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287999
S&i framework impact on health information exchange and community care coordination
Objective/Purpose: The study and examination of the current state of sematic interoperability in EHRs and HIEs, and the efficacy of community wide care coordination initiatives.
Methods: A meta-analysis of the current state of the Standards and Interoperability framework, future direction, vendor adoption of standards and impact on community-wide care coordination, including a cross sectional examination of various private and federally funded HIT and HIE initiatives.
Results: Existing EHRs and clinical information systems are only partially connected across the multiple provider models. HIEs have taken a step toward formalizing interoperability and exchange of patient health data. However, semantic interoperability between systems remains limited, thus preventing optimal patient-centered care and coordinated population-level health improvement efforts.
Discussion/conclusions: The extent to which a community-wide care coordination design is successful relies in large part on ease of information access across care settings accompanied by seamless and semantic integration of clinical information from disparate clinical IT systems and sources. Uniformly adopted standards and interoperability framework are crucial in exchanging clinical care documents, ePrescribing, care management of the chronically ill, and realizing the true potential for clinical decision support. An impact analysis of standards and interoperability on health information exchange performance and efficacy of community-wide care-coordination holds significant clinical and economic value for health system design.
Chronic disease management and prevention
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health
Learning Objectives:
Define the current limitations and aspiration of the standards and interoperability framework in the United States
Identify market drivers which will aid in the transition towards true semantic interoperability
Evaluate the impact of meaningful information exchange on community wide care coordination and its significance on the clinical and economic value for health system design.
Qualified on the content I am responsible for because: Spearhead leadership responsibilities for unprecedented public and private sector healthcare transformation project for the Greater New Orleans area. Manage efforts to provide efficiency, cost reduction and improved quality care. Manage systems integration, business processes, information design, policies, legal/regulatory and provider/patient engagement.
Lead a complex amalgamation of work to design and build a regional health information exchange (HIE) between major hospitals and clinics in the Greater New Orleans geographic area serving a population of 1.2 million.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.