Nursing informatics: Topic 7 Discussion 2

Nursing informatics: Topic 7 Discussion 2

Nursing informatics: Topic 7 Discussion 2

Describe the critical role of health information exchange in patient care at an organization level (across all facilities), statewide level, and national level. How do the goals of each vary and how is quality of care enhanced?

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 Health Information Exchange

In the 21st century, most Americans have embraced the use of technology, but still, most healthcare facilities stores medical information in paper form.  That is evidenced by file cabinets in most healthcare institutions or piles of folders in patients’ residences.  However, through the proliferation and health information exchange (HIE) advent, the consumers and medical community can easily receive and provide high healthcare quality. The paper addresses the HIE’s role in patient care at organizational, State and national levels. The paper also evaluates goals variance in each level vary and quality care enhancement.

Health Information Exchange Roles

Through HIE, the country boosts interoperability that connects organizational, State and national levels. Esmaeilzadeh and Sambasivan (2017) assert that HIE plays an important role in ensuring that patient care is enhanced across different health units, making it easier for organizations to engage in better treatment processes. An important factor to note is the existence of HIE’s three forms: direct exchange, query-based exchange, and consumer-mediated exchange.  For instance, healthcare providers at all levels, whether organizational, State or national, can engage in the direct exchange where critical patient information is only accessible by providers within the professional rapport where the data sent is securely in an encrypted format (Menachemi et al., 2018). When healthcare facilities embrace electronic records use, it becomes easier to collect specific cases data that can also be helpful to other healthcare providers. That can be easily acquired through HIE’s query-based exchange form, which is essential to the healthcare providers in case of an emergency to seek specific healthcare information within the approved clinical sources databases (HealthIT, 2019). Such cases may involve an obstetrician requesting pregnancy records to seek the best way to attend to a pregnant patient who undergoes labour during travelling. Also, through the query-based exchange, the healthcare providers can easily transfer patients whose needs cannot be met in one healthcare facility to another. Such query-based exchange can apply across all healthcare facilities, states and national levels to improve healthcare services. Thus, healthcare providers from different departments within an organization can access patient’s health-related data from EHR system enhancing their collaboration and interaction during care delivery, improving quality of patient care and health outcomes. Additionally, patients’ data is used to study disease outbreak trends at the state or national levels, thus improving community health.

The patients can also easily access their health information through HIE to assess the medications and treatment offered within a healthcare facility. Such instance is mainly applicable at an organization level through the consumer-mediated exchange HIE’s form (HealthIT, 2019). The consumer-mediated exchange is essential for patients since they can easily access their medical information online, especially when tracking and monitoring their health conditions. Such instances allow patients to manage their health conditions, thus improving their overall health outcomes.

Goals Variance in Each Level and Quality Care Enhancement

Organizational, State and national levels have varying goals towards patient care and enhancing quality care. According to Elysee et al. (2017), healthcare facilities are guided by fixed organizational goals at an organizational level, which works for a dictated period in terms of long and short-term goals. Such goals enable the healthcare management and the providers to work towards achieving the set goals. However, the goals can change depending on disease prevalence and the patients’ number affected. As a result, organizational, State and national levels will need to collect data from reliable sources such as Statista or World Health Organization websites to create achievable and timely goals to improve patient care.

Conclusion

Healthcare Information Exchange (HIE) is an essential approach to all organization, State and national levels since it facilitates data transmission among patients, healthcare providers, and medical facilities electronically and securely.

References

Elysee, G., Herrin, J., & Horwitz, L. I. (2017). An observational study of the relationship between meaningful use-based electronic health information exchange, interoperability, and medication reconciliation capabilities. Medicine, 96(41).

Esmaeilzadeh, P., & Sambasivan, M. (2017). Patients’ support for health information exchange: a literature review and classification of key factors. BMC medical informatics and decision making, 17(1), 1-21.

HealthIT. (July 8, 2019). What are the different types of health information exchange? https://www.healthit.gov/faq/what-are-different-types-health-information-exchange

Menachemi, N., Rahurkar, S., Harle, C. A., & Vest, J. R. (2018). The benefits of health information exchange: an updated systematic review. Journal of the American Medical Informatics Association, 25(9), 1259-1265.