24 Jun Analyze the issues and challenges encountered when securing provider and consumer acceptance of HIE.? 1. What is the problem? 2. Why does the problem exist? 3. Who is causing
Analyze the issues and challenges encountered when securing provider and consumer acceptance of HIE.
1. What is the problem?
2. Why does the problem exist?
3. Who is causing the problem/issue and who is
affect by it?
4. When did the problem first occur, or when did
it become significant?
5. How much, or to what extent, is the problem
occuring?
(1.5 pages or more - double spaced)
Let’s Talk About Assignment 4
Assignment 4:
Analyze the issues and challenges encountered when securing provider and consumer acceptance of HIE.
1
Clarifying the Problem
Start with what you know.
Decide what information is missing?
Gather information on the problem
Facts (studies that have been done or what do you know from your reading)
Analyzing the Problem
Answer ALL of the Questions Words
What is the problem?
Why does the problem exist?
Who is causing the problem/issue and who is affect by it?
When did the problem first occur, or when did
it become significant?
5. How much, or to what extent, is the problem occuring?
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Introduction to Healthcare Informatics, Second Edition
Chapter 10:
Health Information Interoperability
© 2017 American Health Information Management Association
© 2017 American Health Information Management Association
Objectives
Describe the history of health information exchange (HIE) in the United States
List and define the different types of HIE organizational structures
Explain the advantages and disadvantages of the different types of HIE consent models
Analyze the issues and challenges encountered when securing provider and consumer acceptance of HIE
Describe the difference between population and public health
Discuss the use of HIE in relationship to Accountable Care Organizations
© 2017 American Health Information Management Association
Introduction
Data liquidity
Interoperability
Standards as a key
© 2017 American Health Information Management Association
Health Information Exchange
Definition
Noun
Verb
Role of Health Information Technology for Economic and Clinical Health Act
Meaningful use
State Health Information Exchange Cooperative Agreement Program
© 2017 American Health Information Management Association
History of Health Information Exchange
Community health information management systems
Community health information networks
Regional health information organizations
© 2017 American Health Information Management Association
Considerations for Continued Development of US HIEs
Adoption of an improved business model
Acknowledgement of the public health benefits
Monitoring of activities to assure that private health information is private and secure
The setting of state borders as the standard geographical unit
© 2017 American Health Information Management Association
Structure
Technical
Aggregated HIE
Federated HIE
Organizational
Public
Cooperative
Private
© 2017 American Health Information Management Association
HIE Consent Options
No-consent
Opt-out
Opt-out with exceptions
Opt-in
Opt-in with restrictions
© 2017 American Health Information Management Association
Adoption
Public-private collaborative
HealtheWay, Inc. (federal)
Rules of the Road
Data Use and Reciprocal Support Agreement (DURSA)
© 2017 American Health Information Management Association
Adoption (continued)
Usage of HIEs
Encounter-based
Organizational factors
Setting
Relationship between cost savings and utilization
© 2017 American Health Information Management Association
Stakeholder Perceptions
Providers or users
Value
Legal liability
Competitive advantage
HIE utility
Consumer perceptions
Privacy and security of information
Consumer engagement
© 2017 American Health Information Management Association
Future Efforts
Increase systems interoperability
Add public health measures
Remove barriers to consumer engagement in HIEs
HITECH funding for HIEs
© 2017 American Health Information Management Association
Aggregating Health Information
Population health
The level and distribution of disease, functional status, and well-being of a defined group with specific characteristics
Accountable Care Organizations (ACO) regulations
Role of HIM
© 2017 American Health Information Management Association
Aggregating Health Information
Public health
World Health Organization
Centers for Disease and Control
State health departments
They all
Track causes of mortality and morbidity
Surveillance
Public health systems requirements
© 2017 American Health Information Management Association
Use Cases for HIE to Improve Public Health
Mandated reporting of laboratory diagnoses
Nonmandated reporting of laboratory data
Mandated reporting of physician-based diagnoses
Nonmandated reporting of clinical data
Public health investigation
© 2017 American Health Information Management Association
Use Cases for HIE to Improve Public Health (continued)
Clinical care in public health clinics
Population-level quality monitoring
Mass-casualty events
Disaster medical response
Public health alerting: patient level
Public health alerting: population level
© 2017 American Health Information Management Association
Summary
HIE is necessary to the continued evolution of effective health information technology use
© 2017 American Health Information Management Association
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Introduction to Healthcare Informatics, Second Edition
Chapter 9:
Healthcare Informatics and Decision Making
© 2017 American Health Information Management Association
© 2017 American Health Information Management Association
Objectives
Interpret the use of decision support systems (DSSs) in healthcare settings
Compare and contrast the potential and limitations of DSSs in research
Use data visualization processes to facilitate decision making
Analyze the trends that demonstrate quality, safety, and effectiveness of patient care using statistical analysis of healthcare data
Evaluate administrative reports using department software tools
© 2017 American Health Information Management Association
Decision Support Systems
Definition
Administrative decision systems
Clinical decision support systems (CDSSs) provide:
The right information
To the right person
In the right format
Through the right channel
At the right time
© 2017 American Health Information Management Association
Knowledge Management
Definition
A model of knowledge management (KM):
A knowledge artifact, codified knowledge in a format insufficient for fully effective use by practices
A number of interdependent processes are necessary to manage knowledge
There are social and technical dimensions to these processes as a result of knowledge being tacit and being explicit
Action emanates from the tacit dimension of knowledge and KM processes engaged in pursuit of organization’s mission
© 2017 American Health Information Management Association
A Conceptual Knowledge Management Framework in Healthcare
© 2017 American Health Information Management Association
Administrative Uses
Natural language processing (NLP)
Computer assisted coding (CAC)
HIM
Executive and department managers, public health agencies
Data analytics
Electronic patient portals
© 2017 American Health Information Management Association
Example of Alert for Preventive Care
| Wellness Reminder | Due Date | Last Completed | Location |
| Body Mass >25 Alert | DUE NOW | UNKNOWN | DAYT29 |
| Colon Cancer Screening | 13 Aug 2016 | 13 Aug 2012 | DAYT29 |
| Influenza Vaccination | 13 Aug 2016 | 13 Aug 2011 | DAYT29 |
| Pneumonia Vaccination | DUE NOW | UNKNOWN | DAYT29 |
| Control of Your Cholesterol | 13 Aug 2016 | 13 Aug 2011 | DAYT29 |
| Eye Exam for Diabetes | 13 Aug 2016 | 13 Aug 2011 | DAYT29 |
© 2017 American Health Information Management Association
Clinical Decision Support Systems— Improve Safety and Quality
The health record the primary communication tool
Disparity in access to information for CDSSs
Provider bias
Literacy of patients
Best way to communicate with patients
The Joint Commission
Leadership support
© 2017 American Health Information Management Association
Research About Decision Support Systems
Long-term care
Genomics and personalized Medicine
Computer-Assisted Coding (CAC)
Community mental health
© 2017 American Health Information Management Association
Unintended Consequences of Clinical Decision Support Systems
Definition
A study of CPOE
© 2017 American Health Information Management Association
Unintended Consequences Guide Framework
© 2017 American Health Information Management Association
Quality
Workflow
Just-in-time information
Legal Health Record
© 2017 American Health Information Management Association
The State of the Art
Time, speed, and ease
The interaction in using the system
Future perspective
© 2017 American Health Information Management Association
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