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Purpose of health informatics
Issue of healthcare informatics
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Introduction Regional Health Information Organization also known as RHIO is the Health Information Exchange Organization which sits under the Nationwide Health Information Network. NHIN describes technologies, standards, laws, policies, programs, and practices that enable health information to be shared. The purpose of the RHIO organization is to facilitate a health information exchange; which is the transfer of healthcare information electronically across organizations. The reason for HIE is to improve the safety, quality, and efficiency of healthcare as well as access to healthcare through the efficient application of health information technology. Pros & Cons The goals for NHIN are to achieve nationwide health information exchange through the vision of utilizing information technology solutions to cut costs, avoid medical mistakes, and improve health care in America through the goals of informing clinical practice, interconnecting clinicians, personalize care, and improving population health. The pros to these goals are that of identifiers. The physician’s identity is authenticated via his or her provider number issued by the payer to whom the claim will ultimately be submitted. The identity of the patient to whom care was delivered is authenticated via his or her payer-issued member number. The clearinghouse only needs to validate those two pieces of information and the accuracy of the claims codes before submitting the claim to the payer on behalf of the provider. (Roop, 2008) Also NHIN provides simplicity, faster access to data, better privacy, and data appearance in uniform. The con to this is that multiple providers may be seeking access to any individual patient’s information for a variety of reasons and two types of er... ... middle of paper ... ...ge the community should see the tangible results of the HIE operations. (Evaluating a Potential HIE Opportunity, 2009) Works Cited Evaluating a Potential HIE Opportunity. (2009, November). Retrieved from HIMSS Guide to Participating in HIE : http://www.himss.org/files/HIMSSorg/content/files/2009EvaluatingPotentialHIEOpportunity.pdf Jamison, S. (n.d.). On the Road to RHIO: What State CIOs Need to Know. Retrieved from Nascio: http://www.nascio.org/publications/documents/nascio-ontheroadtorhio.pdf Roop, E. S. (2008, December 8). Does the NHIN Already Exist? For the Record, p. 14. Retrieved from http://www.fortherecordmag.com/archives/ftr_120808p14.shtml Rosenfeld, S., Koss, S., & Siler, S. (2007, June). Privacy, Security, and the Regional Health Information Organization. Retrieved from All Health: http://www.allhealth.org/briefingmaterials/chcf-rhioprivacy-1091.pdf
With clinicians and CEHRT, the ONC plans to improve healthcare quality through interoperability (Office of the National Coordinator for Health Information Technology, n.d.) The ONC will promote more appropriate healthcare decisions in real-time, patient-centered care, and prevention of medical errors (Office of the National Coordinator for Health Information Technology, n.d.). The ONC’s goal is to reduce healthcare costs by addressing inefficiencies (Office of the National Coordinator for Health Information Technology,
How would you like to keep track of your personal health information record in your computer at home? The electronic data exchange was one of the goals of the government to improve the delivery and competence of the U.S. healthcare system. To achieve this plan, the U.S. Congress passed a regulation that will direct its implementation. The Department of Health and Human Services is the branch of the government that was assigned to oversee the HIPAA rules. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a national public law in the United States that was created to improve health insurability, prevent insurance abuse and to protect the privacy and security of a person’s health information.
Regional/Group HIOs are between hierarchical and rely on upon an assortment of subsidizing sources. Most are not-for-benefit.
Some service users may not approve of the fact that their information is being shared with many professionals as they prefer to have minimal amount of professionals to be involved in their illness.
... Health Information Privacy For Consumers. Retrieved April 22, 2009, from U. S. Department of Health and Human Services: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
The health information networks factor into the enhancement of the patient-centered management system, in that they help with the implementation of the Electronic health record. The HITECH Act for example allocated “18 billion through the Medicare and Medicaid reimbursement systems as incentives for hospitals and physicians who are meaningful users of EHR systems”(About the HITECH, n.d.). This is a beneficial way to promote the use of electronic health records and have them become universally utilized across the nation. NHIN is also an excellent network that is more widespread and contains policies as well as standards that help with the safe trade of data. NHIN is the biggest network that all other health information networks hope to achieve. The NHIN is a contributor to the expansion of the EHR and it also further improves the patient-centered management system by having the policies they have. These policies assist with keeping the information in the system safe and also helping many different entities to become a part of its use. Some of the entities involved are the Center for Disease Control and prevention, Social Security Administration, Department of Defense and Kaiser Permanente among others. Both CHIN and RHINO implement the use of electronic health record, which makes it more widespread,
Portability can improve patient care. Patients no longer have to “tote” their cumbersome medical records around anymore. EHR’s give physicians and clinicians access to critical healthcare information in the palm of their hand, which ultimately leads to improved patient care outcomes. EHR’s also provide security to vital medical and personal healthcare information. Organizations like HIPPA defines policies, procedures and guidelines for preserving the privacy and security of discrete distinguishable health information (HHS.gov,
The relevant frame concept is having a goal for your organization. The problem that HBI is having is the disconnect between what they want the Network Administrative Organization (NAO) to do in terms of community service during their training and what is actually possible for
6. Should individuals and organizations with access to the databases be identified to the patient
The internet is connecting health care organizations, physicians, and patients through an array of elaborate networks. Regardless of the size and type of healthcare organization, stakeholders see the need to share patient information and to make the information readily available for clinical and non-clinical staff. Streamlining the sharing of patient information through electronic health care records increases the quality of care, thus allowing the physician to focus on diagnosing the patient. To facilitate the communication and sharing of health care information the industry is developing community health information networks (CHIN) incorporating a telecommunication and networking capabilities linking health care communities and stakeholders (Tan & Payton, 2010). As a result, health care networks are consolidating a fragmented system and standardizing the flow of medical information.
Each time a patient visits a doctor, is admitted to a hospital, goes to a pharmacist, or sends a claim to a health plan, a record is made of the confidential health information. The use of this information is protected and pieced together by state laws, which leave gaps in the protection of patient's privacy and confidentiality. Together all of the programs mentioned are developing strategies to better protect patient records. AHIMA members foresee daily conflicts and challenges dealing with patient confidentiality and access to their records. The resolution of these issues combined will one day result in a comprehensive national standard that will enhance individual privacy, foster research and protect the public health.
The accuracy of matching patient records becomes troublesome when looking at their demographics. “Different systems use different demographic information to match individuals to their health records,” thus it can cause a staff member to identify the wrong patient [4]. Furthermore, since state privacy rules vary, complications can arise when trying to share patient data from one state to another. Unreasonable high “system costs and legal fees can deter providers” from fully achieving interoperability also [4]. To participate in interoperability some EHR systems require multiple applications, which need financial funding to happen.
HIEs allow disparate EHR systems to communicate and allow for broader data analysis, which will be helpful as reimbursement models shift to pay-for-performance. One major initiative is the CONNECT community portal, which uses Nationwide Health Information Network standards and policies to share big data both locally and nationally. While several benefits may be realized using HIEs, barriers to adoption exist. An executive summary written by Hersh et al categorized barriers (and facilitators) of HIEs into three areas, including lack of critical mass electronically exchanging data, workflow, and interface. The first category, lack of critical mass, includes issues such incomplete or unhelpful data, issues that affect the completeness of patient data, and data that is not easily attached to a patient. Workflow barriers include who enters and access the data and how they use the information. While slow system speed is an absolute barrier in the interface category, other interface and feature issues are somewhat subjective based on who is using the system. Other barriers identified include those related to the external environment (legislative and funding constraints), lack of standards, interoperability issues, and disincentives, the mismatch between investors in HIE and those who benefit from its
If patients trust their physician/organization will manage and secure their information, then an institution-centric method is used. However, if it is the patient who controls information and access to his or her record from multiple health care facilities, then a patient-centric method is used (Yasnoff,
[1] Goldratt, Eliyahu M. and Cox, Jeff (2004). The Goal: A Process of Ongoing Improvement. Retrieved from http:// ishare.edu.sina.com.cn