@llMcree HIE Why Saudi needs better sharing of health information across providers and across different care segments? Health information exchange helps doctors, nurses, patients, pharmacists, and others to seamlessly exchange vital medical information electronically with better quality, speed, security, and cost. And as a national health care system it should promote having a national information structure
Streamline quality
Accelerate research
Unify PH surveillance
Health information exchange (HIE): the electronic movement of health information across organizations
Health information organization: An organization that oversees and governs the exchange of health-related information among organizations
Regional health information organization (RHIO): A health information organization that brings together health care stakeholders within a defined geographical area
Health information services provider (HISP): is a vendor that provides operational and technical HIE services
HIE Goals: To share patient data in geographically tight locations
Provide HIT for physicians and rural hospitals in the region to improve exchange of lab results
Enhance ability to exchange data with public health organizations
HIE Architectural models: Consolidated: Multiple independent enterprises agree to share resources using a central repository
Federated:
Consistent database: multiple independent enterprises agree to connect and share specific information managed centrally but with independent repositories
Inconsistent database: multiple independent enterprises agree to connect and share specific information in a point-to-point manner
Note: Some believe that federated inconsistent database model offers the best privacy and the most appealing others believe that federated consistent database model is more cost effective just as capable of providing privacy and more capable of providing security
Switch: a service that enables the exchange of information across multiple independent enterprises
Patient management: patients carry their own electronic records or subscribe to a service that enables the patients to direct exchange of data
Hybrid: combination of any of these models
HIE forms: Three key forms of health information exchange:
Direct exchange: Ability to send and receive secure information electronically between care providers
Query-based Exchange: Ability for providers to request information on a patient from other providers, often used for unplanned care
Consumer mediated exchange: Ability for patients to aggregate and control the use of their health information among providers
