Dr John D. Halamka and Devore Culver give a very interesting presentation on Health Information Exchanges (HIE) and there is a following Q&A session. The video is on the YouTube channel of Healthcare IT News.
The presentation and the Q&A session is wide ranging in terms of the issues discussed. There were a number of issues that I found particularly interesting
- The concept of persistent metadata
- Trusted user policies including secure gateways and certification at the organisation level
- Stakeholders involvement in governance and the role of governance in establishing trust
- The impact of capitation fees on the utilisation of HIE’s.
- The popularity of single portals as a means of minimising workflow disruption
- Differences in the processing of health information types
- Cross institution clinical decision support.
- Opt-in and opt-out models.
- The concept of a national health information exchange achieved through the Federal bridge, direct trust affiliation and the national strategy for trusted identity in cyberspace
- Cooperation between healthcare organisations
- The role of the patient committee in governance
- The importance of providing a simple explanation of the HIE
- Rigorous audit standards
- Audits at the individual level
- The use of audits by security officers at participating organisations
There is a lot of very interesting material in this presentation which gives many helpful insights into the practical issues involved in an established HIE.
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