Concept of Health Information Exchange

A. 1.
Concept of health information exchange

It allows doctors, nurses, pharmacist, other health care providers and patients to approximately
access and securely share a patient’s vital medical information electronically within and across regional
and national boundaries there by improving the speed, quality, safety and cost of patient care and
provide timely and seamless portability of information and optimize health of individuals and population
globally.
2.Significance in improving healthcare delivery and patient outcomes
One of the most promising advantages of HIE is improved patient safety. Up to 18% of patient
safety errors and as many as 70% of adverse drug events could be limited if the right information
about the night patient is available at the right time. It also helps improve communication in
healthcare. They provide correct and updated information about patients in one place. They
enable instant access to patients records and allow patients to share information with different
healthcare professionals securely.
3.Key challenges and Benefits
Benefits
- Improves healthcare quality and patient outcome by reducing medication and medical errors
- Makes care more efficient by reducing unnecessary test and services and improve efficiency
of care by ensuring everyone involved in the patients care has access to the same
information
- Streamline administration tasks by making tasks simpler and more efficient thereby reducing
administrative cost
- Engage Patients - increased patient involvement in their own healthcare
- Support community health by conducting and supporting public health officials improve
health of the community
- Improves diagnosis & avoid re-admissions
-
Challenges
The cost of electronics hardware and software is high and the transition and training of staff,
maintenance of electronics without allowing the system to be shut down during peak times of need.
Lastly is the fear of privacy and safety because a lot of people could able to see and access your records.
B. Interoperability in HIE
Importance of standardized data format, code sets and clinical data are models in
facilitating seamless and secure exchange of health information
It is the extent to which systems and devices can exchange data and interpret that
shared data. For two systems to be interoperable, they must be able to exchange data and
subsequently present that data such that a user can understand it.
In order to ensure interoperability, the use of standardized data format, codes sets and clinical
data models should be used. This is to provide a common understanding of language among all persons
involved the delivery of health. Whether they are regional or national in setting. And it should follow the
4 levels of interoperability
Interoperability can enhance care coordination because all the patient information medical
history, laboratory or imaging workups, and previous and current medications. If the patient is in the
province and sought consultation in the city or other regions for example, there would be faster, easier
and more convenient for both the patient and healthcare provider because all the necessary information
needed could easily be extracted thru health information exchange thereby leading to a more
coordinated wat of delivering care to the patient and the population as a whole.
C. Benefits and challenge of consumers medicated HIE
Consumer- mediated HIE enables patients to access their own health information. It also allows
patients to manage their healthcare and financial transfers online and they can actively participate in
their own care coordination thru the following:
- Provie other provides with their health information
- Identify and correcting wrong or missing health information and incorrect billing information
- Tracking and monitoring their own health
Certain challenges of consumer-mediated HIE includes high HIE cost, patient consent differences in
privacy laws, absence of identifiers and rising competition. With the advent of consumer-mediated HIE,
patients are empowered because they are directly involved in the management of their health. They
could access, share their health information and collaborate with providers which increase doctor-
patient engagement which eventually result in a positive outcome.
Potential barriers are the organization barriers due to the lack of leadership support if hospital
managers don’t believe in HIE and technological barriers due ti inadequate infrastructure to implement
HIE, lack of technical standards in saving data difficulty of EHR data integration and security concerns
about data breaches. These barriers could be solved by having a manager who believes in the system
and do extra effort to provide funds for its implementation.
D. The ethical considerations associated with exchange of sensitive health information includes
patient privacy, information security, transparency in using health care data and preventing bias
in the collection and use of information while the legal considerations include the protection of
private patient’s information, patient safety, risk assessment and liability.
Every individual has the right of privacy and confidentiality. Information of a patient should be
released to others only with the patients consent or allowed by law. Security branches also
threaten patient’s privacy when confidential health information is made availability to others
without the individuals consent. Violating this right could make someone held liable and suffer
the penalty of law.
Security measures such as firewalls antivirus software, intrusion detection software must be
included to protect data security, protect the networks, educate staff members, encrypt portable
devices, secure wireless networks and implement physical security controls. The (HIPAA) Health
Insurance Portability and Accountability Act was also established to protect patient’s health
information form fraud and theft.

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A. 1.

Concept of health information exchange

3.Key challenges and Benefits

C. Benefits and challenge of consumers medicated HIE

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