Patient Centered HIE

Healthcare Exchange Standards

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".

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Future of HIE is bright

Healthcare Exchange Standards

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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HIE Future is bright - Automated not Manual

Healthcare Exchange Standards

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.

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HIE Future is Bright - stepping into 2018

Healthcare Exchange Standards

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.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

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.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

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.

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HIE Future is Bright -- Payers and Providers

Healthcare Exchange Standards

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.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

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.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

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.

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HIE future bright -- FHIR API to Document Sharing

Healthcare Exchange Standards

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.

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HIE transition to Patient-Centered from Provider-Centered

Healthcare Exchange Standards

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".

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HIE Future is bright - single connection to hub

Healthcare Exchange Standards

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".

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Health IT Roundup—VA has a new IT leader; Alliance for Better Health launches Medicaid HIE

FierceHealthIT

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

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Marc Chasin, MD, VP & CIO, St. Luke’s Health System, Chapter 1

Health System CIO

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.

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Blockchain and The Future of Data Security

Perficient

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.

Ed Grogan, VP & CIO, Calvert Health System, Chapter 2

Health System CIO

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.

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Randy McCleese, CIO, St. Claire Regional Medical Center, Chapter 2

Health System CIO

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?

Jim Venturella, CIO, WVU Medicine, Chapter 2

Health System CIO

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.”

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Sheri Rawlings, CIO, San Juan Regional Medical Center, Chapter 2

Health System CIO

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.”

Tom Johnson, CIO, DuBois Regional Medical Center, Chapter 3

Health System CIO

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.

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Lee Powe, CIO, Hugh Chatham Memorial Hospital, Chapter 2

Health System CIO

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.

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Edward Babakanian, CIO, UC San Diego Health System, Chapter 3

Health System CIO

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.”

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IHE FormatCodes are mandatory

Healthcare Exchange Standards

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.

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Dr. Kizer opening keynote at the HIMSS Southern CA Chapter Healthcare IT Conference #HITCon13

Medicine and Technology

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.

Health information exchanges prepare for patient displacement as Hurricane Michael gains steam

FierceHealthIT

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

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IHE Document Sharing (XDS) Metadata management Handbook

Healthcare Exchange Standards

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.

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Basics of doing Document Sharing Query right

Healthcare Exchange Standards

Universal Health ID -- Enable Privacy HIE/HIO Governance, Policies, and Consents IHE - Privacy and Security Profiles - Document Encryption

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Study Names Zoeticx Prominent Player In Expanding Global Healthcare Middleware Market

Healthcare Guys

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.,

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Consent to deny Sharing for Treatment and Emergency Break-Glass

Healthcare Exchange Standards

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.

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Without a single solution, hospitals are taking different paths to interoperability

FierceHealthIT

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.

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Book: Healthcare Information Technology - 2nd Edition

Healthcare Exchange Standards

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.

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Basic Consent - a necessary first step

Healthcare Exchange Standards

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.

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HIMSS or Bust

Chilmark Research

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.

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FHIR documents in XDS

Healthcare Exchange Standards

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?

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Blockchain in Healthcare: A Vehicle Towards Digital Health 2.0?

The Digital Health Corner

Blockchain can also ensure the accuracy of the data exchanged among entities, something a HIE (health information exchange) cannot do. I would like to apologize to the readers of this site for the long hiatus. I have been spending time as cardiologist, consultant, and caregiver for a seriously ill family member. My goal is to continue writing as it is something I truly love to do. I hope and believe that all of the above roles I engage in add to the quality of this blog.

Granularity of FormatCode

Healthcare Exchange Standards

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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BPPC is not just for XDS/XCA

Healthcare Exchange Standards

Authorizing HIE Disclosure The next most prevalent is a Privacy Consent that authorizes release to others. This is the most common use-case for enabling an organization to expose patient data through an HIE. Where I am using a broad term for HIE, not limited to XDS.

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Rwanda : The Digital Health Pioneer

Lloyd Price

The first phase is focused on the maternal healthcare domain, and the main objectives are to: Complete an Implementation Science/Research Project to present the impact of a Health Information Exchange (HIE) on the maternal healthcare delivery system in Rwanda.

In Wisconsin we have Interoperability

Healthcare Exchange Standards

See below an interesting monthly report I get from the Wisconsin HIE. A very healthy and Quality producing HIE: 2.6 This is a Standards based HIE, based on IHE-XDS and XCA. We will keep you up to date with WISHIN activities, news on health information exchange (HIE) and new product developments. Later in the month, Epic Systems, Athenahealth, and other EHR vendors announced plans to halt charges for interfaces and transactions related to HIE.

Northwell Health’s Patients engage with AI ChatBot for guidance & support through their care journey

Consumer eHealth Engagement

care management tool/HIE), Pamela receives these personalized chats from her specific Nurse Navigator at Northwell and the chat content is tailored for her specific care journey.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

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.

HIMSS14: Patiently Waiting for Progress

Chilmark Research

HIEs Look Backward. HIE vendors are looking to build out patient portals and care coordination applications as they transition from building pipelines to demonstrating value.

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#DisruptAging with Charlotte Yeh, Chief Medical Officer of AARP Services – Harlow on Healthcare

Health Blawg

Charlottte Yeh, Chief Medical Officer, AARP Services, joined me for a recent edition of Harlow on Healthare. She is focused on how research can help define improvements in the social determinants of health and the personal determinants of health for older individuals.

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