This paper will go into the history, need, challenges and where we are now with Health Information Exchange.
What is a HIE?
A health information exchange (HIE) is a safe computer network that links the electronic health information systems of different health care providers, permitting those providers to share clinical and demographic data of patients they have in common. HIE provides the ability to electronically move health care information between various systems while maintaining the meaning of the information being exchanged. In other words HIE is technology at its best brings all the personal health information together and helps health providers make more informed decisions. The goal of health information exchange is to assist access to and retrieval of clinical data to provide safer, timelier, efficient, effective, equitable, patient-centered care. Health information exchange organizations (HIOs) provide the capability to electronically move clinical information between disparate health care information systems while maintaining the meaning of the information being exchanged.
The US history of HIE
In 1990, the Hartford Foundation gave out several grants to a variety of different cities and locales for the purposes of building what they called, “community health management information systems.” This was one of the first attempts at exchanging information about health electronically. Seven locations received these grants.
The systems that were developed by the grantees were centralized data repositories that housed patient information including demographics, clinical data, and insurance eligibility information. The main purpose of the system, according to Vest and Gamm, was for assessment purposes and to make it easier to bill for patient care by having eligibility information verified right away- preventing the need for paperwork that’s typically exchanged when denial of payments occurs when someone was treated for something they