The answer is a qualified ‘yes’—but, say those in the know, it will take business realism and a strong dose of ingenuity
Can health information exchanges (HIEs) survive the present moment? The question might seem overly simplistic, but the reality, as knowledgeable observers note, is that broad-based, and particularly statewide, HIEs are indeed failing or faltering across the country. Indeed, many public and semi-public statewide HIEs are struggling these days, in the wake of the dwindling of federal and state grants to support them. What are industry observers seeing? Largely this: that many of the statewide and regional HIEs created with wonderfully high-minded intent, but without a hardheaded business focus on long-term sustainability, are finding it difficult to make ends meet as the grant money begins to wither.
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Today, we at the Centers for Medicare & Medicaid Services (CMS) are pleased to announce our intentto engage in rulemaking to update the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs beginning in 2015. These intended changes would help to reduce the reporting burden on providers, while supporting the long term goals of the program.
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The U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) today released Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version 1.0. The draft Roadmap is a proposal to deliver better care and result in healthier people through the safe and secure exchange and use of electronic health information.
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A very robust, expansive discussion of health information exchange and patient/consumer engagement helped kick off the Health IT Summit in San Diego, being held this week at the Omni San Diego Hotel, and sponsored by the Institute for Health Technology Transformation (iHT2), a sister organization to Healthcare Informatics. Broad questions around standards development, HIE process optimization, and true patient/consumer engagement, dominated the discussion on Tuesday morning’s first panel discussion, entitled “Next-Generation Data Exchange Driving PHM.”
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The California Emergency Medical Services Authority (Cal EMSA) will be hosting its 2nd Annual HIE for EMS Summit November 18-19. All CAHIE Members are invited to attend this important event, which will feature speakers from the ONC, state and local agencies, and CAHIE leadership and HIO representatives. The integration of EMS in HIE is critical to the success of day-to-day healthcare delivery, as well as during a disaster. There is special focus on California to lead the way, so don’t miss this opportunity.
11:35 a.m. - 12:10 p.m. San Diego HIE – EMS Integration 2.0
Dan Chavez, San Diego Health Connect
For more information and registration, visit this link
EHRs fare significantly better with the help of community health information exchange (HIE) resources when it comes to medication list accuracy, finds a new study in the American Journal of Managed Care (AMJC). While the EHRs at two sample hospitals captured an average of 80% of medications accurately, the addition of commercial database information and data from a community-based HIE was able to improve that number by 11 percent. The additional accuracy can be a crucial advantage during transitions of care, which are highly vulnerable to negative patient safety events
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As healthcare organizations continue to transition from gathering data through EHR systems toward building knowledge based on that data, the ability to exchange patient information, consistently, privately and securely becomes ever more paramount to improving quality of care.
In this first-of-its-kind class in Southern California, some of the region’s most experienced HIE leaders will present the essential elements of an HIE, including, but not limited to:
>The benefits and national push for HIEs
>Major technical components
>Modes of exchange, such as the NwHIN and their related requirements
>Implementing an HIE, including vendors, products and implementation
>Business models and governance
>Capstone project for students to apply the concepts learned
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Practical Solutions for Health Information Exchange and Interoperability
INCLUDING THE CALIFORNIA CONNECTS 2014 INTEROPERABILITY EXHIBITION
FRIDAY JULY 25, 2014
HYATT VINEYARD CREEK HOTEL AND SPA
SANTA ROSA, CALIFORNIA
Connecting California to Improve Patient Care is an annual conference featuring subject matter experts on electronic health records (EHR) and on the use of national technology standards to establish interoperability for electronic patient health data. Conference presenters will explain practical solutions for securely sharing electronic clinical information between computer systems at unaffiliated health care facilities, such as outpatient practices, hospitals, laboratories, imaging centers, long term care, home health, public health, and also including patient engagement portals and mobile apps. Conference attendees will learn about best practices in health informatics. Speakers will explain the current status of health information technology California, national software road maps forstandards and interoperability and patient safety, and emerging tools and opportunities for physician and patient engagement.
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