chapter 10

health info exchange (HIE)

• electronic sys that allow healthcare orgs to share patient info

  • data follows patient

types of HIE

• directed

• query-based

• consumer-mediated

directed HIE

• directly send n receive info to known recipient (“push”)

  • referral, transfer

query-based HIE

• search for info to support unplanned care (“pull”)

  • emergency

consumer-mediated HIE

• patient gathering, managing, shares their own info

  • aggregate n share

Data use n reciprocal support agreement (DURSA)

• signed legal agreement that sets responsibilities for participants exchanging info thru eHealth exchange

trusted exchange framework n common agreement (TEFCA)

• nationwide framework of shared principles n common legal terms for trusted exchange among health info networks

NYS: SHIN-NY

• statewide health info network for NY

  • shares e-records

  • clinical records accessed n exchanged securely between HCP w appropriate consent

    • need patient permission unless certain emergency

Healthix

• largest regional health info org that participates in SHIN-NY

• serves nyc n LI

health info org (HIO)

• org that supports / manages health info exchange

regional health info org (RHIO)

• HIO for one region

nationwide health info network (NHIN)

• historical term for national health info-sharing efforts

• not one database holding every patient record