A combination of financing and governance issues that speak to long-term sustainability problems: many existing HIEs
got their start through federal and/or state grants, many of which are now expiring or have expired; and unless consensus-driven strategies can be developed, many HIEs
will falter once the grant money runs out;
The integration was so effective that physicians now do not realize they are using an HIE
because it does not add extra steps to a physician's workflow.
At the same time, you can think ahead of how the HIE
can support ACOs and patient-centered medical homes and chronic disease management efforts.
HMT: What's at stake for the credibility and effectiveness of HIEs
if more don't succeed or if HIEs
don't become the predominant model?
Like other state HIEs
, Nevada requested a no-cost grant extension from the ONC.
It is clear that the government wants to build the HIE
system for the country but there is the need to understand, once the scheme is built, how do we get people to use it because that is going to create a sustainability around it and one of the options is to legislatively mandate its use," she explained.
Orion Health HIE
provides clinicians with secure, web-based access to the most up-to-date patient information and to a range of capabilities that support further improvements in care, including automatic reporting of immunizations, electronic labs and syndromic surveillance data required for public health reporting and achieving Meaningful Use.
Second, educate your patients about the privacy and safety issues around HIEs
, and discuss their participation status with them.
The $548 million in HITECH funds for HIE
support being distributed to the states under a coop, erative agreement program with ONC is seed money to get at least something going to standardize and connect both existing and newly formed HIE
networks, unlike the government's past approach to advise and encourage but not subsidize.
The first step toward HIE
participation is adopting/ using EHRs to ensure your organization's clinical data are stored and managed electronically and can be shared with other appropriate parties.
Vendor executives, provider executives, and HIE
leaders all have concerns.
healthcare system through the HITECH Act and the governments Meaningful Use initiative have aided the development of the HIE
market in the United States.