Fall class 12 - Health Information Technology and Privacy...

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Health Information Technology and Privacy Class #12 Health Information Exchange and Texas’ Strategy Dave Wanser, Ph.D. david.wanser@austin.utexas.edu 512-471-2567
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EHRS, HIE and NHIN Challenge: What is the relationship between implementation of an electronic health record, a health information exchange and the planned National Health Information Network? How do these various initiatives move forward in an organized way
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Health Care Delivery Landscape   Medical errors Increasing complexity  of clinical care Increasing cost of care Source: iHealthBeat.org, Object Health research Patient data unavailable in 81% of cases; average of 4 missing items per case 18% of medical errors are due to inadequate availability of patient information Patients receive only 55% of recommended care 44,000 – 98,000 annual inpatient deaths due to a preventable medical error Medication errors in 5 – 18% of ambulatory patients; resulting in 1 in 131 deaths 17 years to translate medical research into medical practice Physician Desk Reference more than doubled in 20 years to 3,075 pages 5th consecutive year of double-digit growth in health care expenditures 30% of health expenditures categorized as “unnecessary spending” = $7.4 trillion aggregate in US from 2004 - 2013 Incomplete knowledge of patients
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Health Information Exchange Provides a key building block for improved patient care quality and safety Provides the means to reduce duplication of services with a resultant reduction of healthcare costs Facilitates reduced operational costs by enabling automation of many (currently) manual administrative tasks Enables the integration of sick (illness) care with well care
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Who is creating and operating HIEs? State-led HIE efforts State-sponsored public/private partnerships Community-sponsored private initiatives Community Consortiums
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10/8/10 Texas Health Services Authority Governing body for HIE implementation Quasi-governmental entity Focus on regional HIE solutions rather than a statewide solution Initial activities to support e- prescribing, lab results, clinical summary exchange and other core
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10/8/10 Texas HIE General Strategy State level operations Governance structure Identify core HIE services State level shared services such as record locator and directory and NHIN Connectivity Establish and maintain policies and standards Privacy and security
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Fall class 12 - Health Information Technology and Privacy...

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