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How can HIEs assist Public Health to receive meaningful use transactions?

How can HIEs assist Public Health to receive meaningful use transactions?

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Ans) Electronic Health Records (EHRs) have become a very important and integral part of the healthcare system.

- Despite the initial hesitation to switch to the EHR, overwhelming majority of organizations which have switched to EHR cannot imagine going back to paper. EHRs improve efficiency and increase reimbursements while improving patient care. As providers become more fluent with the technology, EHRs can help physicians with decision making and influence the way a patient is treated.

- In our national journey to transform healthcare, Health Information Exchange (HIE) is part of a federal EHR Meaningful Use (MU) standard. The idea is that all community providers (public health, private clinics, hospitals etc.)

- In a nutshell HIE is a hub which allows the relevant parties to share information electronically rather than via old fashioned paper fax. The image displayed above shows how all clinics can connect and share patient information through the HIE.

- All EHRs connected to a HIE can share information via federally defined standards of CCR (Continuity of Care Record) and CCD (Continuity of Care Document). This is the standard which all federally certified EHRs must follow.

- Any federally certified EHR which is connected through the HIE can (if permitted) receive/send information between the EHR and the HIE.  

- Thus, the provider can send and receive electronic information with any community provider which is connected to the HIE. Timely information received (e.g. a patient discharge summary from a community hospital), after review by local health department staff, can be brought into a patient’s chart as electronic data elements. This could further influence a patient’s care and:

• Save time by avoiding re-admissions

• Get away from dealing with paper and faxes

• Save money by avoiding duplicate testing

• Improve diagnoses

• Potentially save lives by avoiding medication errors.

• Improve public health

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