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8/12/2019 07- Working with Health IT Systems- Unit 3- Understanding Information Exchange in HIT Systems
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Working with Health IT Systems
Understanding InformationExchange in HIT Systems
This material (Comp7_Unit3) was developed by Johns Hopkins University, funded by the Department of Health and Human
Services, Office of the National Coordinator for Health Information Technology under Award Number IUOC00013.
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Understanding Information Exchangein HIT Systems
Learning Objectives Identify entities that are commonly involved in HIT
system data exchange.
Explain the need for standards and why they exist.
Define and differentiate between vocabulary, content
exchange, and privacy and security standards.
Compare current efforts to facilitate health information
exchange between providers, communities, regions, and
nation (NHIN, HIEs, NHIN Direct).
2Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Understanding Information Exchange
in HIT Systems
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Types of InformationExchange
Exchange of information between systems
used by a single health care organization
Exchange of information between HITsystems of two or more different
organizations/entities
3Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Understanding Information Exchange
in HIT Systems
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Types of InformationExchange
Exchange of
information
between systemsused by a single
health care
organization
4Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Understanding Information Exchange
in HIT Systems
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Types of InformationExchange
Exchange of information between HIT
systems of two or more different
organizations/entities
5Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT SystemsUnderstanding Information Exchange
in HIT Systems
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Information Exchange Use Case
Imagine the ideal: easy transfer of health
record data between providers, regardless
of location.
6Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT SystemsUnderstanding Information Exchange
in HIT Systems
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Meaningful Use and HIT InformationExchange
Incentive program will encourage: Demonstration of interoperability
Sharing of electronic data with patients
eRx
Quality measures reporting to CMS/States
Drug formulary checks
Medication reconciliation
Summary of care records for transfers/referrals
Immunization reporting to registries
Syndromic surveillance reporting to public health agencies
Lab results reporting to public health agencies
Patient reminders
Direct patient access to his or her record in an EHR
7Health IT Workforce Curriculum
Version 3.0/Spring 2012
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in HIT Systems
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Interoperability of Systems
Proprietary vs. standard methods of
exchange
Why are standardsimportant?
8Health IT Workforce Curriculum
Version 3.0/Spring 2012
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Types of Standards
Vocabulary, content exchange, and privacy and security
standards (including transport standards)
Vocabulary: code sets, ICD-10-CM, SNOMED CT,
LOINC Content exchange: HL7 CDA
R2 CCD, ASTM CCR
Privacy/security: AES
encryption, IPsec, TLSTransport: SOAP, REST
9Health IT Workforce Curriculum
Version 3.0/Spring 2012
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in HIT Systems
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HIE Initiatives
Health Information Exchange (HIE) The electronic movement of health-related information among
organizations according to nationally recognized standards.
HIO, RHIO Examples: HealthBridge,
Indiana HIE, CareSpark,
MedVirginia NHIN
10Health IT Workforce CurriculumVersion 3.0/Spring 2012
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Understanding Information Exchange inHIT Systems
Summary
Entities that are commonly involved in HITsystem data exchange
The need for standards and why they exist
Vocabulary, content exchange,and privacy and securitystandards
Health information exchange
between providers, communities,regions and nation (NHIN, HIEs,NHIN Direct)
11Health IT Workforce CurriculumVersion 3.0/Spring 2012
Working with Health IT SystemsUnderstanding Information Exchange
in HIT Systems
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Understanding Information Exchangein HIT Systems
References
References
National Alliance for HIT Report to the ONC on Defining Key Health Information Technology Terms (April 28, 2008)
Available from: http://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdf
National Library of Medicine HIT standards. Available from: http://www.nlm.nih.gov/healthit.htm
Images
Slide 1: Health Care Professionals. National Cancer Institute (NCI) Rhoda Baer, Photographer.
Slide 4: Exchange. Courtesy Michael Vaughn.
Slide 6: Man Moving from One City to Another with His Health Record. Created by Michael Vaughn, used with
permission. Clip art obtained from http://www.openclipart.org
Slide 8: Communication Flow. Department of Defense. Available from: https://reader010.{domain}/reader010/html5/0614/5
Slide 9: Joint Initiative Council Organization Chart. AHIMA. Available from: http://library.ahima.org
Slide 10: Health Information Exchange Diagram. Available from: www.ahrq.gov. Original image by The Markle
Foundation. Graphic adapted from original by Tom Bentin.
Slide 11: Screen Shot of My HealtheVet. Available from: http://www.myhealth.va.gov/
12Health IT Workforce CurriculumVersion 3.0/Spring 2012
Working with Health IT SystemsUnderstanding Information Exchange
in HIT Systems
http://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdfhttp://www.nlm.nih.gov/healthit.htmhttp://www.openclipart.org/http://jitc.fhu.disa.mil/dcr/gig.jpghttp://library.ahima.org/http://www.ahrq.gov/http://www.myhealth.va.gov/http://www.myhealth.va.gov/http://www.ahrq.gov/http://library.ahima.org/http://jitc.fhu.disa.mil/dcr/gig.jpghttp://www.openclipart.org/http://www.nlm.nih.gov/healthit.htmhttp://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdf