Rebuilding the Tower of Babel – A CEO’s Perspective on Health Information Exchanges

Identify the exchange of medical information

The United States is facing the largest shortage of health care providers in the history of our country, exacerbated by an ever-growing geriatric population. In 2005, for every 5,000 U.S. residents over 65, there was one geriatrician, and only nine of the 145 medical schools trained geriatricians. By 2020, the industry will miss about 200,000 doctors and more than a million nurses. Never in the history of the American health care system has there been such a large demand with so few employees. Because of this shortage and the increasing number of older persons, the medical community must find a way to constantly provide accurate and timely information to those in need. Imagine that air traffic controllers speak the native language of their country, not the current international language of flight – English. This example illustrates the urgency and critical nature of our need for standardized health communications. Sharing useful information can help improve safety, reduce hospitalizations, reduce drug errors, reduce redundancy of laboratory tests or procedures, and make the health care system faster, easier, and more productive. The ageing American population and people with chronic diseases such as diabetes, cardiovascular disease and asthma will need more professionals to find a way to communicate effectively and effectively with primary care providers.

This efficiency can only be achieved by standardizing the modes of communication. Healthbridge, a HIE in Cincinnati and one of the largest public networks, was able to reduce its potential outbreaks from 5-8 days to 48 hours thanks to a regional exchange of medical information. As for standardization, one author noted: “Functional compatibility without standards is similar to language without grammar. Communication is possible in any case, but the process is cumbersome and often inefficient.”

U.S. retailers changed more than twenty years ago to automate inventory control, sales and accounting, improving efficiency and efficiency.

History of medical information sharing

Major urban centres in Canada and Australia were the first to successfully implement HIA. The success of these early networks was linked to integration with existing primary health care EUS systems. Health Level 7 (HL7) is the first standardization system for the language of health care in the United States since a meeting at the University of Pennsylvania in 1987. HL7 has successfully replaced outdated ways of interacting, such as fax, mail, and direct communication with vendors. often duplicative and ineffective. Functional compatibility of processes increases human understanding between health systems networks for integration and interaction. Standardization will ultimately affect communication efficiency, just as grammatical standards contribute to better communication. The U.S. National Health Information Network (NHIN) sets standards that facilitate the transmission of information through health networks. The HL7 is currently in the third version, released in 2004. HL7’s goals are to improve interoperability, develop agreed standards, train industry standardization, and collaborate with other regulatory agencies. Sanctions such as ANSI and ISO are also involved in the improvement process.

In the United States, one of the first HIE started in Portland, Maine. HealthInfoNet is a public-private partnership that is considered the largest HIE in the entire state. The network’s goals are to improve patient safety, improve the quality of clinical care, improve efficiency, reduce duplication of services, identify public threats more quickly, and increase access to patient cards. The four founding groups: the Maine Health Access Foundation, the Maine Centers for Disease Control, the Maine State Health Forum, and the Onpoint Health Data, began their efforts in 2004.

In Tennessee, regional medical information organizations (RHIO) have sprung up in Memphis and the Tri-City area. Carespark, 501 (3) c, in the Tri Cities area was considered a direct project in which physicians interact directly with each other, using the Carespark HL7 system as an intermediary for bidirectional data translation.

Regulatory aspects of the exchange of medical information and health reform

The Department of Health and Human Services (HHS) is the regulatory body that oversees the health of all Americans. HHS is divided into ten regions, and Tennessee is part of Region IV, headquartered in Atlanta. Regional Director Anton J. Gunn is the first African-American elected Regional Director to bring a wealth of experience to his role, using his public service, especially for patients in health care, poor health and the exchange of medical information. This experience will be of great help to him as he faces social and demographic challenges for low-income and chronically ill patients in the south-eastern part of the region.

The National Health Information Network (NHIN) is a division of HHS that directs exchange standards and regulates regulatory aspects of health reform. The NHIN partnership includes departments such as the Centers for Disease Control (CDC), the Social Security Administration, The Beacon Community And State HIEs (ONC) .11 The Office of the National Medical Information Coordinator (ONC) has $16 million in additional grants for innovation at the state level. Innovation at the state level will eventually lead to better patient care by reducing retesting, shifting to chronic patient care programs, leading to continuity and, ultimately, prevention. Timely public health by agencies such as the CDC based on this information.12 The Health Care Act (HITECH) is funded by the U.S. Dollars Reinvestment and Recovery Act of 2009. HITECH’s goal is to invest dollars in sharing information about the community, region, and state to create effective networks that interact nationally. be connected to each other. The Beacon Community and the State Medical Information Sharing Cooperation Agreement were initiated by HITECH and ARRA. To date, 56 states have received grants totaling $548 million under these programs.

TN Health Information Partnership (HIPTN) History






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