18.2 C
New York
Monday, June 17, 2024

Defining a Health Information Exchange

The United States is facing the largest shortage of healthcare practitioners in our country’s history which is compounded by an ever-increasing geriatric population. In 2005 there existed one geriatrician for every 5,000 US residents over 65 and only nine of the 145 medical schools trained geriatricians. By 2020 the industry is estimated to be short 200,000 physicians and over a million nurses. Never, in the history of US healthcare, has so much been demanded with so few personnel. https://thehealthcarey.com/

Because of this shortage combined with the geriatric population increase, the medical community has to find a way to provide timely, accurate information to those who need it in a uniform fashion. Imagine if flight controllers spoke the native language of their country instead of the current international flight language, English. This example captures the urgency and critical nature of our need for standardized communication in healthcare.

A healthy information exchange can help improve safety, reduce length of hospital stays, cut down on medication errors, reduce redundancies in lab testing or procedures and make the health system faster, leaner and more productive. The aging US population along with those impacted by chronic disease like diabetes, cardiovascular disease and asthma will need to see more specialists who will have to find a way to communicate with primary care providers effectively and efficiently.

This efficiency can only be attained by standardizing the manner in which the communication takes place. Healthbridge, a Cincinnati based HIE and one of the largest community based networks, was able to reduce their potential disease outbreaks from 5 to 8 days down to 48 hours with a regional health information exchange. Regarding standardization, one author noted, “Interoperability without standards is like language without grammar. In both cases communication can be achieved but the process is cumbersome and often ineffective.”

United States retailers transitioned over twenty years ago in order to automate inventory, sales, accounting controls which all improve efficiency and effectiveness. While uncomfortable to think of patients as inventory, perhaps this has been part of the reason for the lack of transition in the primary care setting to automation of patient records and data. Imagine a Mom & Pop hardware store on any square in mid America packed with inventory on shelves, ordering duplicate widgets based on lack of information regarding current inventory.

Visualize any Home Depot or Lowes and you get a glimpse of how automation has changed the retail sector in terms of scalability and efficiency. Perhaps the “art of medicine” is a barrier to more productive, efficient and smarter medicine. Standards in information exchange have existed since 1989, but recent interfaces have evolved more rapidly thanks to increases in standardization of regional and state health information exchanges.

History of Health Information Exchanges

Major urban centers in Canada and Australia were the first to successfully implement HIE’s. The success of these early networks was linked to an integration with primary care EHR systems already in place. Health Level 7 (HL7) represents the first health language standardization system in the United States, beginning with a meeting at the University of Pennsylvania in 1987. HL7 has been successful in replacing antiquated interactions like faxing, mail and direct provider communication, which often represent duplication and inefficiency. Process interoperability increases human understanding across networks health systems to integrate and communicate.

Standardization will ultimately impact how effective that communication functions in the same way that grammar standards foster better communication. The United States National Health Information Network (NHIN) sets the standards that foster this delivery of communication between health networks. HL7 is now on it’s third version which was published in 2004. The goals of HL7 are to increase interoperability, develop coherent standards, educate the industry on standardization and collaborate with other sanctioning bodies like ANSI and ISO who are also concerned with process improvement.

In the United States one of the earliest HIE’s started in Portland Maine. HealthInfoNet is a public-private partnership and is believed to be the largest statewide HIE. The goals of the network are to improve patient safety, enhance the quality of clinical care, increase efficiency, reduce service duplication, identify public threats more quickly and expand patient record access. The four founding groups the Maine Health Access Foundation, Maine CDC, The Maine Quality Forum and Maine Health Information Center (Onpoint Health Data) began their efforts in 2004.

In Tennessee Regional Health Information Organizations (RHIO’s) initiated in Memphis and the Tri Cities region. Carespark, a 501(3)c, in the Tri Cities region was considered a direct project where clinicians interact directly with each other using Carespark’s HL7 compliant system as an intermediary to translate the data bi-directionally. Veterans Affairs (VA) clinics also played a crucial role in the early stages of building this network. In the delta the midsouth eHealth Alliance is a RHIO connecting Memphis hospitals like Baptist Memorial (5 sites), Methodist Systems, Lebonheur Healthcare, Memphis Children’s Clinic, St. Francis Health System, St Jude, The Regional Medical Center and UT Medical. These regional networks allow practitioners to share medical records, lab values medicines and other reports in a more efficient manner.

Uneeb Khan
Uneeb Khanhttps://hris.markplusinc.com/cgi-bin/file/
slot OUB slot bsi slot BNI slot jenius slot SYARIAH slot bjb slot bjb slot danamon slot cmb slot permata slot panin slotbank mega slot panin slotbank mega slot citibank slot citibank SLOT BNI SLOT BCA SLOT MAXWIN slot dana slot ovo slot linkaja slot depo 5000 slot gampang mennag slot deposit 2000 slot garansi slot bonus new 100 slot pulsa link gacor slot jakpot slot 10k majong 2 wild bandito bocoran togel slot scater hitam slot bet 1000 slot bet 1000 my togel server togel server togel slot kawin akun pro vip slot kawin slot depo 5k slot 1000 slot server macau 2022 slot di jamin wd gojek game slot game slot asli game slot asli pola olimpus pola olimpus slot bank cmd <a href="https://hris.markplusinc.com/cgi-bin/file/" rel="dofollow"nemo69 Link alternatif <a href="https://hris.markplusinc.com/cgi-bin/file/" rel="dofollow"bo slot thailand slot bank cmd nemo69 link nemo69 nemo69 daftar <a href="https://hris.markplusinc.com/cgi-bin/file/" rel="dofollow"nemo69 Link alternatif <a href="https://hris.markplusinc.com/cgi-bin/file/" rel="dofollow"situs nemo69 nemo69 bonus 100% slot dana slot gopay slot deposit 10k slot deposit 5k slot bet 200 slot bet 1000 slot garansi kekalahan 100 slot garansi kekalahan terbaru Bo garansi kekalahan 100 terbaru Bo garansi my togel server togel slot nolimit slot demo bisa wd slot demo pg soft mirip asli slot asli thailand slot scatter hitam slot bca slot bca gacor slot bca login slot bri 24 jam slot bri 10k slot mandiri 10k slot pulsa deposit pulsa 5000 deposit dana tanpa potongan slot receh slot menyala slot petir slot gacor maxwin slot kahwin togel singapore togel terpercaya togel macau slot allobank slot link aja slot bonus 100 slot bonus new member nemo69 Link alternatif nemo69 slot bonus 100 bebas ip bo slot bonus 100 bo slot ovo bo slot ovo gratis bo slot dana bo slot thailand bo slot paling gacor SLOT TOBRUT SLOT TOPBRU MYTHIC88 TANDOK99 WING99 RAJA228 ULTRA889 SLOT GARANSI KEKALAHAN 100 DUNIA89 TOTOSLOT138 SLOT BONUS RUNGKAT 100 slot bank bjb slot deposit 1000 via dana situs toto slot bank syariah top gaming 77 slot bank aladin gadun slot login slot bank bsi slot deposit QR situs gacor hari ini kerajaan slot slotgacor slot bank cmd slot bagus judi resmi pubtogel situs gacor gampang maxwin menang slot online situs judi slot gacor rekening 77 slot kumpulan situs ug goceng slot slot tergacor hari ini dingdong slot situs depo 5k slot tanpa deposit bisa withdraw 2023 situs yg paling gacor slot gacor terbaik slot deposit 1rb slot yang sering maxwin game gacor slot bisa pinjam saldo situs slot gampang maxwin daftar slot langsung dapat saldo gratis tanpa deposit link gacor hari ini judi online24jam terpercaya jadwal slot gacor hari ini slot depo 5k slot terbaik warisan slot no togel burung slot gacor minimal deposit 5rb akun slot gacor hari ini bo slot terbaik jam hoki main slot sweet bonanza slot mudah maxwin situs yang gacor situs slot gacor 2023 jam hoki main slot olympus mpo merah slot nama situs slot online terbaik gopay slot aplikasi slot resmi slot paling gacor 2023 slot deposit ovo depo 20 bonus 20 situs slot gacor mudah jp semua nama situs judi slot online akun slot paling gacor pasar judi slot deposit minimal 5k ion slot gacor rtp bataraslot slot online deposit 24 jam daftar casino online bo gacor slot pecah slot slot deposit 20 ribu slot deposit 2000 cara daftar judi slot online slot gacor.hari.ini deposit minimal 1rb judi resmi link alternatif situs slot online pagcor judi resmi link alternatif situs slot online pagcor betting online slot daftar slot bonus saldo web gacor kumpulan situs mpo slot terbaru slot singapore winrate tertinggi link slot depo 5k kumpulan situs mpo slot terbaru situs judi online gacor gampang wd slot singapore winrate tertinggi link slot depo 5k slot bet 50 rupiah situs judi slot online winrate tertinggi jadwal slot pragmatic gacor hari ini situs slot gacor anti rungkad gebyar slot goceng slot login slot deposit ovo 10000 situs slot terkaya di dunia link situs judi slot online terpercaya database pemain slotkeyword receh judi 777 online situs terbaik gacor jam 138 slot login nomor togel cumi cumi gojek game slot slot pragmatic bet 50 rupiah slot tanpa deposit bisa wd slot deposit pulsa 5000 tanpa potongan 2021 no togel 96 slot minimal withdraw 10 ribu slot deposit pulsa by.u slot di jamin wd slot server macau 2022 bola gacor slot slot deposit dana 2000 rupiah situs slot bet 200 rupiah judi slot 888 link alternatif slot gacor demo slot playstar situs slot daftar dapat saldo daftar slot microgaming situs paling mudah maxwin daftar slot olympus bo togel bet 50 perak slot ovo gacor olympus menang slot online pusat judi online akun pro london slot mpo deposit 5000 situs minimal deposit 5rb judi online24jam deposit situs judi slot online terlengkap situs slot ovo pasar gacor slot server mpo play gampang jp deposit 20k slot neo bank galaxy gaming slot link alternatif 88 situs slot slot via dana 10k slot singapura slot bonus kekalahan 100 persen jam gacor slot pragmatic olympus slot yang lagi gacor slot pagcor new member 100 cara withdraw slot ke dana bar bar 77 link alternatif nomor burung togel jam main slot pragmatic depo slot link alternatif jam hoki main slot olympus 2023 slot gacor gratis saldo cara bermain slot deposit via pulsa 5000 tanpa potongan link slot gacor janji slot gacor pg soft 2023 slot gacor jam sekarang slot minimal deposit 5000 via dana slot demo ares pragmatic situs slot depo 5rb slot gacor bet slot minimal depo 5k kumpulan judi online link slot depo 5k dana mpo slot bonus 100 slot gacor depo 20 bonus 20 bo garansi kekalahan 100 slot situs singapura logo indo slot daftar slot deposit pulsa minimal 5000 tanpa jam gacor olympus hari ini slot minimal depo 10k rtp slot777 hari ini slot thailand gacor 2023 situs tergacor saat ini aplikasi slot deposit 5000v permainan slot yang gampang menang slot gacor hari jumat bola slot gacor slot server thailand super gacor rungkad slot situs slot paling hoki situs olimpus minimal deposit slot permainan dingdong slot gacor malam ini terbaru cara menang main slot pragmatic bonanza server sensasional slot anti rungkad judi online terlengkap server thailand 777 66kbet login 66kbet akun khusus slot depo 5k dana situs super gacor slot gacor hari ini rtp tinggi rtp slot gacor jam berapa? situs slot yang banyak bonusnya slot terbaik indonesia situs slot 2022 rtp slot tertinggi malam ini akun slot gacor malam ini pola olimpus web gacor terpercaya situs slot bonus new member tanpa to slot 5k dana situs slot depo 5k dana link slot yang lagi gacor game slot asli new member depo 10k slot bonus 100 persen di awal situs judi minimal deposit 10rb slot gacor hari ini pragmatic situs depo 10k slot depo nomor kadal dalam togel situs slot klaim garansi 100 tanpa to puncak88 slot login link slot gacor pagi ini slot gaco situs terbaik gacor nomor togel cumi cumi gojek game slot slot pragmatic bet 50 rupiah slot tanpa deposit bisa wd slot deposit pulsa 5000 tanpa potongan 2021 slot minimal withdraw 10 ribu slot deposit pulsa by.u slot di jamin wd slot server macau 2022 slot bri slot mandiri slot 1k slot 1000 slot 2000 slot depo 5k slot menyala slot kawin akun pro vip FB TERKUNCI BOKEP SMP VIRAL PARLAY BERJALAN NEXUS GACOR AKUN ANTI RUNGKAD MASAK SARAPAN PAGI BO SLOT REKOMENDASI BO SLOT VIETNAM SITUS 100 PENGHASILAN TIKTOK SAYA HK VERSI HARIAN HASIL KELUAR HK POLA MAX WIN MASUK FACEBOOK LAMA PREDIKSI ANGKA KERAMAT CARA MASAK MISO POLA GACOR MADAME DESTINY BUKAAN HK MLM INI CARA HAPUS RIWAYAT TRANSAKSI SHOPEEPAY AKUN WSO SLOT SLOT DEPO 20 BONUS 20 TWITTERBACOL jess no limit SLOT VIRAL 10 REKOMENDASI SLOT GACOR FREECHIP SLOT TWITTER 16 JUDI SPACEMAN POLA MICROGAMING Rtp microgaming MEMAHAMI POLA SLOT KELUARAN SINGAPORE 2024 DOWNLOAD VIDEO IG slot gacor hari ini slot gacor agen slot gacor slot online slot gacor 2024 slot mudah maxwin slot gampang menang bpjs88 bpjs88 login bpjs88 daftar bpjs88 link alternatif bpjs 88 daftar bpjs88 login bpjs88 link bpjs88 colombia88 colombia88 colombia88 colombia88 colombia88 macau999 colombia88 bimabet colombia88 slot mpo GACORRR BANGETTT slot gacor hari ini slot gacor agen slot gacor slot online slot gacor 2024 slot mudah maxwin slot gampang menang wajik88 vegas969 m11toto mpo gacor slot mpo mpo slot situs mpo slot gacor hari ini slot online

Related Articles

Stay Connected

0FansLike
3,912FollowersFollow
0SubscribersSubscribe

Latest Articles