A Software Advice survey released this week finds that nearly half of patients want their physicians to be able to share their medical records directly with other providers, but just 39% of patients say their doctors do so. Meanwhile, patients say their biggest health data exchange concerns are related to potential privacy and security breaches.
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Celebrating The 10th Anniversary of National Health IT Week
National Health IT Week is a collaborative forum and virtual awareness week that assembles key healthcare constituents dedicated to working together to elevate the necessity of advancing health through the best use of information technology.
In 2013, more than half (54.9 percent) of patients said it was important to them that they get their own medical information electronically, a jump from 2008, when 44.3 percent of patients said so, according to recent findings from AHRQ’s newly released Chartbook on Care Coordination. Having electronic access to their medical information mattered more to younger patients (18 to 34) than to patients 65 and older. However, having their doctors and other health providers share medical information electronically with each other for care coordination was most important to older patients, followed by middle-aged (35–64) and younger patients. Patients across all ethnic groups and educational levels want their doctors and other health care providers to be able to share medical information electronically, the chartbook shows. From 2008 to 2013, the percentage of Black patients who said sharing medical information electronically was very important grew from 37.2 percent to 47.6 percent; among Whites, the percentage grew from 42.6 percent to 54.6 percent; and Hispanics, from 40.1 percent to 53.2 percent. For more information on the Chartbook on Care Coordination, part of AHRQ’s National Healthcare Quality and Disparities Reports, please visit: http://www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/carecoordination/
SAN DIEGO – With the addition of San Diego's three largest health systems, more than one million patients soon will have the opportunity to participate in the region's health information exchange, San Diego Health Connect. The community-wide HIE allows patient medical records to be shared among the region's competing health care providers, large and small.
Scripps Health, Sharp HealthCare and the UC-San Diego Medical Center join about 100 other facilities already participating in Health Connect inSan Diego and Imperial Counties, including Rady Children's Hospital San Diego, Kaiser Permanente, the Department of Veterans Affairs and the Department of Defense.
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It is no longer possible to collect and maintain information on all potential data sharing partners or electronic services locally. CAHIE’s demonstration in ONC’s Interoperability Showcase showed how to expand the use of the IHEHealthcare Provider Directory (HPD) profile beyond a directory of Direct addresses, scaling it to federated, dymanic directory searches for individuals, organizations, and the means by which to exchange with them.
The demonstration showed off Directory Services that are part of the California Trusted Exchange Network (CTEN) and support statewide interoperability in California. The technical services highlighted in the demonstration are paired with CTEN agreements, policies, and procedures that govern sharing of directory information. While designed to support California, the model can also be used to enable data sharing in other states that have multiple HIE service providers or to support nationwide HIE.
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The ability to transfer electronic medical records from one doctor or hospital to another is essential to the smooth functioning of the health care system and to providing the best possible care to patients. Yet all too often these transfers are being blocked by developers of health information technology or greedy medical centers that refuse to send records to rival providers.
This will not be an easy problem to fix, but some possible approaches were detailed in a report to Congress last week from the Office of the National Coordinator for Health Information Technology, a unit of the Department of Health and Human Services.
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