St Joseph University
Dorothy Cooper
November 27, 2011
Health information exchange (HIE) is defined as the mobilization of healthcare information electronically across organizations within a region, community or hospital system (Ong, 2011).
The 2 main models used in health information exchange (HIE) are centralized and decentralized health information. Centralized information would comprise of health information being shared a State Wide Entity (SWE) among hospitals, individual providers and ambulatory care facilities along with public health organizations that are connected to their health information organization (HIO). In order for this process to take place other states would have to be part of the SWE and the (HIO). The SWE would characteristically perform these services:
Exchange clinical and possibly, administrative information
Medication history and reconciliation ePrescribing Record locator services
Delivery of lab results
Computerized Physician Order Entry (CPOE)
Electronic eligibility and claim transaction
Provider portal.
Having a centralization connection will allow facilities to connect health information that is essential in obtaining patient information when needed. With the decentralized model, the SWE would act as an organizer that initiates the regulations and policies. The SWE would initially generate the existing HIO and hospital system to connect to one another. Another form of health information exchange that was brought to light with HIPPA legislation was the privacy and security standards. The implementation was enacted in April of 2003; this would further allow patient information and health information to be more secure. In addition to HIPPA enacting their privacy and security laws many healthcare providers have taken measure into their own hands and added privacy and security laws within their practices. Also due to the expansion of technology many healthcare