Unit 8: Exchange of Health Information: Lecture B: Health Information Exchange Organizations

Unit 8: Exchange of Health Information
Description:
This unit covers the reasons that the exchange of health information is an important component of a modern health care system, the challenges that exist to realizing the exchange of health information at the national level, some of the strategies that have been taken to advance the exchange of health information – for example, health information exchange organizations, Direct, and Meaningful Use – and future directions for the exchange of health information.
Objectives:
1. List the quality problems in health care that the exchange of health information is intended to remediate.
2. Describe the nature of health information technology assets that the exchange of health information is designed to interconnect.
3. Explain the motivations, capabilities, and challenges of health information exchange organizations (HIEOs).
4. Explain the motivations, capabilities, and challenges of using Meaningful Use and Direct to advance the exchange of health information.
5. Describe the future directions for the exchange of health information.
Lectures:
a. Introduction (MM:SS)
1. Reasons for health information exchange
2. Scenarios for health information exchange
3. Quality of care
4. Health care spending
5. Strategy for building national health information infrastructure
6. Mid-2000s: U.S. health care landscape
7. National Health Information Network (NHIN)
8. Mid-2000s: approaches to achieve interconnected infrastructure
b. Health Information Exchange Organizations (MM:SS)
1. Challenges to interconnecting hospitals/large organizations
2. Health information exchange organizations
3. Examples: SHIN-NY (State Health Information Network-New York) and Healthix
4. Issues
5. Status
6. Impact
7. Hurdles for scaling
8. Concerns
c. Advancing Health Information Exchange through Meaningful Use and Direct (MM:SS)
1. Meaningful Use program
2. Adoption of EHRs
3. Meaningful Use and interoperability objectives
4. Challenges
5. Criticisms/ramifications
6. Status
7. Directed exchange
d. Future Directions for Health Information Exchange (MM:SS)
1. General status of health information exchange
2. Commonwell Health Alliance
3. The Sequoia Project
4. The Argonaut Project
5. Interoperability measures
6. ONC 10-year interoperability roadmap