HIE - Global context and Future direction

Health Information Exchange
“connecting the dots...”

SRINIVASAN BALASUBRAMANIAN
Management Consultant and Strategic Advisor
Global Healthcare & Emerging Technologies
onsivsrini@yahoo.com | +91-98408-38088
http://in.linkedin.com/in/onsivsrini

Note: The information available in this presentation are collected from different sources (public domain); analyzed and given my thought process #1

HIE – For a Better Health and Happiness
Healthcare + HIT + Standards

"Public health is an incredibly broad field, covering everything from global
health to community health to Medicare to pharmaceuticals. Generally, I
use it as a tool to frame the contexts of health and medicine: how can we
deliver healthcare to our citizens to create the maximum amount of
health and happiness?"
- Thomas Goetz

#2

Agenda

the basics
Health Information Exchange
global context
tech+standards
“connecting the dots…”
knowledge session
connecting the dots…

#3

The basics…

HIE Need

#4

The basics…

Outcome:
Better quality and effective healthcare delivery
Challenges: Control avoidable costs
Improved Health & Happiness
Privacy and Security concerns
Initiatives & Cost
Integrating heterogeneous env.
Inadequate adoption of HIE
Lack of Engagement
Lack of awareness and education

#5

The basics…

#6

Educate, inspire, connect

#7

Global Context

UK – Centralized Network

US – Distributed Network

India…

#8

Global Context
US Initiatives…

Other Countries…

US – Payer driven Health Economy

UK – Govt. Funded Health Economy

India – Mixed Health Economy

#9

UK – Centralized Health Network
The Spine:
The Spine is part of the NHS Care Records Service,
which is creating an electronic care record for all
England's 50 million plus patients.
Each patient's electronic NHS Care Record
comprises full local records, held on computer
where treatment is provided (such as the GP
surgery or hospital) and a summary record of
important details both demographic (eg: name,
address) and medical (eg, allergies, medication, test
results) held on the Spine.
The Spine is a national, central database where
summary patient records are stored. When fully
implemented, local records will automatically
upload important information to the summary
patient record on the Spine.

# 10

US – Distributed Regional Health Network

# 11

India – Electronic+Paper+Verbal (yet to connect!) Health

# 12

Healthcare Domain Track – The Evolution

EMR EHR Connected EHR + PHR
(Hospitals) (connected Hospitals) (connected Entities)

# 13

HIE – The Roadmap

EHR Regional HIE National HIE
• Connected Health • State or Regional • Connecting Regional
Settings Level to National Level

# 14

Technology Progress – Know how

Web 2.0 is equivalent to social web
Web 3.0 will be the "intelligent web"

# 15

http://www.digitalbuzzblog.com/infographic-asia-pacific-social-media-statistics-stats-facts/

# 16

Domain (Health)
+
Technology (web + mobile)
+
Standards (HL7, SNOMED, DICOM…)

# 17

# 18

Architecture understanding

# 19

Health IT – Standards of Standards

Healthcare Info Tech Std Panel First Data Bank
Health Insurance Portability and Accountability Act

Health Level 7

Systematized Nomenclature of Medicine

Digital Imaging and Communication in Medicine Integrating Healthcare Enterprise

National Program For IT / Connecting for Health (CfH)
Regional Health Information Org

International Classification of Diseases and Procedures (WHO) Medicaid Information Technology Architecture

National Health Systems Resource Centre (NRHM) - India

# 20

Sample view to digest
CCD: Continuity of Care Document (HL7)
Human & Machine readable

# 21

The progressive path…

Better
Consumer
Health
PHR
HIX

HIE

EHR

# 22

HIE ? : Social and Behavioral Health

# 23

Moving towards Health Intelligent path…

Intelligent Health

Connected Health

Structured Health

# 24

Global eHealth : ongoing key initiatives and market potential
The Health Expenditure (% of GDP)
USA : 16.2 | UK : 9.4 | India : 4.2

Year 2009 Data

# 25

Global HIE market place

# 26

US 2011 and further: Health IT growth

# 27

# 28

# 29

connecting the dots…

# 30

HIE - Global context and Future direction

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