07- Working with Health IT Systems- Unit 3- Understanding Information Exchange in HIT Systems

8/12/2019 07- Working with Health IT Systems- Unit 3- Understanding Information Exchange in HIT Systems

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Working with Health IT Systems

Understanding InformationExchange in HIT Systems

This material (Comp7_Unit3) was developed by Johns Hopkins University, funded by the Department of Health and Human

Services, Office of the National Coordinator for Health Information Technology under Award Number IUOC00013.


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Understanding Information Exchangein HIT Systems

Learning Objectives Identify entities that are commonly involved in HIT

system data exchange.

Explain the need for standards and why they exist.

Define and differentiate between vocabulary, content

exchange, and privacy and security standards.

Compare current efforts to facilitate health information

exchange between providers, communities, regions, and

nation (NHIN, HIEs, NHIN Direct).

2Health IT Workforce Curriculum

Version 3.0/Spring 2012


Understanding Information Exchange

in HIT Systems


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Types of InformationExchange

Exchange of information between systems

used by a single health care organization

Exchange of information between HITsystems of two or more different

organizations/entities





in HIT Systems


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Exchange of

information

between systemsused by a single

health care

organization





in HIT Systems


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Exchange of information between HIT

systems of two or more different

organizations/entities



Working with Health IT SystemsUnderstanding Information Exchange

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Information Exchange Use Case

Imagine the ideal: easy transfer of health

record data between providers, regardless

of location.




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Meaningful Use and HIT InformationExchange

Incentive program will encourage: Demonstration of interoperability

Sharing of electronic data with patients

eRx

Quality measures reporting to CMS/States

Drug formulary checks

Medication reconciliation

Summary of care records for transfers/referrals

Immunization reporting to registries

Syndromic surveillance reporting to public health agencies

Lab results reporting to public health agencies

Patient reminders

Direct patient access to his or her record in an EHR




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Interoperability of Systems

Proprietary vs. standard methods of

exchange

Why are standardsimportant?




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Types of Standards

Vocabulary, content exchange, and privacy and security

standards (including transport standards)

Vocabulary: code sets, ICD-10-CM, SNOMED CT,

LOINC Content exchange: HL7 CDA

R2 CCD, ASTM CCR

Privacy/security: AES

encryption, IPsec, TLSTransport: SOAP, REST




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HIE Initiatives

Health Information Exchange (HIE) The electronic movement of health-related information among

organizations according to nationally recognized standards.

HIO, RHIO Examples: HealthBridge,

Indiana HIE, CareSpark,

MedVirginia NHIN

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Understanding Information Exchange inHIT Systems

Summary

Entities that are commonly involved in HITsystem data exchange

The need for standards and why they exist

Vocabulary, content exchange,and privacy and securitystandards

Health information exchange

between providers, communities,regions and nation (NHIN, HIEs,NHIN Direct)



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Understanding Information Exchangein HIT Systems

References

References

National Alliance for HIT Report to the ONC on Defining Key Health Information Technology Terms (April 28, 2008)

Available from: http://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdf

National Library of Medicine HIT standards. Available from: http://www.nlm.nih.gov/healthit.htm

Images

Slide 1: Health Care Professionals. National Cancer Institute (NCI) Rhoda Baer, Photographer.

Slide 4: Exchange. Courtesy Michael Vaughn.

Slide 6: Man Moving from One City to Another with His Health Record. Created by Michael Vaughn, used with

permission. Clip art obtained from http://www.openclipart.org

Slide 8: Communication Flow. Department of Defense. Available from: https://reader010.{domain}/reader010/html5/0614/5

Slide 9: Joint Initiative Council Organization Chart. AHIMA. Available from: http://library.ahima.org

Slide 10: Health Information Exchange Diagram. Available from: www.ahrq.gov. Original image by The Markle

Foundation. Graphic adapted from original by Tom Bentin.

Slide 11: Screen Shot of My HealtheVet. Available from: http://www.myhealth.va.gov/



in HIT Systems
http://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdfhttp://www.nlm.nih.gov/healthit.htmhttp://www.openclipart.org/http://jitc.fhu.disa.mil/dcr/gig.jpghttp://library.ahima.org/http://www.ahrq.gov/http://www.myhealth.va.gov/http://www.myhealth.va.gov/http://www.ahrq.gov/http://library.ahima.org/http://jitc.fhu.disa.mil/dcr/gig.jpghttp://www.openclipart.org/http://www.nlm.nih.gov/healthit.htmhttp://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdf

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07- Working with Health IT Systems- Unit 3- Understanding Information Exchange in HIT Systems