HIE Health Information Exchange

Health Information Exchange
“connecting the dots...”“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
# 1Note: The information available in this presentation are collected from different sources (public domain); analyzed and given my thought process

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

the basics
global context
tech+standards
Health Information Exchange
“connecting the dots…”
Agenda
tech+standards
knowledge session
connecting the dots…
# 3

The basics…
HIE Need
# 4

Outcome:
The basics…
Challenges:
Privacy and Security concerns
Initiatives & Cost
Integrating heterogeneous env.
Inadequate adoption of HIE
Lack of Engagement
Lack of awareness and education
Better quality and effective healthcare delivery
Control avoidable costs
Improved Health & Happiness
# 5

The basics…
# 6

Educate, inspire, connect
# 7

UK – Centralized Network
US – Distributed Network
Global Context
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
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

EMR
(Hospitals)
EHR
(connected Hospitals)
Connected EHR + PHR
(connected Entities)
Healthcare Domain Track – The Evolution
# 13

HIE – The Roadmap
EHR
• Connected Health
Settings
Regional HIE
• State or Regional
Level
National HIE
• Connecting Regional
to National Level
# 14

Web 2.0 is equivalent to social web
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

Systematized Nomenclature of Medicine
Health Level 7
Healthcare Info Tech Std Panel First Data Bank
Health Insurance Portability and Accountability Act
Digital Imaging and Communication in Medicine Integrating Healthcare Enterprise
Health IT – Standards of Standards
National Program For IT / Connecting for Health (CfH)
International Classification of Diseases and Procedures (WHO) Medicaid Information Technology Architecture
Regional Health Information Org
National Health Systems Resource Centre (NRHM) - India
# 20

CCD: Continuity of Care Document (HL7)
Human & Machine readable
Sample view to digest
# 21

HIX
PHR
Better
Consumer
Health
The progressive path…
EHR
HIE
# 22

HIE ? : Social and Behavioral Health
# 23

Structured Health
Connected Health
Intelligent Health
Moving towards Health Intelligent path…
# 24

The Health Expenditure (% of GDP)
USA : 16.2 | UK : 9.4 | India : 4.2
Global eHealth : ongoing key initiatives and market potential
Year 2009 Data
# 25

Global HIE market place
# 26

US 2011 and further: Health IT growth
# 27

# 28

# 29

connecting the dots…
# 30

HIE Health Information Exchange

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