chapter 6 health information exchange Flashcards
health information exchange (HIE) what is it?
electronic movement of health-related info among org according to nationally recognized standards
what interoperability
the ability of two or more systems or components to exchange information and to use the information that has been exchanged
what are interoperability levels
- foundational - technology or platform used to exchange information.
- syntactic-means messages have a structure and syntax that is understandable.
- semantic: terminology and coding must be the same for the sending and receiving organizations.
foundational, data is
received and fits
syntactic, the data is
understandable
semantic data is
usable
why health exchange ?
-if EHRs don’ts share info, then we left from paper siloes of info to electron siloes not the goal
-it is vital for healthcare reform at the local, state and national level
-part of meaningful use (MU) now referred as promoting interoperability (PI)
HIE stage 2 meaningful use provide patients to view, download their health information within
4 business days of the info being available to the EP
HIE stage 2 meaningful use provide patients with ability to view, download and transmit info about
hospital admission
HIE stage 2 meaningful use can provide….for patients for each office visit
clinical summaries
HIE stage 2 meaningful use other uses
-can provide summary of care record when patient is referred
-submit electronic data to immunization registers
-identify and repot cancer cases to public health central cancer registry
-identify and repot specific cases to a specialized registry
HIE stage 2 meaningful use other uses
capability to submit electronic syndromic surveillance data to public health
-record whether a patient has an advance directive
-imaging results with explanations
-secure messaging
under which stage of meaningful use is CMS included ?
stage 3
HIE stage 3 meaningful use
-provider to provider exchange
-provider to patient exchange
-provider to public health agency exchange
health care data shared
clinical results
images
documents
clinical summarites
financial information
medication data
performance data
case management
public health data
referral management