Different Types Of HIE Organization

Here are several different types of HIE and HIE organization (HIO) currently operating across the United States and its territories:
Private HIE
Government-facilitated HIE
Community-based HIE
Vendor-facilitated HIE

Vast HIEs are controlled by the administrations of their individual states or might be the State's designed entity (SDE). Some far-reaching (and territorial) HIEs utilize an umbrella approach and fill in as the aggregator for different private HIEs.

Private/Exclusive HIEs focus on a single group or system, regularly based on a single association, and incorporate general administration, fund, and management. Cases may include healing center/IDN systems, payer-based HIEs, and malady particular HIEs. Some product sellers

have likewise settled a HIE arrange for their customers over the U.S. Moreover; the industry may see other developing elements, for example, Accountable Care Associations (ACOs) supporting data trade.

Hybrid HIEs/HIOs are regularly joint efforts between associations, for example, an ACO and a seller organize, inside a state or locale.

The Kentucky HIE is an example

Regional/Group HIOs are between hierarchical and rely on upon an assortment of subsidizing sources. Most are not-for-benefit.

There are currently three major functional forms of health information exchange:
• Directed Exchange – facility to send and receive secure data electronically among care providers to strengthen coordinated care
• Query-based Exchange – It is the ability for providers to find and request information on a subject from different vendors, which is often used for unplanned care
• Consumer Mediated Exchange – ability for patients to regulate the use of their health information among providers
The foundation of measures, policies, and technology required to initiate all three forms of health information interchange are complete, tested, and available today.
The subsequent sections provide detailed data information and example scenarios for each of the three types.

DIRECTED

EXCHANGE
Directed exchange is used by providers to quickly and securely transfer patient data such as lab orders and outcomes, patient referrals, or discharge summaries directly to another health care professional. This information is sent over the internet in an encrypted, secure, and reliable way amongst healthcare experts who already know and trust each other, and correlate to send a secured email. This type exchange of information facilitates coordinated care, which benefits both providers and patients.
For example:

• A primary care provider can send electronic care summaries which include medications, lab reports to a specialist when referrals This information helps to track the visit of the patients and prevents the duplication of tests, wasted visits, redundant collection of information from the patient, and prescription errors.
Directed exchange used for immunization data to public health organizations or to report quality measures to The Centres for Medicare & Medicaid Services (CMS).
QUERY-BASED EXCHANGE
The query-based exchange is used by providers to search and discover available clinical sources on a patient. This type of exchange usually used when delivering unplanned care. For example:
• Emergency room physicians who can utilize query-based exchange to access patient information such as medications, recent radiology images, and problem lists might adjust treatment plans to avoid adverse drug effects or duplicative testing.
• If a pregnant patient goes to the medical center, the query-based exchange can support a provider in deriving pregnancy care record, enabling them to make safer decisions about patients care and her expected baby.
CONSUMER-MEDIATED EXCHANGE
Consumer-mediated exchange provides patients with admittance to their health information, allowing them to supervise health care online in the same way as they manage finances through online banking. Patients while controlling their health information they can actively take part in their care by coordinating and
• providing information to other providers.
• Recognizing and correcting wrong or missing health information
• Identifying and correcting incorrect billing information
• Tracking and monitoring their health
By securely sharing medical histories to health care providers information who engage in health information exchange (HIE). HIE helps to promote organized patient care, reduce duplicative treatments and avoid costly mistakes. This practice is growing among health providers because the need for HIE is clear and the HIE benefits are vital.
HIE benefits include:
• Provides a means for enhancing quality and safety of patient care by limiting prescription and medical errors
• , Stimulates consumer education and patients' engagement in their health concerns
• Improves performance by reducing redundant paperwork
• It provides health care organizations with clinical data which enhances efficient medical treatment.

• Excludes unnecessary or inappropriate testing
• Improves public health monitoring and recording
• Develops a potential loop for feedback between health-related research and actual practice
• Facilitates efficient deployment of emerging technology and healthcare benefits
• Provides the firmness of technical infrastructure for leverage by national and State-level initiatives
• Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations
• Lessens the unexpected costs
Electronic health information systems prevent errors by involving everyone in a primary health care setting which mainly includes specialists office, emergency department to access the same

information.
The HIE encourages efficient care by enabling automatic appointment reminders and follow-up instructions which are to be sent directly to the patients, and prescriptions directly to pharmacies. HIE reduces the time of the patients who spend time filling out paperwork by briefing out medical history, providing more time for discussions about health related problems and treatments. Moreover, by reducing the time for patients and providers along the entire continuum of health care delivery, HIE can lower costs and improve health outcomes.