INDUSTRY INSIGHTS YOUR PEERS ARE READING
The problem with HIEs Industry trends — “I think you’re going to see a lot of continued acquisition and rip and replace of systems” Thoughts on telemedicine “Most of my time is spent on regulatory compliance” Having a full plate with MU, RAC audits, eRx “Integration is the only way to survive” In today’s world, logging more than 20 years with the same health system is no easy feat. The problem with HIEs. Johnson: The state that I’m in has not done a good job with statewide HIE. MORE
Kentucky HIE — “They’re doing a good job matching patient data” Working with UK to connect schools with primary care clinics Why telehealth is “sputtering” Dividing & conquering MU Meditech in the hospital & medical group Partnering with Bon Secours on an ACO – “We’re just starting down that path.” Kentucky HIE — “They’re doing a good job matching patient data”. Gamble: So just looking at the HIE landscape, there is one primary HIE in the state, correct? MORE
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. MORE
He described some innovative programs like the California Health eQuality (CHeQ) Program, a California HIE program. There are other grant programs supporting HIEs in California, so it seems that other states will be able to learn from these models. MORE
I cover quite a bit of ground on Privacy and Security related to EHR and HIE. I cover this topic as an exercise in a local EHR, but also how this model needs to be extended across an HIE to continue to protect the sensitive healthcare information. MORE
Enterprise Data and Analytics zFeatured blockchain Health Information Exchange HIE healthcare analytics healthcare IT HIMSS18Imagine a spreadsheet has been replicated thousands of times across a vast network of computers. Now, imagine that these computers, within the network, regularly update this spreadsheet. This is the most basic form of understanding a blockchain. Blockchain is the underlying technology in bitcoin and other cryptocurrencies. MORE
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. MORE
The survey, in association with its annual interoperability survey of 2,012 provider Health Information Exchange (HIE) users and 2,300 payer HIE users, along with 4,100 prospective HIE users, finds that payers are accelerating private HIE executions while providers are evaluating HIE replacements with middleware options. Study Names Zoeticx Prominent Player In Expanding Global Healthcare Middleware Market. Zoeticx, Inc., MORE
Health Information Exchange: Centralized, Federated, or Distributed Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) Healthcare Metadata Other articles on HIE MORE
IT as consultants, not owners Lack of ROI in HIEs Patient engagement obstacles “We never intended to chase the dollar.” Lack of ROI in HIEs. When I got here, Change management HIE Meaningful Use Patient Engagement Telemedicine GE Centricity Podcast San Juan Regional Medical Center Sheri RawlingsGE Centricity in owned practices Clinicians in the driver’s seat — “I allowed and encouraged them to make the selection.” MORE
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. MORE
The Wisconsin HIE (WISHIN) held a summit last week. The following diagram clearly shows Wisconsin leadership This is such an exciting perspective of what the Wisconsin HIE delivers today, and where they are targeting for future support. They also have a comparison of nationwide HIEs, that is hard to disagree with the slide deck as there is so little detail present. It seems to me that the statistics show a really strong and healthy HIE. MORE
NextGen’s community HIE Attesting to MU 2 (acute in 2014, ambulatory in 2015) Push & pull methods of data exchange CRISP’s magic button to give docs “a broader scale of information.” NextGen’s community HIE. And then we have the HIE, where providers can consume information on demand. We actually acquired the NextGen HIE; they called it CHS (Community Health Solutions) back then, but it’s been rebranded NextGen HIE. MORE
Manual HIE Today we have Health Information Exchanges that enable Providers to send Directed Secure E-Mail messages to other Providers. Future is Automated In all of the Manual use of an HIE, there is a conscious effort to take action and use the HIE. MORE
So I often get frustrated when someone says that the HIE needs to become Patient Centered. There is no other purpose of an HIE besides the Patient. There is nothing in existing HIE that is "Provider-Centered". MORE
So if analytics is the engine, what is the steering wheel, what are the tires, is HIE the gas tank, or the fueling station? Looking to HIE, as we mentioned in late 2013 , we see a need to redefine this sector. MORE
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. MORE
The next item on the HIE Future is Bright list is movement from "Multiple Point-to-Point Connections" to "Single Connection to Hub". state HIEs): Direct Secure Messaging -- They have a a HISP, and ability to issue Direct addresses on the WISHIN domain; all as part of DirectTrust. In the case of most HIE traffic today it is for the PurposeOfUse of "Treatment". MORE
Some examples where BPPC are used: Connecticut HIE: For release of Privileged Care information, a consent document SHALL be registered with HITE-CT in the form of a BPPC conformant document using the Opt-in for Legally Protected Data (ALL) policy. MORE
However I think that it is more a growth of a very interesting use-case that drove the very early HIE within Wisconsin, well before the push in the last decade. This gets to the very fact that a HIE is a very useful thing, but it costs money to build, run, manage, and support. This money needs to come from somewhere, so it is a common discussion within HIE organizations on how they can build value that can provide income to support the network. MORE
40 Huge opportunity” for telemedicine Epic Care Everywhere vs state HIE — “It’s materially different on what’s being exchanged.” Epic Care Everywhere vs state HIE — “It’s materially different on what’s being exchanged.”. Business Intelligence/Analytics Data Management/Warehousing HIE Telemedicine Epic Jim Venturella Podcast WVU MedicineData warehouse — “There are a lot of capabilities we haven’t fully utilized.” MORE
But lets assert that a good "Privacy by Design" step would be that the Insurance would have HIE like access only with authorization from the Patient. The alternative is that Payers will troll the HIE for Patients that are rich and healthy, so that they can target marketing. MORE
Patchwork HIE Data ownership issues — “It’s supposed to be about the patient.” Patchwork HIE. Application Strategy HIE Readmissions Telemedicine Hugh Chatham Memorial Hospital Lee Powe PodcastTeleneurology with on-call specialists Tracking readmission data The Burger King mentality — “It’s easy to turn into a best-of-breed.” Preparing for RAC audits Talk about hitting the ground running. MORE
I think the most useful value-add that an HIE can add is an API that is based on FHIR. This is true of an XDS based HIE, Regional Exchange (XCA), Vendor based EHR, nationwide Exchange, and Direct HISP. The HIE would implement the PDQm Supplier actor. MORE
It happens that the framework for explaining why the future is bright for HIE comes from the Wisconsin HIE (WISHIN) fall summit. They used the following diagram to show what they viewed as the HIE future. MORE
HIE Innovation Leadership/Staff Management Patient Experience Telemedicine Edward Babakanian Merge Healthcare Podcast UC San Diego Health SystemExpanding image access with Merge iConnect “People expect to be able to do online healthcare.” Piloting telemedicine with managed care patients A culture of innovation — “It’s really about collaboration.” San Diego’s connected community “Don’t limit yourself to being an IT person.” MORE
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. MORE
Universal Health ID -- Enable Privacy HIE/HIO Governance, Policies, and Consents IHE - Privacy and Security Profiles - Document Encryption MORE
There no network that I know of that provides a view of how the HIE was used to expose the Patient data. The Patient is NOT the center of existing Health Information Exchange. Yet, the Health Information Exchange exists for the sole purpose of treating that Patient. These two factual statements are completely opposite. How can they both be facts? The patient does not feel like the center. It is all about Experience. In agile terms "User Experience". MORE
Change management Communication/Transparency Data Governance Data Management/Warehousing HIE Interoperability Population health Post-Implementation Optimization Telemedicine Epic Marc Chasin Podcast St. Three years ago, St. Luke’s had to take a pause in its Epic journey to make sure everyone was headed in the same direction. The detour, says CIO Marc Chasin, was well worth it. Rolling out Epic across an organization the size of St. MORE
As Hurricane Michael descended on the Florida panhandle Wednesday morning, HIEs in surrounding states were preparing to activate an emergency data sharing infrastructure to ensure clinicians have updated medical information on displaced patients MORE
More blog articles on Document Sharing Management (Health Information Exchange - HIE). HIE Records XDSThe expectation that the IHE ITI Technical Committee had on formatCodes was that the Affinity Domain would not want random and unspecified documents registered. As documents that can't be understood by Document Consumers are not helpful to the Affinity Domain. MORE
This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE). A Community deploying an HIE this way needs to define some metadata constraints and practices, so that the documents are found when they are needed. MORE
To learn more on Document Sharing, start here: Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) So the Document Sharing family is a Content Agnostic mechanism for sharing Patient specific Documents. How does one put a FHIR Document into XDS? MORE
Providers large and small are using query-based HIEs and DirectTrust to meet their needs Although the industry is pushing toward uniform standards for data exchange, for the time being, hospitals are taking a piecemeal approach, tapping into various frameworks and methodologies to beef up interoperability. MORE
He sees an opportunity not only in connecting providers with different EHR systems serving common patients, but in applying these tools at the statewide HIE level. He shared with me the observation that some state HIEs don’t even know their identity duplication rates. He sees an opportunity not only in connecting providers with different EHR systems serving common patients, but in applying these tools at the statewide HIE level. MORE
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. MORE
Trump has selected a former Ernst & Young cybersecurity director to be the VA's assistant secretary for information and technology, and the Alliance for Better Health is launching a regional HIE targeting Medicaid beneficiaries MORE
I have been made aware of Utah HIE that has a checkbox on their Consent to forbid break-glass. This is a consent only for HIE, not for within a hospital environment; but it is relevant to our FHIR consent (and CDA consent) work. The Utah HIE Consent Form is [link] Note, that in the context of a FHIR consent; this URL could be used as the Policy URI. We have discussed in years past that Australia had a Privacy Consent where break-glass was not allowed. MORE
HIE Related Topics 
Health Blawg
AUGUST 6, 2018
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee.
Health Blawg
AUGUST 6, 2018
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee.
Healthcare Exchange Standards
APRIL 6, 2018
There no network that I know of that provides a view of how the HIE was used to expose the Patient data. The Patient is NOT the center of existing Health Information Exchange. Yet, the Health Information Exchange exists for the sole purpose of treating that Patient. These two factual statements are completely opposite. How can they both be facts? The patient does not feel like the center. It is all about Experience. In agile terms "User Experience".
Health Blawg
AUGUST 6, 2018
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee.
Health Blawg
AUGUST 6, 2018
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee.
Healthcare Exchange Standards
NOVEMBER 21, 2017
The Wisconsin HIE (WISHIN) held a summit last week. The following diagram clearly shows Wisconsin leadership This is such an exciting perspective of what the Wisconsin HIE delivers today, and where they are targeting for future support. They also have a comparison of nationwide HIEs, that is hard to disagree with the slide deck as there is so little detail present. It seems to me that the statistics show a really strong and healthy HIE.
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Healthcare Exchange Standards
DECEMBER 30, 2017
It happens that the framework for explaining why the future is bright for HIE comes from the Wisconsin HIE (WISHIN) fall summit. They used the following diagram to show what they viewed as the HIE future.
Health Blawg
AUGUST 6, 2018
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data.
Health Blawg
AUGUST 6, 2018
Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data.
Healthcare Exchange Standards
NOVEMBER 26, 2017
But lets assert that a good "Privacy by Design" step would be that the Insurance would have HIE like access only with authorization from the Patient. The alternative is that Payers will troll the HIE for Patients that are rich and healthy, so that they can target marketing.
Healthcare Informatics
JANUARY 15, 2019
Claudia Williams, CEO of California HIE Manifest MedEx and former White House technology senior advisor, discusses the organization’s strategy to provide value to network participants and the path forward for HIEs
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Healthcare Exchange Standards
NOVEMBER 25, 2017
However I think that it is more a growth of a very interesting use-case that drove the very early HIE within Wisconsin, well before the push in the last decade. This gets to the very fact that a HIE is a very useful thing, but it costs money to build, run, manage, and support. This money needs to come from somewhere, so it is a common discussion within HIE organizations on how they can build value that can provide income to support the network.
Healthcare Exchange Standards
NOVEMBER 28, 2017
I think the most useful value-add that an HIE can add is an API that is based on FHIR. This is true of an XDS based HIE, Regional Exchange (XCA), Vendor based EHR, nationwide Exchange, and Direct HISP. The HIE would implement the PDQm Supplier actor.
Healthcare Exchange Standards
NOVEMBER 24, 2017
So I often get frustrated when someone says that the HIE needs to become Patient Centered. There is no other purpose of an HIE besides the Patient. There is nothing in existing HIE that is "Provider-Centered".
Healthcare Exchange Standards
NOVEMBER 25, 2017
The next item on the HIE Future is Bright list is movement from "Multiple Point-to-Point Connections" to "Single Connection to Hub". state HIEs): Direct Secure Messaging -- They have a a HISP, and ability to issue Direct addresses on the WISHIN domain; all as part of DirectTrust. In the case of most HIE traffic today it is for the PurposeOfUse of "Treatment".
FierceHealthIT
JULY 30, 2018
Trump has selected a former Ernst & Young cybersecurity director to be the VA's assistant secretary for information and technology, and the Alliance for Better Health is launching a regional HIE targeting Medicaid beneficiaries
Mobi Health News
JANUARY 18, 2019
Internal data sharing, an exchange framework for HIEs, and support for open APIs are all HHS priorities
Health System CIO
MARCH 23, 2017
Change management Communication/Transparency Data Governance Data Management/Warehousing HIE Interoperability Population health Post-Implementation Optimization Telemedicine Epic Marc Chasin Podcast St. Three years ago, St. Luke’s had to take a pause in its Epic journey to make sure everyone was headed in the same direction. The detour, says CIO Marc Chasin, was well worth it. Rolling out Epic across an organization the size of St.
Perficient
MARCH 22, 2018
Enterprise Data and Analytics zFeatured blockchain Health Information Exchange HIE healthcare analytics healthcare IT HIMSS18Imagine a spreadsheet has been replicated thousands of times across a vast network of computers. Now, imagine that these computers, within the network, regularly update this spreadsheet. This is the most basic form of understanding a blockchain. Blockchain is the underlying technology in bitcoin and other cryptocurrencies.
Health System CIO
JUNE 2, 2015
NextGen’s community HIE Attesting to MU 2 (acute in 2014, ambulatory in 2015) Push & pull methods of data exchange CRISP’s magic button to give docs “a broader scale of information.” NextGen’s community HIE. And then we have the HIE, where providers can consume information on demand. We actually acquired the NextGen HIE; they called it CHS (Community Health Solutions) back then, but it’s been rebranded NextGen HIE.
Health System CIO
APRIL 9, 2013
Kentucky HIE — “They’re doing a good job matching patient data” Working with UK to connect schools with primary care clinics Why telehealth is “sputtering” Dividing & conquering MU Meditech in the hospital & medical group Partnering with Bon Secours on an ACO – “We’re just starting down that path.” Kentucky HIE — “They’re doing a good job matching patient data”. Gamble: So just looking at the HIE landscape, there is one primary HIE in the state, correct?
Health System CIO
DECEMBER 14, 2015
Huge opportunity” for telemedicine Epic Care Everywhere vs state HIE — “It’s materially different on what’s being exchanged.” Epic Care Everywhere vs state HIE — “It’s materially different on what’s being exchanged.”. Business Intelligence/Analytics Data Management/Warehousing HIE Telemedicine Epic Jim Venturella Podcast WVU MedicineData warehouse — “There are a lot of capabilities we haven’t fully utilized.”
Health System CIO
FEBRUARY 11, 2015
IT as consultants, not owners Lack of ROI in HIEs Patient engagement obstacles “We never intended to chase the dollar.” Lack of ROI in HIEs. When I got here, Change management HIE Meaningful Use Patient Engagement Telemedicine GE Centricity Podcast San Juan Regional Medical Center Sheri RawlingsGE Centricity in owned practices Clinicians in the driver’s seat — “I allowed and encouraged them to make the selection.”
Health System CIO
DECEMBER 11, 2012
The problem with HIEs Industry trends — “I think you’re going to see a lot of continued acquisition and rip and replace of systems” Thoughts on telemedicine “Most of my time is spent on regulatory compliance” Having a full plate with MU, RAC audits, eRx “Integration is the only way to survive” In today’s world, logging more than 20 years with the same health system is no easy feat. The problem with HIEs. Johnson: The state that I’m in has not done a good job with statewide HIE.
Health System CIO
MAY 9, 2013
Patchwork HIE Data ownership issues — “It’s supposed to be about the patient.” Patchwork HIE. Application Strategy HIE Readmissions Telemedicine Hugh Chatham Memorial Hospital Lee Powe PodcastTeleneurology with on-call specialists Tracking readmission data The Burger King mentality — “It’s easy to turn into a best-of-breed.” Preparing for RAC audits Talk about hitting the ground running.
Health System CIO
FEBRUARY 10, 2014
HIE Innovation Leadership/Staff Management Patient Experience Telemedicine Edward Babakanian Merge Healthcare Podcast UC San Diego Health SystemExpanding image access with Merge iConnect “People expect to be able to do online healthcare.” Piloting telemedicine with managed care patients A culture of innovation — “It’s really about collaboration.” San Diego’s connected community “Don’t limit yourself to being an IT person.”
Healthcare Exchange Standards
OCTOBER 16, 2015
More blog articles on Document Sharing Management (Health Information Exchange - HIE). HIE Records XDSThe expectation that the IHE ITI Technical Committee had on formatCodes was that the Affinity Domain would not want random and unspecified documents registered. As documents that can't be understood by Document Consumers are not helpful to the Affinity Domain.
Medicine and Technology
APRIL 10, 2013
He described some innovative programs like the California Health eQuality (CHeQ) Program, a California HIE program. There are other grant programs supporting HIEs in California, so it seems that other states will be able to learn from these models.
FierceHealthIT
OCTOBER 10, 2018
As Hurricane Michael descended on the Florida panhandle Wednesday morning, HIEs in surrounding states were preparing to activate an emergency data sharing infrastructure to ensure clinicians have updated medical information on displaced patients
Healthcare Exchange Standards
APRIL 4, 2018
Universal Health ID -- Enable Privacy HIE/HIO Governance, Policies, and Consents IHE - Privacy and Security Profiles - Document Encryption
Healthcare Exchange Standards
AUGUST 21, 2018
This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE). A Community deploying an HIE this way needs to define some metadata constraints and practices, so that the documents are found when they are needed.
Healthcare Exchange Standards
MAY 18, 2017
I have been made aware of Utah HIE that has a checkbox on their Consent to forbid break-glass. This is a consent only for HIE, not for within a hospital environment; but it is relevant to our FHIR consent (and CDA consent) work. The Utah HIE Consent Form is [link] Note, that in the context of a FHIR consent; this URL could be used as the Policy URI. We have discussed in years past that Australia had a Privacy Consent where break-glass was not allowed.
Healthcare Guys
JUNE 4, 2018
The survey, in association with its annual interoperability survey of 2,012 provider Health Information Exchange (HIE) users and 2,300 payer HIE users, along with 4,100 prospective HIE users, finds that payers are accelerating private HIE executions while providers are evaluating HIE replacements with middleware options. Study Names Zoeticx Prominent Player In Expanding Global Healthcare Middleware Market. Zoeticx, Inc.,
FierceHealthIT
MARCH 28, 2018
Providers large and small are using query-based HIEs and DirectTrust to meet their needs Although the industry is pushing toward uniform standards for data exchange, for the time being, hospitals are taking a piecemeal approach, tapping into various frameworks and methodologies to beef up interoperability.
Healthcare Exchange Standards
AUGUST 26, 2017
I cover quite a bit of ground on Privacy and Security related to EHR and HIE. I cover this topic as an exercise in a local EHR, but also how this model needs to be extended across an HIE to continue to protect the sensitive healthcare information.
Healthcare Exchange Standards
AUGUST 3, 2016
Some examples where BPPC are used: Connecticut HIE: For release of Privileged Care information, a consent document SHALL be registered with HITE-CT in the form of a BPPC conformant document using the Opt-in for Legally Protected Data (ALL) policy.
Health Blawg
APRIL 2, 2018
He sees an opportunity not only in connecting providers with different EHR systems serving common patients, but in applying these tools at the statewide HIE level. He shared with me the observation that some state HIEs don’t even know their identity duplication rates. He sees an opportunity not only in connecting providers with different EHR systems serving common patients, but in applying these tools at the statewide HIE level.
Chilmark Research
FEBRUARY 21, 2014
So if analytics is the engine, what is the steering wheel, what are the tires, is HIE the gas tank, or the fueling station? Looking to HIE, as we mentioned in late 2013 , we see a need to redefine this sector.
Healthcare Exchange Standards
JANUARY 10, 2017
To learn more on Document Sharing, start here: Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) So the Document Sharing family is a Content Agnostic mechanism for sharing Patient specific Documents. How does one put a FHIR Document into XDS?
Healthcare Exchange Standards
OCTOBER 10, 2017
Health Information Exchange: Centralized, Federated, or Distributed Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) Healthcare Metadata Other articles on HIE
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