The limited sample size and low power of the studies reviewed prevent us to draw definite conclusions of HIE effectiveness. To obtain the data concerning patients' health behavior, interviews were performed twice in every case. Eligible studies independently were critically appraised, collected within data extraction form and then thematically analyzed by two reviewers and if necessary, the third author. HIE can occur before birth, during labor and delivery or after birth. The majority of the outcomes measures focused on health care utilization such as number of visits to ED and duplication of services and costs. Admission, discharge, or transfer (ADT) messages are the vehicle for communicating updates about a patients care transitions. For example, a transition of care occurs when a primary care clinician (PCP) refers a patient to a specialist, or when a hospital discharges a patient to another care setting. Out of 207 abstracts retrieved, five articles met the inclusion criteria. Why clinicians use or don't use health information exchange. Accessibility Hypoxic-Ischemic Encephalopathy: About, Treatments, & Causes Watch on Hypoxic-ischemic encephalopathy (HIE) is a type of newborn brain damage caused by oxygen deprivation and limited blood flow. However,there is a dearth of publications that demonstrate HIE effectiveness. Can clinical health information exchange improve communication, early intervention, and care coordination in your area? Does Health Information Exchange Improve Patient Outcomes - PubMed 2015. This complex interrelationship between system components may prove to be a challenge for HIE outcomes evaluation [30]. Li S, Rajapuri AS, Felix Gomez GG, Schleyer T, Mendonca EA, Thyvalikakath TP. The author proposes as possible explanations for the study results: the inadequate or inefficient use of the HIE, unavailable data or missed data by the users, or that the information was not accessed by whom it would be most beneficial. What Factors Affect Patient Perceptions on Their Hospital - PubMed Using health information exchange to improve public health. How HIE Security Concerns Impact Patient Data Withholding Successful exchange of electronic messages using standards listed above between systems leads to the ability of disparate systems to work together (interoperability). Healthcare professionals, industry and policy makers have identified Health Information Exchange (HIE) as a solution to improve patient safety and overall quality of care. The lowest and highest participation rates were 15.7% and 79%, respectively. Go to The Opioid Epidemic and Health IT . HIE Participation Supports Data Exchange for 64% of Shared Patients HIE reduces the amount of time patients spend filling out paperwork and briefing their providers on their medical history, allowing more time for discussions about health concerns and treatments. Although researchers found that system decreased the ED return visits after 28 days for all patients older than 65 years old (OR = 0.70; 95% CI, 0.49 to 1.0), there was a significant increase in specialty consultation requests for the intervention (20 vs. 8 p = 0.049). These patients were then randomized into an intervention group (n = 834) or a control group (n = 965). Before Goroll AH, Simon SR, Tripathi M, Ascenzo C, Bates DW. Treatment results were evaluated . How Do Dental Clinicians Obtain Up-To-Date Patient Medical Histories? The search combined the terms health information exchange, information exchange, electronic health information exchange, electronic data interchange, sharing medical information, and outcomes assessment (MESH). To better track and securely share patients complete medical histories, more and more health care providers are participating in health information exchange (HIE). This can occur when the event leading to a decrease in oxygen or blood flow happens before labor/delivery. For example, the impact of HIE on medication reconciliation and thus medication safety could be additionally examined. The remaining 12 general practitioners were designated as the control group and continued working without the inter-physician communication module. Learn how healthcare organizations in Utah worked together using clinical health information exchange to support state-wide infant-hearing screening. An IoT-Based Smart System with an MQTT Broker for Individual Patient Vital Sign Monitoring in Potential Emergency or Prehospital Applications.
Only one of the three randomized controlled studies included in this review identified positive HIE outcomes. Redundant collection of patient information, The alerts are triggered by an admission, discharge, or transfer (ADT) event in a hospital information system that sends a message to the health information exchange system, The health information exchange system processes the message and transforms it into an alert sent to the primary care practice or community-based care manager, This communication notifies the physician, care manager, or care management team to initiate an intervention, thus improving the post-discharge transition and supporting management of patients with chronic conditions. Overwhelmingly, HIE studies have reported positive findings for quality and cost-effectiveness of care. Articles were included if they were original investigations in English that focused on HIE outcomes. We use cookies and other tools to enhance your experience on our website and We systematically searched all English papers that were indexed in four major databases (Science Direct, PubMed, IEEE and Web of Science) between 2005 and 2016. Can health information exchange improve care coordination in other healthcare settings? Emergency physicians' perceptions of health information exchange, Evaluating public health uses of health information exchange. Explore these resources to learn more about APIs: Clinicians use Directed Exchange to easily and securely send patient information such as laboratory orders and results, patient referrals, or discharge summaries directly to another healthcare professional. Some children will experience no health issuesor only mild or moderate effectsfrom HIE, while others have much more severe and permanent disability, such as developmental delay; cerebral palsy (motor impairment); epilepsy; or cognitive impairment. hbspt.cta.load(2789923, 'c064aa76-e832-4110-8072-c8ca73a0ac21', {"region":"na1"}); hbspt.cta.load(2789923, '41bae648-dcb7-4d22-947b-92f3973c7e07', {"useNewLoader":"true","region":"na1"}); See how ReferralMD delivers a better experience for providers, staff, and patients. What type information might an organization share in an HIE and where does it come from? ED physicians in the control group did not have access to these patient-specific data. Health Information Exchange Implementation: Lessons Learned and HIE is a brain injury that prevents adequate blood flow to the infant's brain occurring as a result of a hypoxic-ischemic event during the prenatal, intrapartum or postnatal period. The https:// ensures that you are connecting to the The selected papers have been classified based on 11 main categories including publication year, journal and conference names, country and study design, types of data exchanged, healthcare levels, disease or disorder, participants in organizations and individuals, settings characteristics and HIE types, the impact of HIE on quality and cost-effectiveness, and the rates of HIE adoption and participation. Articles were excluded if they related to HIE in health care consultation (i.e., patient-provider communication) or addressed evaluation of health information technologies other than information exchange (e.g., electronic health records, personal health records, electronic prescribing, computerized physician order entry). A complete record improves communication between you and your doctor. What is Joint HIE? However, early studies of HIE were methodologically limited. The first days charges were included because Medicare requires that hospitals combine ED and inpatient charges in one bill for patients admitted to the hospital; the investigators were unable to split these charges. In the intervention group, ED physicians could access an online system containing clinical information for a patient who was seen at one of the study hospitals. Date 9/30/2023, U.S. Department of Health and Human Services, Provides a vehicle for improving quality and safety of patient care by reducing medication and medical errors, Stimulates consumer education and patients' involvement in their own health care, Increases efficiency by eliminating unnecessary paperwork, Provides caregivers with clinical decision support tools for more effective care and treatment, Eliminates redundant or unnecessary testing, Improves public health reporting and monitoring, Creates a potential loop for feedback between health-related research and actual practice, Facilitates efficient deployment of emerging technology and health care services, Provides the backbone of technical infrastructure for leverage by national and State-level initiatives, Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations, Healthcare Information and Management Systems Society (HIMSS). The growing need for storage, collection, and secure exchange of large amounts of healthcare data leads to increasing demand for health information exchange systems, leading to the growth of the market. Hypoxia: Causes, Symptoms, Tests, Diagnosis & Treatment Having relevant patient information available when a patient transitions lets clinicians reconcile medications and other clinical information when patients transfer to their new setting. Multivariate logistic regression was used to investigate the factors that impacted patients' likelihood to give top ratings for the overall hospital experience. 2015 Sep;84(9):658-66. doi: 10.1016/j.ijmedinf.2015.05.008. This shift to electronic health information and interoperability of this information, such as through the use of electronic health records (EHRs), has the potential to make care safer and more efficient and improve the patient care experience by providing timely access to health information and seamlessly coordinated care. Over the past decade, hospitals and physician offices have made tremendous gains in shifting their medical record-keeping from paper to computerized systems. Moreover, in Vest et al.s retrospective analysis, HIE use was associated with greater healthcare services utilization. The Michigan Health Information Network provides shared services to the state of Michigan (MiHIN). The potential. The United Hospital Fund meeting on evaluating health information exchange. The control groups patients did not demonstrate a significant decrease in the HbA1c levels (from 6.6 to 6.5 p = 0.52). collected, please refer to our Privacy Policy. Ammenwerth E, Grber S, Herrmann G, Brkle T, Knig J. Other standards include security standards and process standards that are not unique to healthcare such as security standards for accessing the internet or process, or quality standards for ensuring products or services consistently meet customer requirements. Members of the Integrated Care Collaboration (ICC) of Central Texas, Demographic and clinical data except encounters covered by Medicare, Any level of HIE access was associated with a higher frequency of ED visits (OR = 1.96; 95%CI 1.70 to 2.26), clinic visits (OR = 1.63; 95%CI 1.46 to 1.82), and hospital admissions (OR = 2.02; 95%CI 1.38 to 2.98), HBA1c levels and the frequency of communication between general practitioners and internal medicine providers. Hard copy information about the patients last three ED visits was forwarded by the study staff to ED physicians (n = 57) and primary care physicians (n = 37) for the intervention group via an unspecified method during the following 12 months. Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, et al. The 21st Century Cures Act, which passed with strong bipartisan support, called for the development of this framework and agreement. Received 2011 May 5; Accepted 2011 Oct 15. HIE information access was significantly associated with higher emergency room visits (OR = 1.96; 95%CI 1.70 to 2.26), clinic visits (OR = 1.63; 95%CI 1.46 to 1.82), and hospital admissions (OR = 2.02; 95%CI 1.38 to 2.98). 2022 Aug;31(1):203-214. doi: 10.1055/s-0042-1742519. Hansagi et al. The Impact of Health Information Exchange on Health Outcomes - ResearchGate Disclaimer. What does HIE mean to my provider? Here are a few common types of standards: The standards and associated implementation specifications for clinical health information are grouped into 4 categories: Terminology standards: Terminology standards specify which terms are to be used in a particular clinical domain and how each term in the system is defined (e.g., weight versus birth weight versus dosing weight). Instead, individuals must give consent to be . Also includes statistics related to the benefits of, and opportunities for, health information exchange, Who its for EMS clinicians, hospital health IT implementers, and Critical Access Hospitals (CAH), When its used To teach about health information exchange and to plan information exchange between EMS, hospitals and emergency rooms, public health, and other population health stakeholders, Download the Value Proposition Health Information Exchange: EMS [PDF 736 KB], Overview A resource highlighting how emergency medical services (EMS) and health information exchange organizations can work together to improve data sharing. Two independent investigators reviewed the articles. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care, Hospital Information Technology Systems' Impact on Nurses and Nursing Care. and transmitted securely. Joint Health Information Exchange | Health.mil Therefore results may be confounded by factors such as illness severity. The intervention group in only one hospital showed a statistically significant decrease in ED charges ($26.52 cost savings p = 0.037 vs. $25.36 p = 0.073). Conclusions: Facilitating electronic exchange of this health information is critical to easing burden by ensuring that clinicians have the best information possible when making decisions about patient care. Li S, Williams KS, Medam JK, Patel JS, Gonzalez T, Thyvalikakath TP. The .gov means its official. How Do Opt-In Policies Affect HIE Patient Privacy? - HealthITSecurity The mean differences of HbA1c levels in the intervention groups patients were not significantly different than the control groups patients (0.21 vs 0.12 p = 0.68) (Table 1). For more information on the benefits of HIE and how HIE can improve health care quality, safety, and patient outcomes, see the following resources. Explore fellowships, residencies, internships and other educational opportunities. The researches selected the 20 practitioners with the highest number of patient referrals to form the intervention group; this group received the exchange communication module. Here we present an overview of six different ways in which HIE can improve patient safetyimproved medication information processing, improved laboratory information processing, improved radiology information processing, improved communication among providers, improved communication between patients and providers, and improved public health info. A qualitative coding approach was used to analyze the data. Why is health information exchange important? | HealthIT.gov Framework for design and evaluation of complex interventions to improve health. government site. It also explains the search, alert, file, reconcile (SAFR) model of health information exchange and profiles 5 communities working to integrate EMS and health information exchange, Who its for EMS clinicians, hospital health IT implementers, and health information exchange organizations, When its used To learn about the benefits of coordinating EMS and health information exchange, and to learn about SAFER and how 5 communities are implementing that health information exchange model, Download the SAFR EMS Health Information Exchange Integration Model [PDF 857 KB]. The messages provide each patients personal or demographic information (such as name, insurance, next of kin, and attending physician) and notes when that information has been updated. -Provide real time data to the HIE -Provide information for care coordination How does the electronic health record (EHR) interface with the health information exchange (HIE)? Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care. Overview The best available interoperability standards and implementation standards to fulfill specific clinical health IT interoperability needs, Who its for Health IT professionals, healthcare information exchange organizations, clinicians, and public health organizations, When its used To plan for and develop software applications required to meet national standards for clinical health information exchange, Visit the Interoperability Standards Advisory (ISA) website, Overview Information about what standards are, how theyre used, and the Standards Development Organizations (SDO) that develop and maintain standard, Who its for Clinicians and health IT implementers, When its used To find information about a specific standard or SDO, or when youre having a problem implementing a standard. official website and that any information you provide is encrypted In another study, Lang et al. Brebner JA, Brebner EM, Ruddick-Bracken H. Accident and emergency teleconsultation for primary care a systematic review of technical feasibility, clinical effectiveness, cost effectiveness and level of local management, Health information exchange and healthcare utilization. Specifically, TEFCA will improve patient care and help health care providers: To learn about TEFCA, health care providers are encouraged to: Learn more about the basics of health information exchange. A qualitative coding approach was used to analyze the data. The benefits of health information exchange: an updated systematic Consequently, 32 identified papers appeared in 21 international journals and conferences. The site is secure. PMID: 30715992 DOI: 10.1377/hlthaff.2018.05447 Abstract Achieving widespread exchange of health information is a national health policy objective, for it is believed to boost treatment efficiency, reduce health care costs, and improve patient outcomes. Some of the key players in the health information exchange market are RelayHealth Corporation; Allscripts Healthcare Solutions, Inc.; Medicity, Inc.; GE Healthcare; Siemens AG; IBM Corporation; Orion Health, Inc.; CareEvolution, Inc.; Cerner Corporation; and eClinicalWorks. Also includes statistics related to the benefits of, and opportunities for, exchanging health information, Who its for Behavioral-health clinicians, the physical-care teams who work with them, and health IT professionals, When its used To teach about health information exchange and to learn how to exchange information between behavioral-health and primary-care teams, Download the Value Proposition of Health Information Exchange: Behavioral Health [PDF 542 KB]. Using a quasi-experimental study design, Branger et al. The ability to send and receive secure information electronically between care clinicians to support coordinated care, Query-Based Exchange Front Digit Health. This site needs JavaScript to work properly. Doctor-patient interaction, patients' health behavior and - PubMed The importance of HIE has been the focus of several national agencies interest including the Department of Health and Human Services (DHHS) due to the potential for HIE to positively impact health care quality; in March 2010, DHHS awarded $162 million to stimulate HIE use in 16 states [3]. Factors Associated with Health Information Exchange System Usage in a Safety-Net Ambulatory Care Clinic Setting, Journal of Medical Systems Published online. The effects of HIE can become more noticeable as a baby develops. In this scenario, the default is that no patient health data is included. });
. did not find differences in the number of repeated visits to ED two weeks after the initial visit; Hansagi did not find findings favoring HIE in any of the outcomes measured. formId: "2dce58d4-88b0-4bf1-84b5-7bf74445a33e"
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Achieving Meaningful Use Systematic review of health information exchange in primary care practices, The Journal of the American Board of Family Medicine. Health information exchange (HIE), involves the electronic transfer of health information between health care organizations according to nationally recognized standards. An official website of the United States government. The inclusion criteria included original investigations in English that focused on a HIE outcome evaluation. Sometimes, issues are not identified until school-age. There are presently thirteen health information exchanges in Michigan. Second is the identification of opportunities to improve the efficiency and effectiveness of public health systems through innovative data . Other basic functions of HIEs include patient matching between data sources, which is important for public health programs that may want to share critical information with . In addition, the behavior of consulting HIE only when others sources have been exhausted can negatively impact HIE potential benefits [22, 23]. 7 Benefits of Health Information Exchange (HIE) With Related Challenges? Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E, et al. A major challenge is the strict regulatory prohibition and all providers not being directly connected to the patient, among whom information needs to be coordinated with. Modeling Strengths, Drawbacks, and Proposals for Improvements. This form of information exchange enables coordinated care that benefits both clinicians and patients. Clinicians also use Directed Exchange to send immunization data to public health organizations, or to report quality measures to The Centers for Medicare & Medicaid Services (CMS). With standard practices, uniform data can be integrated into the users electronic health record, a process that caters to patients personalized health information. Hypoxia is low levels of oxygen in your body tissues. In many cases, but not all, a transition of care is permanent. A total of 5 articles met the inclusion criteria. Federal government websites often end in .gov or .mil. The amount of time the brain spends without oxygen or blood flow can impact how severely the brain is damaged. In addition, HIE initiatives in the early stages of operation and their outcomes evaluations may not appear in publication yet or may not be available via peer-reviewed journals. The transition to EHRs has caused frustration among clinicians who expected the electronic capture of information to make their care more efficient. 2014 Dec 2;161(11):803-11. doi: 10.7326/M14-0877. None of the investigations directly addressed training of HIE users, which could have resulted in systems under-utilization and reduced power. Low oxygen and/or blood flow to a baby's brain happens most commonly before or . Background Achieving interoperable health information exchange (HIE) is a critical component of health care delivery system reform. Official Website of The Office of the National Coordinator for Health Information Technology (ONC), Health Information Exchange: HIE Benefits, Health Information Exchange: Getting Started with HIE, Health Information Technology Advisory Committee (HITAC), Health IT and Health Information Exchange Basics, Electronic exchange of clinical information, The financial impact of health information exchange on emergency department care. Two visits of every patient to his physician were tape-recorded and analyzed. Is information sharing between the emergency department and primary care useful to the care of frequent emergency department users? This investigation showed that the mean difference of HbA1c levels of patients of intervention group decreased compared to the levels measured before the intervention (from 7.0 to 6.8 p = 0.03).

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