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".

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HIE FHIR Health Information Patient Experience 40

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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HIE FHIR Leadership 46

Healthcare Exchange Standards

NOVEMBER 22, 2017

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 Health Information 52

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.

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HIE FHIR Meaningful Use Leadership 52

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.

HIE 78

HIE Interoperability Health Data Healthcare Innovation 78

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.

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HIE Interoperability Health Data Healthcare Innovation 78

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.

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HIE HIPAA Meaningful Use 52

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.

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HIE Interoperability Health Data Healthcare Innovation 60

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.

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HIE Interoperability Health Data Healthcare Innovation 60

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.

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HIE FHIR EHR Interoperability 52

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".

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HIE FHIR HIPAA Health Information 52

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".

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HIE eHealth FHIR EHR 40

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

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HIE Health IT 32

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.

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HIE Interoperability Primary Care EHR 91

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.

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Interoperability HIE Health Information Healthcare IT 48

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.

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eCare Meaningful Use Mental health HIE 60

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?

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Meaningful Use Telehealth Primary Care Health Information 65

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.”

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HIE EHR Telemedicine 60

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.”

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Meaningful Use EMR HIE EHR 60

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.

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EMR Meaningful Use HIE Telemedicine 60

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.

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HIE Nursing Health Information Telemedicine 60

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.”

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HIE Leadership Patient Experience Healthcare IT 60

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.

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HIE Health Information 40

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.

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Healthcare IT Health Information HIE Health IT 41

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

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HIE Health Information 49

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.

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HIE FHIR 52

Healthcare Exchange Standards

APRIL 4, 2018

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

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HIE FHIR Interoperability Health Information 52

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.,

HIE 40

HIE Interoperability Medicare Primary Care 40

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.

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HIE FHIR 40

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.

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HIE Interoperability 34

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.

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FHIR HIE EHR Interoperability 52

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.

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HIE FHIR HIPAA Primary Care 60

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.

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HIE EHR Interoperability Connected Health 78

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?

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FHIR HIE Health Information Interoperability 52

The Digital Health Corner

MARCH 26, 2018

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.

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Digital Health Interoperability HIE Life Science 75

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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HIE FHIR Health Information 52

Healthcare Exchange Standards

FEBRUARY 29, 2016

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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HIE EHR Health Information 52

Lloyd Price

JUNE 27, 2018

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.

Digital Health 78

Digital Health eHealth HIE Leadership 78

Healthcare Exchange Standards

MAY 27, 2015

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.

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Interoperability HIE EHR Health Information 40

Consumer eHealth Engagement

NOVEMBER 6, 2018

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.

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Nursing HIE eHealth Medicare 36

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.

Interoperability 95

Interoperability HIE Meaningful Use Accountable Care 95

Chilmark Research

MARCH 6, 2014

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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HIE EHR Meaningful Use Leadership 78

Health Blawg

JULY 23, 2018

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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HIE Healthcare Innovation Digital Health 78