Working with Health IT Systems Unit 3: Understanding Information Exchange in HIT Systems This material was developed by Johns Hopkins University, funded.

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Working with Health IT Systems Unit 3: Understanding Information Exchange in HIT Systems This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

Objectives Identify entities that are commonly involved in HIT system data exchange Explain the need for standards and why they exist Define and differentiate between vocabulary, content exchange, and privacy and security standards Compare current efforts to facilitate health information exchange between providers, communities, regions and nation (NHIN, HIEs, NHIN Direct) Component 7/Unit 3 2 Health IT Workforce Curriculum Version 2.0/Spring 2011

Types of Information Exchange Exchange of information between systems used by a single health care organization Exchange of information between HIT systems of 2 or more different organizations/entities Component 7/Unit 33 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

Types of Information Exchange Exchange of information between systems used by a single health care organization Component 7/Unit 34 Health IT Workforce Curriculum Version 2.0/Spring 2011

Types of Information Exchange Exchange of information between HIT systems of 2 or more different organizations/entities Component 7/Unit 35 Health IT Workforce Curriculum Version 2.0/Spring 2011

Information Exchange Use Case Picture or animation here showing a journey of an individual through the healthcare system Component 7/Unit 3 6 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

“Meaningful Use” and HIT Information Exchange Incentive program will require: –Demonstration of interoperability –Share electronic data with patients –eRx –Quality measures reporting to CMS/States –Drug formulary checks –Medication reconciliation –Summary of care records for transfers/referrals –Immunization reporting to registries –Syndromic surveillance reporting to public health agencies –Lab results reporting to public health agencies –Patient reminders –Direct patient access to their record in an EHR Component 7/Unit 3 7 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

Interoperability of Systems Proprietary vs. standard methods of exchange Why are standards important? Component 7/Unit 38 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

Types of Standards Vocabulary, content exchange, and privacy and security standards (including transport standards) –Vocabulary: code sets, ICD-10-CM, SNOMED CT, LOINC –Content exchange: HL7 CDA R2 CCD, ASTM CCR –Privacy/security: AES encryption, IPsec, TLS Transport: SOAP, REST Component 7/Unit 39 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

HIE Initiatives Health Information Exchange (HIE) “The electronic movement of health-related information among organizations according to nationally recognized standards.” 1 HIO, RHIO Examples: HealthBridge, Indiana HIE, CareSpark, MedVirginia NHIN Component 7/Unit 310 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

Unit 3 Summary Entities that are commonly involved in HIT system data exchange The need for standards and why they exist Vocabulary, content exchange, and privacy and security standards Health information exchange between providers, communities, regions and nation (NHIN, HIEs, NHIN Direct) Component 7/Unit 311 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image:

References National Alliance for HIT Report to the ONC on Defining Key Health Information Technology Terms (April 28, 2008) /10_2_hit_terms.pdf /10_2_hit_terms.pdf National Library of Medicine HIT standards Component 7/Unit 312 Health IT Workforce Curriculum Version 2.0/Spring 2011