Brian Yeaman MDCMIO NRHSMedical Director, Greater OKC Hospital Counsel

Concepts and Terminology

Of HIE

Core Concepts of HIE

Health Information (Medical Records)Exchange (Electronic Transfer/Display)

Core Concepts of HIE

Key AttributesPatient Privacy Secure RecordsProviders Proficiency

Core Concepts of HIE

Medical Records RequestSeconds Not HoursInformation When it Matters When Seconds CountUnifies Fragmented Records Across Providers and Hospitals and Specialty CentersCost Effective (Faxing/Personnel Time)

Core Concepts of HIE

Provider to Provider DiscussionThe Hallway/Lounge/Phone ConversationFacilitates Specialty ConsultationFacilitates Patient Satisfaction

Core Concepts of HIE

Implications for Health CareImproved Patient SafetyImproved Quality of CareCost Containment- Less DuplicationDe-Fragments Medical RecordsCare Of The Uninsured

Terminology of HIE

Core ContributorsHospitalsService Providers (Labs and Imaging Centers)Physician Offices and Health CentersSpecialty CentersState Agencies/Health Departments/OHCAPayersPharmaciesPatients

Terminology of HIE

HospitalsEHR- Electronic Health Record

Lab, Vitals, Medications, Reports, Images, Coded History

Terminology of HIE

Physicians and ProvidersEMR- Electronic Medical Record (Ambulatory)

Lab, Vitals, Medications, Reports, Images, Coded History

Terminology of HIE

PHR- Personal Health RecordPatient Driven/OwnedPortable Between Providers/InstitutionsInterchangeable Between EHR’s/EMR’sRetrievable Data From HIEActionable Items

Terminology of HIE

CCR- Continuity of Care Record/DocumentDemographicsMedication ListDrug AllergiesEncounter HistoryLabsVitalsDiagnosis/Problem Lists/ICD 9’s

Terminology of HIE

HIE- Health Information ExchangeNetwork Allowing Data SharingCentralized ServerMPI- Master Patient IndexWeb AccessEMR/EHR Access

Local Example of HIE

Physician PortalWeb

HIE Server

Hospitals, Labs, Imaging Centers

Provider Offices

Administrative Portal

Personal Health Record

Terminology

HIO- Health Information OrganizationGovernance Body of HIE

Health Information Exchange

Goals RestatedQuality and SafetySpeed of Access and Accuracy of DataPatient SatisfactionCost ContainmentPortability Governance-Why We Are Here Today