Abstract
Clinicians, care coordinators, and epidemiologist need timely access to patient data from the healthcare organizations which hold it. However, many barriers exist to requesting and receiving data. Technical standards must be decided and implemented consistently. Privacy protections must be maintained, including audit logs of transactions and methods for patients to express consent. Data use policy must be agreed between the parties exchanging records. Legal protections and recourse for misbehavior must be established. A Health Information Exchange (HIE) is an organization established as a trusted intermediary between the parties, able to address the varies obstacles to exchange, usually through a collaborative governance process. The specific roles and scope of HIEs vary greatly, generally shaped by the purposes for which they were first established. These purposes continue to evolve to meet the needs of the healthcare industry.
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References
Galvez E. HIE bright spots: health information exchange as a key enabler of care coordination. 2013. https://www.healthit.gov/buzz-blog/state-hie/hie-bright-spots-health-information-exchange-key-enabler-care-coordination-part-1. Accessed September 27, 2020.
HIMSS. Interoperability in healthcare guide. https://www.himss.org/resources/interoperability-healthcare#top. Accessed September 27, 2020.
The Office of the National Coordinator for Health IT. What is HIE? HealthIT.gov. 2020. https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-hie. Accessed September 27, 2020.
Karazzi H, Horrocks D, Weiner J. Use of HIEs for value-based care delivery: a case study of Maryland’s HIE. In: Health information exchange: navigating and managing a network of health information systems. Amsterdam: Elsevier; 2016. p. 313–32. https://doi.org/10.1016/B978-0-12-803135-3.00030-X.
NCQA. HEDIS and performance measurement. https://www.ncqa.org/hedis/. Accessed February 22, 2021.
NCQA. Health information exchange earns eMeasures certification: a first for NCQA and Nebraska Health Information Initiative. 2019. https://www.ncqa.org/news/health-information-exchange-earns-emeasures-certification/. Accessed February 27, 2021.
eHealth Exchange. Hub frequently asked questions (FAQ). 2020. https://ehealthexchange.org/wp-content/uploads/2020/12/Hub-FAQ-12-6-2020.pdf. Accessed February 27, 2021.
Asnaani J. Record locator services – helping to connect your health history to your current health care. Commonwell Health Alliance. 2015. https://www.commonwellalliance.org/news-center/commonwell-blog/recordlocatorservicesblog/. Accessed February 27, 2021.
Yasnoff WA. The health record banking model for health information infrastructure. In: Healthcare information management systems: cases, strategies, and solutions. 4th ed. New York: Springer; 2015. p. 331–54. https://doi.org/10.1007/978-3-319-20765-0_20.
Truong K. Microsoft HealthVault is officially shutting down in November. Medcity News. 2019. https://medcitynews.com/2019/04/microsoft-healthvault-is-officially-shutting-down-in-november/. Accessed September 27, 2020.
Dolan B. 10 reasons why google health failed. MobiHealthNews. 2011. https://www.mobihealthnews.com/11480/10-reasons-why-google-health-failed. Accessed September 27, 2020.
Brown D. What the failure of Microsoft’s Healthvault means for the future of EHRs. HIT consultant. 2019. https://hitconsultant.net/2019/04/19/what-the-failure-of-microsofts-healthvault-means-for-the-future-of-ehrs/. Accessed September 27, 2020.
ONC. State HIE strategic and operational plan emerging models. 2013.
HIMSS. Care everywhere. 2008. https://www.himss.org/resource-environmental-scan/care-everywhere. Accessed October 4, 2020.
The largest healthcare information network in the country, eHealth Exchange (https://ehealthexchange.org/), allows data to be exchanged nationwide through a network of networks.
The Office of the National Coordinator for Health IT. What is the NHIN? HealthIT.gov. https://www.healthit.gov/sites/default/files/what-Is-the-nhin%2D%2D2.pdf. Accessed November 29, 2020.
Commonwell Health Alliance. Frequently asked questions. https://www.commonwellalliance.org/about/faq/. Accessed November 29, 2020.
Carequality. What is carequality? https://carequality.org/what-we-do/. Accessed November 29, 2020.
HIMSS. SHIEC patient centered data Home™ (PCDH). 2015. https://www.himss.org/resource-environmental-scan/shiec-patient-centered-data-hometm-pcdh. Accessed November 29, 2020.
Surescripts. Purpose. https://surescripts.com/our-story/. Accessed January 2, 2021.
Audacious Inquiry. Baltimore health technology firm receives first outside venture capital investment. Ainq.com. 2018. https://ainq.com/baltimore-health-technology-firm-receives-first-outside-venture-capital-investment/. Accessed February 26, 2021.
Collective Medical. Collective medical secures $47.5 million in series a funding. Collectivemedical.com. 2017. https://collectivemedical.com/resources/press-release/collective-medical-secures-47-5-million-in-series-a-funding/. Accessed February 26, 2021.
PatientPing. PatientPing secures $60 million in series C funding to continue expansion of national electronic notifications network. Patientping.com. 2020. https://patientping.com/feature-news-events/patientping-secures-60-million-in-series-c-funding-to-continue-expansion-of-national-electronic-notifications-network/. Accessed February 26, 2021.
CRISP. CRISP overview. CRISP public presentation. 2020.
HL7 FHIR Release 4. FHIR Overview. Hl7.org. https://www.hl7.org/fhir/overview.html. Accessed February 26, 2021.
The SMART Health IT (https://smarthealthit.org/) effort enables healthcare information technology interoperability through innovation.
Jercich K. New CMS interoperability rule would streamline prior authorization processes. Healthcare IT News. 2020. https://www.healthcareitnews.com/news/new-cms-interoperability-rule-would-streamline-prior-authorization-processes. Accessed February 26, 2021.
H.R.34 - 21st Century Cures Act, Title IV. 2016. https://www.congress.gov/bill/114th-congress/house-bill/34.
The Office of the National Coordinator for Health IT. 21st century cures act: interoperability, information blocking, and the ONC health IT certification program. HealthIT.gov. 2020. https://www.healthit.gov/sites/default/files/cures/2020-03/ONC_Cures_Act_Final_Rule_03092020.pdf. Accessed February 27, 2021.
Miliard M. HHS publishes final regs on info blocking, interoperability. HealthCare IT News. 2020. https://www.healthcareitnews.com/news/hhs-publishes-final-regs-info-blocking-interoperability. Accessed February 27, 2021.
The Office of the National Coordinator for Health IT. Information blocking. HealthIT.gov. 2021. https://www.healthit.gov/topic/information-blocking. Accessed February 27, 2021.
The Office of the National Coordinator for Health IT. ONC’s cures act final rule highlighted regulatory dates. HealthIT.gov. https://www.healthit.gov/curesrule/overview/oncs-cures-act-final-rule-highlighted-regulatory-dates. Accessed February 27, 2021.
Whicher D, Ahmed M, Siddiqi S, Adams I, Grossmann C, Carman K, editors. Health data sharing to support better outcomes: building a foundation of stakeholder trust. NAM Special Publication. Washington, DC: National Academy of Medicine; 2020.
Kharrazi H, Weiner JP. IT-enabled community health interventions: challenges, opportunities, and future directions. EGEMS. 2014;2(3):1117. https://doi.org/10.13063/2327-9214.1117.
Horrocks D, Kansky J. HIEs are vital to public health but need reshaping. HIMSS. 2020. https://www.himss.org/resources/hies-are-vital-public-health-need-reshaping. Accessed February 27, 2021.
HealthyPeople.gov. Social determinants of health. 2020. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health#five. Accessed February 22, 2021.
Hatef E, Rouhizadeh M, Tia I, et al. Assessing the availability of data on social and behavioral determinants in structured and unstructured electronic health records: a retrospective analysis of a multilevel health care system. JMIR Med Inform. 2019;7(3):e13802.
Gamache R, Kharrazi H, Weiner JP. Public and population health informatics: the bridging of big data to benefit communities. Yearb Med Inform. 2018;27(1):199–206. https://doi.org/10.1055/s-0038-1667081.
The San Diego Community Information Exchange (https://ciesandiego.org/) facilitates health and social service data exchange.
The HL7 Gravity Project (https://www.hl7.org/gravity/) was launched to establish interoperability standards related Social Determinants of Health.
Centers for Medicare & Medicaid Services. Accountable health communities model. CMS.gov. 2020. https://innovation.cms.gov/innovation-models/ahcm. Accessed February 22, 2021.
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Horrocks, D., Ferris, L., Kharrazi, H. (2022). Health Information Exchange. In: Kiel, J.M., Kim, G.R., Ball, M.J. (eds) Healthcare Information Management Systems. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-031-07912-2_8
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