Health Information Exchange: History The history of the health information exchange (HIE) starts in the 1990’s. It began as an attempt to organize several networks so that they could share patient data with each other. Unfortunately, these attempts were unsuccessful. The main cause of failure for these attempts was that in the 1990’s, almost all of health care providers were paper-based, and these networks were electronically based. There was not much advantage to an electronic exchange system without electronically based data. However, these unsuccessful attempts started to set up the blocks that would be needed in later years. (Morrisey, 2011) In 2001, the HIE concept as we know it today was conceived. The National Committee on Vital Health Statistics published a report in which it recommended a nationwide electronic health information exchange. (AHIMA, n.d.) Under the George W. Bush administration, in 2004 the Department of Health and Human Services created the …show more content…
These consent forms should be acknowledged, and signed by a patient when services are first rendered to a patient. (Sayles, 2013)
Health Information Exchange: Summary Health information and how it is shared has come a long way from the 1990’s. Most healthcare organizations today are either fully electronic or on their way to becoming fully electronic. This new way of sharing information has benefits that will outweigh any challenges its users may come across. Health information exchanges have the potential to make the quality of care a patient receives better than it has ever been as physicians and support staff have a plethora of information at their fingertips. It truly is an exciting time to be a part of this constantly evolving
To encourage this goal nonetheless, HIPAA included "Regulatory Simplification" arrangements that ordered the Department of Health and Human Services (HHS) to receive national models for the transmission and insurance of wellbeing data. The subsequent between the year 2003 and 2013
The article stated that business associates can offer DDE as an option to health plans and also DDE can be customized as well. Since DDE is an option, health plans can offer DDE to certain providers but DDE system must meet the requirements of HIPAA because of the information that is transmitted via electronic. However, some critical issues involved were sending as a transaction which is not DDE and health care plans are not to offer incentives to use the DDE system. Also, electronic data interchange (EDI) could not replace DDE because it is an option to providers but EDI has to used (Nachimsom,
Health Information Exchange Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count
Throughout the past decades, many acts have been passed in support of health information technology and the adaptation of such technology. Two of those acts, the HIPAA (health insurance portability and accountability) Act and the HITECH (Health Information Technology for Economic and Clinical Health) Act, focus on protecting patient health information and utilizing health information technology. Although these acts bring about many positive changes within the healthcare industry, there are some downsides regarding the implementation of these acts, as there are with many acts that are passed. Both of these acts provide security to patient health information, however, the HITECH Act contributes more to the utilization of the electronic health
History: The Health Resources and Services Administration was officially created in 1982. It was created with the purpose of improving access to health care for those in need by “improving health care access and quality, promoting best practices, and eliminating health disparities”. The agency’s foundation in history was in 1935, when the Social Security Act Title V authorized maternal and child health
(September 30, 2013) - The Department of Health and Human Services (HHS) published amended rules applicable to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 in January 2013. As explained by the Secretary of HHS, healthcare has experienced significant changes since HIPAA was enacted in 1996. The implementation of electronic medical records is just one of those changes. The new HIPAA regulations are designed to provide patients with better privacy protection, and additional rights not included in the original HIPAA rules.
In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR
Regulations and Implementations The Health Insurance Portability and Accountability Act (HIPAA) is legislation passed in 1996 that safeguards the rights of employees and their families as it relates to their health insurance coverage whenever they transition or lose employment (Health IT.gov, 2016). The law required national guidelines and standards be developed concerning electronic health care exchanges as well as identifiers being assigned to providers, health insurance benefits, and employers to be recognized nationally (Health IT.gov, 2016). The Health Information Technology for Economic and Clinical Health (HITECH) Act was implemented in 2009 granting Health and Human Services (HHS) the control over creating programs to enhance efficacy, safety, and overall quality of health care via health information technology (IT) with a focus on privacy and security during electronic health data interfacing (Health IT. gov, 2016).
The passing of the Hi-Tech Act in conjunction with the Affordable Care Act (ACA) created a platform that has allowed for electronic medical records and health information system to become some of the defining factors for high quality service in health care. Both of these act have been key in pushing the standards of health care to the next level of high quality care. Before their passing, there was little to no reason for to health organizations to make such a costly switch to something that, at the time seemed, not worth the investment. Kaiser Permanente as long since been a big name in pushing the boundaries for health information. The truth of the matter was that both the Hi-Tech Act and the ACA did not have a hand in Kaiser’s decision
As records were shared electronically rules were implemented for clinicians to follow known as The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Summary of the HIPAA Security Rule ,2013). These rules were implemented for clinicians to protect the
Other than HIPAA, Health Information Technology for Economic and Clinical Health (HITECH) Act is a major federal policy initiative that affects the healthcare information technology (HIT) in the past years. However, its policy is used to protect the EHR system from a security breach that can cause multi-million dollar fines to the company (Campus Safety Magazine, 2010). In 2009, President Obama signed HITECH Act as part of the American Recovery and Reinvestment Act to support the Department of Health and Human Services (HHS) with authority, so it can establish programs that will improve healthcare quality, safety, and efficiency using HIT (Hebda & Czar, 2013). Certainly, HITECH is one of the significant health care reforms that have a major
Data use agreements and connections between HIE organizations are also a concern with health information exchange. “The types of healthcare partners that are needed is a challenge when determining the trading area needed for a viable HIE” (PHII, 2005). Although there are challenges, there are opportunities with implementing a health information exchange system. One opportunity is HIE can improve reporting to public health and in return improve the health of the community.
(2017). Migrating from Paper to EHRs in Physician Practices. Retrieved from http://library.ahima.org/doc?oid=103171#.WXosDojyvIUand Using Computerized Medical Records, 3rd Edition. [Bookshelf Online]. Retrieved from
Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
Health information exchange or HIE allows doctors, nurses, pharmacists, and other health care providers and patients to access vital medical information. It also allows them to share medical information securely and electronically. HIE improves the speed, quality, safety, and the cost of patient care. For many years patient's files were stored using paper methods, transferring them by mail, fax or transferred it by hand to every appointment. Changing to electronic file improves the completeness of patient's medical records.