Affordable Health Information Exchange (HIES)

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Health information exchanges (HIEs), formalized at the state-level by the Affordable Care Act (ACA), were developed under Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009. HIEs are the health information technologies (HITs) that mobilize the interoperability of personal health information (PHI) across providers, healthcare systems, and platforms (Magnuson, 2014). HIE allows healthcare providers and patients to access and securely share health information electronically. This exchange improves the efficiency, effectiveness of patient care, patient safety, and healthcare costs (US Department of Health and Human Services [US DHHS], 2014) by reducing duplication of services and medication errors and increasing …show more content…

Directed exchanges are HIEs that possess the ability to send and receive secure information electronically between care providers to support coordinated care. Query-based exchanges allow providers to find and/or request patient information from other providers. Consumer mediated exchanges allow for patients to aggregate and control the use of their health information among providers (US DHHS, 2014). The benefits of HIEs come from the interconnectivity and interoperability among electronic health records (EHRs). These benefits …show more content…

As EHRs expand their functionality to include recall and reminder alerts, clinical decision supports, mhealth, and more complex tasks, they are considered comprehensive (Magnuson, 2014). Through this evolution, providers and patients will be able to share access to electronic health information that allows them to collaborate in joint, informed decision making which has the potential to greatly impact patient and population health (Healthit.gov, 2014) as it involves a clinical shift from the treatment of conditions to prevention through behavior and lifestyle modification (Magnuson, 2014). The management of patient collaboration will shift from being primarily the responsibility of the patient to that of accountable organizations. Shahid Shah, an award-winning Government 2.0, health IT, and medical device integration software expert, outlines the five stages of EHR maturity in patient care collaboration

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