HIE_Updated - Introduction In the last decade the American...

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Introduction: In the last decade the American healthcare sector has witnessed tremendous changes and reforms that are inclined towards the benefit of the patients and healthcare services have become more patient-centric and cost effective. Transformations in the established programs such as Medicaid and enactment of new legislations such as the Patient Protection and Affordable Care Act have led to care delivery models and paradigms that are facilitating excellent coordination and information sharing between different healthcare stakeholders. Pioneering developments such as the formation of Accountable care organizations and diminished hospital readmission rates are changing the face of healthcare delivery in the United States. Fundamental to the success of all these initiatives is the existence of a thriving and robust Health Information Exchange (HIE) paradigm that can serve as a viable interface between the different stakeholders without any interoperability issues. Health Information Exchange paradigms can facilitate empowerment of patients through greater personalization of healthcare and dramatically improve the quality and efficiency of healthcare delivery solutions [1]. Interoperability is a critical factor that holds the key to successful implementation of Health Information Exchange paradigms. All kinds of healthcare data are governed by strict regulations to protect their confidentiality. However, along with confidentiality, interoperability without jeopardizing the security is equally essential. Interoperability essentially means the capacity or the ability of two individual systems to share information between them or for that matter, use the information that has been shared. According to the department of Health and Human Services, information or data needs to be interoperable as well as digital in the present era. Only when information is effortlessly shared between different systems the possibility of a customer-oriented and cost-effective healthcare system begins to take shape. Health Information Exchange or HIE is a very broad term that essentially defines a wide range of technologies, policies and data sharing paradigms that are governed by well-defined standards. The department of Health and Human Services define Health Information Exchange as “the electronic movement of health-related information among organizations according to nationally recognized standards” [2]. The fundamental objective of Health Information Exchange is to allow smooth access to healthcare datasets so that they can be easily and safely retrieved and disseminated in a time-sensitive manner to achieve high levels of patient- centric care. Health Information Exchange will allow seamless transmission of healthcare data between two distinct healthcare providers without any alteration to its meaning or value. Health Information Exchange entities can also facilitate further use of clinical data
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