHR) progress nationwide, the concepts of interoperability and health information exchange (HIE) must be discussed. The Healthcare Information and Management Systems Society (2005, p. 2) define interoperability as “the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.” Interoperability is the enabling of two systems, including those that do not share

The purpose of this project was to overview on the effects of health information technology integration (HIT). This report is mainly focused on understanding of health information technology, specifically on use of health information technology as significant use. Scope of this literature review, given the current state of health information functionality 8.

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

In 2009, the Healthcare Information and Management Systems Society (HIMSS) developed literature that outlined Data Warehousing and its impact within Healthcare Data Management. A study showed that companies who implemented a data warehouse had one consistent data store for reporting, forecasting, and analysis (HIMSS, 2009). Additionally, they had easier and more timely ways to access data, improved end-user productivity, improved IS productivity, reduced cost, scalability, flexibility, reliability, and an overall better competitive advantage (HIMSS, 2009).

Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the

An interoperability-based EPR is the goal the United States system, which is by far the largest market for health informatics systems. Interoperability is the ability of different information technology systems to communicate, exchange data, and use the information that has been exchanged. Sweden, the Netherlands, Germany, and France all have this same approach.

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

Brailer (2005) acknowledges that a sizeable number of citizens receive treatment from multiple providers at a time. Interoperability is a gateway for many business ventures in healthcare to accommodate for patients being admitted in multiple provider organizations. All healthcare professionals, especially managers, must communicate effectively. A good example of interoperability is transformation of electronic medical records, or recruiting physician specialists to operate on a specific procedure (Hellberg & Gronlund, 2013).