across the country are struggling with sustainable models, bringing competing regional organizations together, and dealing with multiple networks.
It is clear that the government wants to build the HIE
system for the country but there is the need to understand, once the scheme is built, how do we get people to use it because that is going to create a sustainability around it and one of the options is to legislatively mandate its use," she explained.
Orion Health HIE
provides clinicians with secure, web-based access to the most up-to-date patient information and to a range of capabilities that support further improvements in care, including automatic reporting of immunizations, electronic labs and syndromic surveillance data required for public health reporting and achieving Meaningful Use.
Either in concert with state-level HIE
programs or independently, health care system competitors are forming cooperatives to jump-start regional data exchange and set themselves up for HITECH incentives and formation of accountable care organizations.
After implementing an EHR system, the next step some organizations take toward HIE
involvement is sharing information in a "point-to-point" communications environment.
Conversely, private HIEs
don't rely on federal backing and therefore have no time-bound funding restrictions.
Nancy Ham, CEO of Medicity, a Salt Lake City-based HIE
vendor, says that while technically HIE
is challenging, there is plenty of proof that it works.
The Exemplar HIE
Governance Program will provide a mechanism for cooperative agreement awardees like NYeC as well as vendors, providers and health information exchange initiatives to collaborate in achieving those goals.
are capable of helping providers exchange electronic messages.
Analytic Readiness: Profiles how prepared the HIE
data feeds are for end-user analysis based on completeness of clinical data elements and consistency of standard clinical coding.
Because there is still federal grant funding available for HIE
development tied directly to Medicaid's mission, some states are even considering moving the HIE
organization into the Medicaid agency.
New York University Medical Center's HIE
is the first system to interoperate with the new edition, which uses industry-standard HL7 messaging protocol to connect with and share data across regional, statewide and independent health care system HIEs