HIE - Global context and Future direction

Health Information Exchange

“connecting the dots...”“connecting the dots...”

SRINIVASAN BALASUBRAMANIANManagement Consultant and Strategic Advisor

Global Healthcare & Emerging [email protected] | +91-98408-38088

http://in.linkedin.com/in/onsivsrini

# 1Note: The information available in this presentation are collected from different sources (public domain); analyzed and given my thought process

HIE – For a Better Health and HappinessHealthcare + HIT + StandardsHealthcare + HIT + Standards

"Public health is an incredibly broad field, covering everything from global health to community health to Medicare to pharmaceuticals. Generally, I

use it as a tool to frame the contexts of health and medicine: how can we deliver healthcare to our citizens to create the maximum amount of

health and happiness?" - Thomas Goetz

SRINIVASAN [email protected] | +91-98408-38088http://in.linkedin.com/in/onsivsrini

# 2

�the basics�global context�tech+standards

Health Information Exchange

“connecting the dots…”

Agenda

�tech+standardsknowledge session

connecting the dots…


# 3

The basics…

HIE Need


# 4

Outcome:

The basics…


Challenges:

�Privacy and Security concerns

�Initiatives & Cost

�Integrating heterogeneous env.

�Inadequate adoption of HIE

�Lack of Engagement

�Lack of awareness and education

� Better quality and effective healthcare delivery

� Control avoidable costs

� Improved Health & Happiness

# 5

The basics…


# 6

Educate, inspire, connect


# 7

UK – Centralized Network

US – Distributed Network

Global Context


India…

# 8

Global ContextUS Initiatives…

Other Countries…


�US – Payer driven Health Economy

�UK – Govt. Funded Health Economy

�India – Mixed Health Economy

# 9

UK – Centralized Health Network

The Spine:

The Spine is part of the NHS Care Records Service,

which is creating an electronic care record for all

England's 50 million plus patients.

Each patient's electronic NHS Care Record

comprises full local records, held on computer

where treatment is provided (such as the GP

surgery or hospital) and a summary record of

important details both demographic (eg: name,

address) and medical (eg, allergies, medication, test

results) held on the Spine.

The Spine is a national, central database where

summary patient records are stored. When fully

implemented, local records will automatically

upload important information to the summary


upload important information to the summary

patient record on the Spine.

# 10

US – Distributed Regional Health Network


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India – Electronic+Paper+Verbal (yet to connect!) Health


# 12

EMR (Hospitals)

EHR (connected Hospitals)

Connected EHR + PHR(connected Entities)

Healthcare Domain Track – The Evolution


# 13

HIE – The Roadmap


EHR

• Connected Health Settings

Regional HIE

• State or Regional Level

National HIE

• Connecting Regional to National Level

# 14

Web 2.0 is equivalent to social web

Technology Progress – Know how


Web 2.0 is equivalent to social web

Web 3.0 will be the "intelligent web"

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http://www.digitalbuzzblog.com/infographic-asia-pacific-social-media-statistics-stats-facts/

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Domain (Health) +

Technology (web + mobile)+


+ Standards (HL7, SNOMED, DICOM…)

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# 18

Architecture understanding


# 19

Systematized Nomenclature of Medicine

Health Level 7

Healthcare Info Tech Std Panel First Data BankHealth Insurance Portability and Accountability Act

Digital Imaging and Communication in Medicine Integrating Healthcare Enterprise

Health IT – Standards of Standards


National Program For IT / Connecting for Health (CfH)

International Classification of Diseases and Procedures (WHO) Medicaid Information Technology Architecture

Regional Health Information Org

National Health Systems Resource Centre (NRHM) - India

# 20

CCD: Continuity of Care Document (HL7)

Human & Machine readable

Sample view to digest


# 21

HIX

PHR

Better Consumer Health

The progressive path…


EHR

HIE

# 22

HIE ? : Social and Behavioral Health


# 23

Structured Health

Connected Health

Intelligent Health

Moving towards Health Intelligent path…


# 24

The Health Expenditure (% of GDP)

USA : 16.2 | UK : 9.4 | India : 4.2

Global eHealth : ongoing key initiatives and market potential


Year 2009 Data

# 25

Global HIE market place


# 26

US 2011 and further: Health IT growth


# 27


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# 29

connecting the dots…

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Documents

HIE - Global context and Future direction