Question

Contact the state representative for HIE(Health information exchange)), what can you do as a MSN to be part of improving the HIE and look for successful examples of HIE in your state. If you cannot find anything in your state look to another state for examples. Compare and contrast your findings and post a summary of your experience.

Answer 1

Health information exchange:

Electronic health information exchange (HIE) allow doctors and nurses, pharmacists, other health care providers and patients appropriately access share patients vital medical information electronically – improving the speed, quality, safety and cast of patient care.

Despite the wide spread of availability of secure electronic data transfer , most Americans medical information is stored on paper- in filling cabinets at various medical offices, or in boxes and folders in patient homes. When medical information is shared between providers, its happen by mail, fax or most likely from patient themselves

Appropriate timely sharing of vital patient information can be better inform decision making at the point of care and allow providers to

• Avoid readmissions
• Avoid medication errors
• Improve diagnosis
• To treat condition early before its get effecting patient
• Decrease duplicate testing

There are currently three Key forms of health information exchange

1. Direct Exchange
2. Query based Exchange
3. Consumer Mediated Exchange

MSN role in Health information Exchange:

Exchange Key clinical information:

The demonstrated for attestation that their EHR system could exchange key clinical information by migrating a new patient diagnosis or problem such as dysfunctional bleeding to a current problem list

1. first the team learned how the system would record that the practitioner had updated the face sheet that provider quick over view of the patient medical and surgical history, medication, allergies and previous treating physicians

2. Then the team mapped a new process in which practitioners and nurses would perform additional record keeping steps to enhance the quality or meaningful use of their EHR system, specially, when patient diagnosis is recorded in the visit record, the software ability to attach free text details to the data filed

3. once the appropriate problems are recorded such as quality, duration, and complicating factors the provider click a box marked “add the problem list.