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

Identifying a Health Information Exchange

The us is facing the most significant shortage of healthcare professionals within our country’s history which is compounded by an increasing geriatric population. In 2005 there existed one geriatrician for each and every 5, 500 US residents over sixty-five in support of nine of the 145 medical schools trained geriatricians. By 2020 the industry is estimated to be short 200, 1000 physicians and over a million nurses. Never, in the history of US healthcare, has so much been demanded with so few personnel. For that reason scarcity combined with the geriatric population increase, the medical community has to find a way to provide timely, accurate information to the people who need it in an uniform fashion. Envision if flight controllers chatted the native language of their country rather than the current international flight vocabulary, English. This example reflects the urgency and critical nature of our need for standardized communication in healthcare. A proper information exchange can help to improve safety, reduce length of hospital stays on, cut down on medication errors, reduce redundancies in lab testing or techniques and make the health system faster, leaner and more productive. Your maturing US population along with those impacted by serious disease like diabetes, heart disease and asthma will need to see more specialists who will have to discover a way to speak with primary care providers effectively and efficiently. my story

This kind of efficiency can simply be gained by standardizing the manner in which the communication happens. Healthbridge, a Cincinnati oh. based HIE and one of the major community based networks, was able to reduce their potential disease outbreaks from 5 to 8 days to 48 hours with a regional health information exchange. Regarding standardization, one creator noted, “Interoperability without criteria is much like language without sentence structure. In both cases communication can be achieved but the process is difficult and often ineffective. inches

United States retailers moved forward over twenty years in the past in order to systemize inventory, sales, accounting settings which all improve efficiency and effectiveness. While uneasy to think of patients as inventory, perhaps this has been portion of the reason for the lack of transition in the principal care setting to motorisation of patient records and data. Imagine a Mother & Pop store on any square in the middle of America packed with investment on shelves, ordering copy widgets based on absence of information regarding current inventory. Visualize any House Depot or Lowes and you get a peek of how automation is promoting the retail sector in conditions of scalability and efficiency. Perhaps the “art of medicine” is a barrier to more effective, efficient and smarter medication. Standards in information exchange have existed since 1989, but recent interfaces have evolved quicker thanks to increases in standardization of regional and state health information exchanges.

History of Information about health Exchanges

Major urban centers in Canada and Australia were the first to effectively implement HIE’s. The success of these early marketing networks was linked to an integration with primary treatment EHR systems already in place. Health Level several (HL7) represents the first health language standardization system in the United Claims, you start with a meeting at the University or college of Pennsylvania in 1987. HL7 has been successful in replacing antiquated communications like faxing, mail and direct provider communication, which often represent duplication and inefficiency. Process interoperability rises human understanding across systems health systems to combine and communicate. Standardization will finally impact how effective that communication functions in the same way that grammar standards foster better communication. The United Claims National Health Information Networking (NHIN) sets the specifications that foster this delivery of communication between health networks. HL7 is now on it’s third version which was published in 2004. The goals of HL7 are to increase interoperability, develop coherent specifications, educate the industry on standardization and collaborate to sanctioning bodies like AMERICAN NATIONAL STANDARDS INSTITUTE and ISO who are also concerned with process improvement.

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