Question

Please -

Please have an original assignment not copied because I have to submit to a citing program.

The purpose of this assignment is to review the current state of development for your state's health information exchange (HIE) and current participation rate. Compare your state (New Jersey) to three states with similar demographics. Write a 1,000-1,250 word summary related to the ability of your state's HIE to share data and improve the following: Coordination of care Public health initiatives Evidence-based research

Answer 1

Having accurate and reliable information at the point of care is critical to improving patient outcomes. Successful health information exchanges are revolutionizing the patient health information world. What was once an antiquated process of storing patient health records on paper and physically sending the records from one doctor's office to the next – has TRANSFORMed into an efficient process of storing and sharing the patient's information digitally and securely. With this advancement, health professionals have access to a patient's longitudinal record in just one click.

Information about a patient's demographics, medications, allergies, lab results and immunizations can impact your diagnosis. Having access to near real-time information from all participating HIE providers your patients visit can increase your efficiency and make it easier to accurately assess the situation.

The information allow you to easily share a patient's medical information electronically with a network of health care providers from all disciplines while meeting HIPAA and HITECH regulations for confidentiality.

The information ofNew Jersey provides you with the tools necessary to:

Access patient information in a timely, secure manner

Improve care coordination and patient safety

Increase physician/patient communication

Engage patients through an online patient portal

Utilize patient panel and population health analytics in a meaningful way

Effectively transition to a value-based payment model

Meet requirements for Medicare/Medicaid incentive payments

A Health Information Exchange (HIE) allows health providers, such as your doctor, share health information with each other, electronically, and in a secure and timely manner. Through the HIE, doctors involved in your care can share information about:

Your overall health

History of illnesses or injuries (e.g., diabetes, a heart condition, a broken bone)

Allergies

Test results (e.g., blood tests, x-rays)

Medications you take

If you see multiple doctors who participate in the HIE, they can access a more complete picture of your health through the HIE and, in turn, make more informed treatment decisions. The overall goal of the HIE is for you to receive coordinated care more efficiently, by providing participating care providers your health information where and when they need it, without delay.

How Will My Information Be Used?

Medical information obtained through the HIE will be used for treatment, payment and operational/business purposes only. Federal and State policies limit how your information can be used or disclosed through our HIE. The HIPAA Notice of Privacy Practices from your healthcare provider explains in detail how and why your information is used.

Can Anyone Access My Records?

No. Only healthcare providers who are treating you, and their staff who are specifically given rights to the HIE can access your records. For example, if one of your providers participates in the HIE, he or she can access your health information maintained by your other providers who also participate in the HIE.

How Does it Work With Other 'Connected HIEs'

These HIE connections can be beneficial if you have health providers who are both part of our HIE and in another HIE network. For example, if you are being treated by two doctors –one in the HIE and another who participates in a different HIE – these two doctors could share your medical information through a secure connection between their two HIEs to better coordinate your care. Be assured that the HIE will not connect to another HIE unless it meets our high standards for privacy and security.

How Secure IS the HIE?

Very! Special features keep your information secure and prevent your records from being accessed by anyone not authorized to view them. HIE technology also has added security features, such as audit logs, which track who has accessed your records, and when. Data encryption provides an even higher level of security. However, in the unlikely event that improper access were to occur, the law requires that you be notified and take immediate action.

What About My Sensitive Health Information?

"Sensitive information" that is specifically restricted by more protective State or Federal laws will generally be disclosed on a case-by-case basis and only with your permission. Sensitive information includes information such as:

Acquired Immunodeficiency Syndrome (AIDS)

Human Immunodeficiency Virus (HIV)

Venereal diseases

Drug and alcohol treatment records

Behavioral health treatment records

Genetic testing

Your privacy is our top concern. The HIE has safeguards to ensure that sensitive information is accessed appropriately and with your permission, when required.

Can I Access My Own Medical Records?

With the HIE, your records are only available to participating health care providers, such as your doctor. If you want copies of your medical records, you can contact your health providers directly. Doctors, hospitals, and other health care organizations can provide you with paper copies, upon request. If your doctor uses an electronic medical record, you might also have the ability to receive an electronic copy. Check with your doctor to be sure.

How Do I Sign Up?

There is no need to do anything further – your health information is already on the HIE, and is accessible by your authorized HIE participating providers. However, if you do not want your HIE health information to be electronically accessed by your healthcare providers, you must submit a completed HIE opt-out form. If you previously submitted an HIE Opt-Out but have now changed your mind, you must complete, sign and submit a Revocation of Prior Opt-Out form.

Current State of Health Information Exchange in New Jersey

The State of New Jersey has expanded its health-information exchange capacity and its programs on

several fronts over the past decade. The State offers a number of focused and robust health-information

exchange projects that are either operational or within reach of being actuated given adequate support. As

a result, New Jersey appreciates the opportunity to be a part of the State Health Information Exchange

Cooperative Agreement Program offered by Office of the National Coordinator for Health Information

Technology. Our Statewide project for this program will include the most promising, complete, and

clinically meaningful of these exchange initiatives among health-care providers—as well as a plan to

create a Statewide exchange—in a New Jersey Health Information Exchange Program. Beyond these

provider-led programs, New Jersey has been strengthening its HIT and HIE capacity across a number of

venues. That includes ever-increasing participation and advancements in public-health reporting and

surveillance, electronic claims processing, e-prescribing, community-level health information exchange,

and public-health and bioinformatics research. We believe that the databases and registries housed within

State government, initiatives such as e-prescribing that are gaining momentum in the New Jersey

healthcare community, and community-based HIEs provide an excellent platform for expansion and

integration for data exchange throughout our State’s health-care sector.

And we know that improvements in the delivery of care arising from the electronic storage and exchange

of health information create a real Return on Investment. Consider:

A HealthCore study (2006) found that Emergency Department visits that included a patient clinical summary yielded$604 saving per encounter.

This comparative map illustrates the structure of all 50 states' Health Information Exchange (HIE) State Designated Entity (SDE). The states are identified based on which organization has been contracted to organize health information exchange activities within that state.

Three other states:-

Idaho Health Data Exchange

The Idaho Health Data Exchange (IHDE) is the state designated Health Information Exchange (HIE) for Idaho. Health Information Exchange enables doctors, nurses, labs, and other medical providers to securely access their patient's electronic health information quickly, 24/7/365, to improve the speed, quality, safety, and cost of patient care. IHDE is a non-profit 501(c)(6) company. The IHDE is Idaho created, based, and managed. Located in Boise, ID, the staff consists of an Executive Director, Executive Assistant, Sr. Marketing Coordinator, Business Analysts (Implementations), Training/Support Specialists, and IT systems support. The IHDE's mission is to create, and maintain a collaborative effort to improve the coordination and quality of healthcare through the use of Health Information Exchange and Health Information Technology. The IHDE is governed by a voluntary Board of Directors and voluntary Privacy and Security Committee which provides oversight of compliance and best practices. Members of the Board of Directors and Privacy and Security Committee represent the private and public sectors, and health care delivery systems.

Indiana Health Information Exchange

The Indiana Health Information Exchange (IHIE) operates the U.S.'s largest HIE and one of the oldest with data on more than 7 million patients, connecting hospitals, rehabilitation centers, long term care facilities, laboratories, imaging centers, clinics, community health centers and other healthcare organizations. Created by the Regenstrief Institute, a medical informatics think tank, the Indiana Network for Patient Care (INPC) is a secure network that provides a patient records to participating doctors. The IHIE provides current data about admissions, discharges, and transfers to help health plans and accountable care organizations reduce nonurgent emergency department visits. This HIE grew over time from 12 hospitals in the center of the state with approximately 5,000 physicians, to 106 hospitals out of 126 in the state and more than 14,000 physicians in Indiana.

Kansas Health Information Network

Kansas Health Information Network is a private health information network in Kansas created to allow connected physicians, healthcare facilities and other healthcare providers to share patient information. Participants will have access to powerful analytic reports designed to help improve patient encounters and clinical outcomes while also empowering physicians as they transition to the new alternative payment models involving quality reporting, advancing care information, clinical practice improvements and resource use. KaMMCO Health Solutions (KHS) have partnered to offer the aforementioned products and services across the state.

***Exhibit. Key Care Management Strategies and Recommendations:-

StrategyRecommendations for Medical PracticeRecommendations for Health PolicyRecommendations for Health Services Research

Identify populations with modifiable risks

Use multiple metrics to identify patients with modifiable risks

Develop risk-based approaches to identify patients most in need of care management (CM) services

Consider return on investment of providing CM services to patients with a broad set of eligibility requirements

Establish metrics to identify and track CM outcomes to determine success

Implement value-based payment methodologies through State and Federal tax incentives to practices for achieving the triple aim

Determine the benefits to different patient segments from CM services

Investigate the understanding of and parameters affecting modifiable risks.

Develop/refine tools for risk stratification

Develop predictive models to support risk stratification

Align CM services to the needs of the population

Tailor CM services, with input from patients, to meet specific needs of populations with different modifiable risks

Use EMR to facilitate care coordination and effective communication with patients and outreach to them

Incentivize CM services through CMS transitional CM and chronic care coordination billing codes

Provide variety of financial and non-financial supports to develop, implement and sustain CM

Reward CM programs that achieve the triple aim

Evaluate initiatives seeking to foster care alignment across providers

Create a framework for aligning CM services across the medical neighborhood to reduce potentially harmful duplication of these services

Determine how best to implement CM services across the spectrum of longterm services and supports

Identify and train personnel appropriate to the needed CM services

Determine who should provide CM services given population needs and practice context

Identify needed skills, appropriate training, and licensure requirements

Implement interprofessional teambased approaches to care

Incentivize care manager training through loans or tuition subsidies

Develop CM certification programs that recognize functional expertise

Determine what teambuilding activities best support delivery of CM services

Design protocols for workflow that accommodate CM services in different contexts

Develop models for interprofessional education that bridge trainees at all levels and practicing health care professionals