
Health Information Exchange
Navigating and Managing a Network of Health Information Systems
- 2nd Edition - November 9, 2022
- Imprint: Academic Press
- Editor: Brian Dixon
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 0 8 0 2 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 0 8 0 3 - 0
Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understan… Read more

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Request a sales quoteHealth Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understand, manage and make use of a health information exchange infrastructure, which moves patient-centered information within the health care system. The book informs and guides the development of new infrastructures as well as the management of existing and expanding infrastructures across the globe. Sections explore the reasons for the health information exchange (HIE) infrastructures, how to manage them, examines the key drivers of HIE, and barriers to their widespread use.
In addition, the book explains the underlying technologies and methods for conducting HIE across communities as well as nations. Finally, the book explains the principles of governing an organization that chiefly moves protected health information around. The text unravels the complexities of HIE and provides guidance for those who need to access HIE data and support operations.
- Encompasses comprehensive knowledge on the technology and governance of health information exchanges (HIEs)
- Presents business school style case studies that explore why a given HIE has or hasn't been successful
- Discusses the kinds of data and practical examples of the infrastructure required to exchange clinical data to support modern medicine in a world of disparate EHR systems
- Cover image
- Title page
- Table of Contents
- Copyright
- List of contributors
- Foreword
- Preface
- Acknowledgments
- Section 1: Health information exchange fundamentals
- Chapter 1. Introduction to health information exchange
- Abstract
- 1.1 Introduction
- 1.2 Health information exchange
- 1.3 Evolution of health information exchange in the United States
- 1.4 HIE outside the United States
- 1.5 Purpose and structure of this book
- 1.6 Summary
- Questions for discussion
- References
- Chapter 2. Health information exchange as a profession
- Abstract
- 2.1 Introduction
- 2.2 Human resource needs—digital health information professionals
- 2.3 Digital health information professionals—supply and demand
- 2.4 Skills and training of digital health professionals
- 2.5 Defining and executing a future strategy for health informaticians and health information exchange professionals
- 2.6 Emerging trends
- 2.7 Summary
- Questions for discussion
- References
- Chapter 3. Policies and incentives for adoption: toward broader use
- Abstract
- 3.1 Introduction
- 3.2 Landscape of the health information exchange marketplace
- 3.3 Emerging trends
- 3.4 Summary
- Questions for discussion
- References
- Section 2: Organizational aspects of managing health information exchange
- Chapter 4. Engaging and sustaining stakeholders: toward governance
- Abstract
- 4.1 Introduction
- 4.2 Governing bodies
- 4.3 Policies and procedures
- 4.4 Data sharing “Trust” agreements
- 4.5 Governance key success factors
- 4.6 Governance challenges
- 4.7 Enterprise exchange challenges
- 4.8 Regional exchange challenges
- 4.9 State health information organization challenges
- 4.10 Nationwide exchange challenges
- 4.11 Community-based health information exchange network governance example: Indiana Network for Patient Care
- 4.12 Government-facilitated health information exchange network example: Virginia Health Information
- 4.13 National health information exchange network governance example: eHealth Exchange
- 4.14 Emerging trends
- 4.15 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 5. Managing the business of health information exchange: moving towards sustainability
- Abstract
- 5.1 Introduction
- 5.2 Sustainability for the various forms of health information exchange is different
- 5.3 Business 101 for Health Information Organizations
- 5.4 Hypothetical case study to illustrate sustainability
- 5.5 Increasing health information exchange revenue
- 5.6 Increasing the gross margin per service
- 5.7 Reducing overhead costs of an health information exchange business
- 5.8 Planning for sustainability
- 5.9 Challenges to sustainability
- 5.10 Health data utilities, an emerging model for health information exchange networks
- 5.11 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 6. Managing privacy, confidentiality, and risk: towards trust
- Abstract
- 6.1 Introduction
- 6.2 Federal and state laws pertaining to health information exchange
- 6.3 Information blocking regulations
- 6.4 Contracts
- 6.5 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 7. Managing threats to health data and information: toward security
- Abstract
- 7.1 Introduction
- 7.2 Health Information Technology for Economic and Clinical Health Act
- 7.3 Breach Notification Rule
- 7.4 21st Century Cures Act Final Rule
- 7.5 NIST Cybersecurity Framework 1.1
- 7.6 Technical risk management analysis methods
- 7.7 Risk assessments, risk management plans, and risk registers in the healthcare management process for Health Information Exchanges
- 7.8 Emerging trends
- 7.9 Summary
- Questions for discussion
- References
- Section 3: Technical architecture and building blocks
- Chapter 8. Architectures and approaches to manage the evolving health information infrastructure
- Abstract
- 8.1 Introduction
- 8.2 The health information infrastructure
- 8.3 Supporting the health information infrastructure
- 8.4 Open HIE—a model health information infrastructure
- 8.5 Benefits of the OpenHIE interoperability layer
- 8.6 Emerging trends
- 8.7 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 9. Syntactic interoperability and the role of syntactic standards in health information exchange
- Abstract
- 9.1 Introduction
- 9.2 Defining syntactic interoperability: definition and need
- 9.3 Common syntactic standards relevant for health information exchange
- 9.4 How standards are developed for health care
- 9.5 How syntactic standards are used and supported in the real world
- 9.6 Emerging trends
- 9.7 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 10. Standardizing health care data across an enterprise
- Abstract
- 10.1 Introduction
- 10.2 Role of terminologies in health care
- 10.3 Standard terminologies in health care
- 10.4 Selection of standard terminologies for health information exchange
- 10.5 Current use of standard terminologies
- 10.6 Mapping
- 10.7 Terminology Services
- 10.8 Emerging trends
- 10.9 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 11. Shared longitudinal health records for clinical and population health
- Abstract
- 11.1 Introduction
- 11.2 Shared longitudinal records for clinical health
- 11.3 Shared longitudinal records for population health
- 11.4 Implementation
- 11.5 Emerging trends
- 11.6 Summary
- Questions for discussion
- References
- Chapter 12. Client registries: identifying and linking patients
- Abstract
- 12.1 Introduction
- 12.2 Patient identifiers
- 12.3 Unique patient identifiers
- 12.4 Client registries
- 12.5 The Enterprise Master Patient Index
- 12.6 Data quality
- 12.7 Metadata and standards
- 12.8 Algorithmic matching
- 12.9 Emerging trends
- 12.10 Summary
- Questions for discussion
- References
- Chapter 13. Facility registries: metadata for where care is delivered
- Abstract
- 13.1 Introduction
- 13.2 Facility registry background
- 13.3 Implementation of a health facility registry
- 13.4 The value of facility registries
- 13.5 Components of a facility registry
- 13.6 Facility registry functionality
- 13.7 Data specification
- 13.8 Creating unique identifiers
- 13.9 Data sources for constructing the master facility list
- 13.10 An example from the US social security administration
- 13.11 Mapping disparate facility data
- 13.12 Emerging trends
- 13.13 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 14. Health worker registries: managing the health care workforce
- Abstract
- 14.1 Introduction
- 14.2 Need for coordinated health care worker data
- 14.3 Health worker registries
- 14.4 Health worker registries within a health information exchange
- 14.5 Existing minimum data sets
- 14.6 Creation of minimum data sets
- 14.7 Standards to support the minimum data set
- 14.8 Emerging trends
- 14.9 Summary
- Questions for discussion
- Acknowledgment
- References
- Chapter 15. Healthcare finance data exchange: toward universal health coverage
- Abstract
- 15.1 Introduction
- 15.2 Role of claims in health information exchange to achieve universal health coverage
- 15.3 Claims processing in the United States and Europe
- 15.4 Claims processing systems in Low-and-Middle Income Countries
- 15.5 OpenHIE and claims processing
- 15.6 Summary
- Questions for discussion
- Acknowledgments
- References
- Section 4: Impacting health care delivery and outcomes
- Chapter 16. Evidence base for health information exchange
- Abstract
- 16.1 Introduction
- 16.2 Methods
- 16.3 Evidence base for the effect of Health Information Exchange on health outcomes
- 16.4 Conclusion
- Questions for discussion
- Acknowledgments
- References
- Chapter 17. Measuring the value of health information exchange
- Abstract
- 17.1 Introduction
- 17.2 The spectrum of evaluation
- 17.3 Developing an evaluation plan
- 17.4 Dissemination of findings
- 17.5 Emerging trends
- 17.6 Summary
- Questions for discussion
- References
- Chapter 18. Leveraging HIE to facilitate large-scale data analytics
- Abstract
- 18.1 Introduction
- 18.2 Foundations for analytics
- 18.3 Analytical maturity
- 18.4 Analytical approaches
- 18.5 Drivers of analytics in health systems
- 18.6 How does analytics support promoting interoperability and reporting goals?
- 18.7 How can HIOs provide real-time analytics to meet population health goals?
- 18.8 Barriers to analytics
- 18.9 Impact of HIE architecture models on analytics
- 18.10 Emerging trends
- 18.11 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 19. Health information exchange: incorporating social and environmental determinants of health into health information exchange
- Abstract
- 19.1 Introduction
- 19.2 Section 1. Defining social determinants of health
- 19.3 Section 2. The role of health information exchange in social determinants of health
- 19.4 Section 3. Incorporation of social determinants of health into health information exchange
- 19.5 Emerging trends
- 19.6 Summary
- Questions for discussion
- References
- Chapter 20. Cross-border Health Information Exchange to Achieve World Health Outcomes
- Abstract
- 20.1 Introduction
- 20.2 Cross-border Health Information Exchange
- 20.3 Summary
- Questions for Discussion
- Acknowledgements
- References
- Chapter 21. Future directions for health information exchange
- Abstract
- 21.1 Introduction
- 21.2 A unified approach to nationwide exchange
- 21.3 An emerging challenge: usability of interoperability
- 21.4 International policies impacting health information exchange
- 21.5 Models of health information exchange postpandemic
- 21.6 Conclusion
- Questions for discussion
- References
- Section 5: Case studies in health information exchange
- Chapter 22. The Indiana Health Information Exchange
- Abstract
- Major themes
- 22.1 Introduction
- 22.2 Context
- 22.3 The Indiana Health Information Exchange
- 22.4 Summary
- Questions for discussion
- References
- Chapter 23. Using health information exchange to support public health activities in Western New York: a case study
- Abstract
- 23.1 Introduction
- 23.2 Background and context
- 23.3 Health information exchange and public health
- 23.4 Intervention, planning, and assessment
- 23.5 Summary
- Lessons learned
- Questions for discussion
- Acknowledgments
- References
- Chapter 24. Creating a 21st century health information technology infrastructure: New York’s Health Care Efficiency and Affordability Law for New Yorkers Capital Grant Program
- Abstract
- Major themes
- 24.1 Introduction
- 24.2 Background: the Health Care Efficiency and Affordability Law for New Yorkers Capital Grant Program
- 24.3 Case study: the evolution of health information exchange organizations in New York State
- 24.4 HEAL NY Phase 1 (2005–08)
- 24.5 HEAL NY Phase 5 (2007–10)
- 24.6 HEAL NY Phases 10, 17, and 22 (2009–14)
- 24.7 New York State’s evolution during the period of federal action: HITECH Act and Meaningful Use Stages 1 & 2 (2008–14)
- 24.8 The current state of health information exchange in New York State
- 24.9 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 25. Use of Health Information Exchanges for value-based care delivery and population health management: a case study of Maryland’s Health Information Exchange
- Abstract
- 25.1 Introduction
- 25.2 Value-based care and Accountable Care Organizations
- 25.3 Role of Maryland’s Health Information Exchange in value-based care
- 25.4 Conclusion/summary
- Questions for discussion
- References
- Chapter 26. Health information exchange—the value proposition: a case study of the US Social Security Administration
- Abstract
- 26.1 Introduction
- 26.2 Theoretical models for examining the value of health information exchange
- 26.3 Background and context
- 26.4 Case study
- 26.5 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 27. Health information exchange–enhanced care coordination: implementation and evaluation of event notification services in the Veterans Health Administration
- Abstract
- Major themes
- 27.1 Introduction
- 27.2 Background
- 27.3 Event notification
- 27.4 Context
- 27.5 Implementing event notification services in the Veterans Health Administration
- 27.6 Experiences and lessons learned
- 27.7 Future directions for event notification services
- 27.8 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 28. Facilitating HIE in Denmark: the story of MedCom, a Danish health information organization
- Abstract
- Major themes
- 28.1 Introduction
- 28.2 Background
- 28.3 Health information exchange in Denmark
- 28.4 HIE adoption and use
- 28.5 Keys to success for Denmark
- 28.6 Challenges and barriers to HIE and data use
- 28.7 Future directions
- 28.8 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 29. Addressing data needs for national HIV programs using HIE: case studies from Ethiopia and Nigeria
- Abstract
- Major themes
- 29.1 Introduction
- 29.2 Background
- 29.3 Case studies
- 29.4 Summary
- Discussion questions
- Acknowledgments
- Disclaimer
- References
- Chapter 30. Health information exchange in Taiwan: multiple layers to facilitate broad access and use of data for clinical and population health
- Abstract
- Major themes
- 30.1 Introduction
- 30.2 Background on Taiwan’s national health insurance system
- 30.3 Health information exchange to support the NHI
- 30.4 Security and privacy across the NHI system
- 30.5 Comparison of the NHI IC Card, Medi-Cloud, and EEC HIE Networks
- 30.6 Results and lessons from two decades of HIE in Taiwan
- 30.7 Future directions
- 30.8 Summary
- Discussion questions
- References
- Chapter 31. Israel’s national HIE network Ofek: a robust infrastructure for clinical and population health
- Abstract
- Major themes
- 31.1 Introduction
- 31.2 Background
- 31.3 Origins of health information exchange in Israel
- 31.4 Technical infrastructure of Ofek
- 31.5 Utility and use of HIE in Israel
- 31.6 Facilitators and barriers to HIE in Israel
- 31.7 The next generation of HIE in Israel—Eitan
- 31.8 Summary
- Questions for discussion
- Acknowledgments
- References
- Chapter 32. Bringing health information exchange to the Middle East and North Africa: the case of Malaffi in Abu Dhabi
- Abstract
- Major themes
- 32.1 Introduction
- 32.2 The United Arab Emirates
- 32.3 The healthcare system in Abu Dhabi
- 32.4 Health information exchange initiatives in the UAE
- 32.5 Case highlight: Malaffi
- 32.6 Usage and impact of health information exchange
- 32.7 Challenges
- 32.8 COVID-19 and Malaffi
- 32.9 Improving interoperability and data standardization
- 32.10 New frontiers in population health management
- 32.11 Summary and the next chapter for Malaffi
- Questions for discussion
- References
- Index
- Edition: 2
- Published: November 9, 2022
- Imprint: Academic Press
- No. of pages: 732
- Language: English
- Paperback ISBN: 9780323908023
- eBook ISBN: 9780323908030
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