Public Health Informatics and Health Information Exchange
Health information exchange (HIE) describes both (1) the act of sharing of clinical and administrative health care data between interested stakeholders and (2) the actual health information technologies and systems that facilitate this sharing. There have
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Public Health Informatics and Health Information Exchange J.A. Magnuson and Paul C. Fu, Jr.
Abstract Health information exchange (HIE) describes both (1) the act of sharing of clinical and administrative health care data between interested stakeholders and (2) the actual health information technologies and systems that facilitate this sharing. There have been multiple iterations of this concept over the past three decades, starting with the Community Health Information Networks of the 1980s, the Regional Health Information Organizations of the late 1990s - early 2000s, and now the health information exchanges that exist in various forms and offer services ranging from basic connectivity to more advanced functions such as master patient indexes, provider directories, trust services, e-prescribing, and public health reporting. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 has helped to promote HIE by including HIE reporting as a Meaningful Use Stage 2 measure and funding the State HIE Cooperative Agreement Program which provides funding for a state designated entity (SDE) to plan and build HIE capacity. There are many challenges to address. Data and messaging standards are required for semantic interoperability. The complexity of information privacy and security policies and regulations increases proportionately with the number of HIE participants. Governance and sustainability are also major challenges that must be met. The future of HIE is promising. The increasing adoption of EHR
J.A. Magnuson, PhD (*) Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Biomedical Information Communication Center (BICC), 5th Floor, 3181 S.W. Sam Jackson Park Rd., Portland, OR 97239, USA e-mail: [email protected] P.C. Fu, Jr., MD, MPH David Geffen School of Medicine at UCLA, Los Angeles, CA, USA e-mail: [email protected] J.A. Magnuson, P.C. Fu, Jr. (eds.), Public Health Informatics and Information Systems, Health Informatics, DOI 10.1007/978-1-4471-4237-9_22, © Springer-Verlag London 2014
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J.A. Magnuson and P.C. Fu, Jr.
systems creates a pool of electronic health data that can support public health needs, such as automated reporting for communicable diseases, predictive analysis for syndromic surveillance, and population health reporting. Keywords Synchronous • Asynchronous • Vertical • Horizontal • Diagonal • Health information exchange • Community health information network • Regional health information organization • Nationwide Health Information Network • Interoperability • Governance • Privacy • Security • Meaningful use • Information models
Learning Objectives 1. Analyze the history of health information exchange (HIE) and give examples of lessons learned that affect electronic health record (EHR) interoperability initiatives. 2. List and define the types and architectures of different HIE models and the services provided. 3. Describe the value of HIEs to public health. 4. Summarize the barriers to HIE implementation and desc
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