Challenges of a Health Information Exchange

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
• Testing
• 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.

Posts on Examples of Health Information Exchanges

General Posts to Date on Health Information Exchanges

SNOMED CT®/ICD Mapping and Harmonisation Posts

SNOMED CT® Posts

ICD 1-10 Posts

ICD-11 Posts

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