The major goal for moving towards the electronic health care exchange is to have improvement in the health care and also have the lowering of costs. The health care is seen to be one of the largest segments which account for 20% of the US GDP. Research has shown that Health Information Exchanges (HIEs) has provided the HITECH (Health Information Technology for Economic and Clinical Health) which gas made more than $15. billion available to the hospitals as well as to the health care professionals as the research has shown that “A recent study of 180,000 outpatients and 800 clinicians in communities that had adopted EHRs from multiple vendors found that, over a multi-year period, the overall cost of outpatient care was reduced by 3. 1% relative to the control group” The other research has reported that with the use of health information exchange, there has been a reduction of estimated $60–100 billion of the health care frauds which take place otherwise in the United States.
On the other hand, it has also been expected that the cost of implementation could however also exceed as $32,000 per physician. This could be considered as the drawback but the advantages which are associated with it are however increased and large which overcome this cost limits. The reports have shown that the HIT infrastructure present the have included the commitment to the financial incentives which account for around $27 billion over 10 years.
This has been estimated by the United States government for the health care providers and also for the other states which have demonstrated for the improvement in the health care, its delivery, quality as well as the outcomes. On the other hand, the implementation of the National Formulary which has improved the evidence based utilization of the drugs and also has resulted in the reduction of the cost of pharmaceuticals by $650 million on the annual basis.
Indeed the health care exchange information has proved to be really effective in the reduction of the cost which was otherwise incurred by the health care frauds as research showed that “The FBI estimates that the total annual loss due to health care fraud exceeds $80 billion. ” (JASON, 2014) Background and related information: Workgroup for Electronic Data Interchange (WEDI) has planned to develop the common industry vision for the data exchange related to the genomic data with the use of dedicated workgroups.
It will aim at the development of national infrastructure for the support of the genomic data and provided the secure delivery of data and coordination of the care (McGee, 2015). A non-profit alliance DirectTrust, has aimed at the maintenance of the trust and security framework in order to use the Direct Project to have complete secure emails in the health care sector. The Direct Exchange has been seen as the most common as well as least complex method used in the health data exchange but it has issues related to security and built-in functions (Irving, WEDI Workgroup Explores Genomic Health Information Exchange, 2015).
There has been immediate action taken by the Office of the National Coordinator for Health IT regarding the aspect of sharing and using the electronic health information within the framework. It has focused on the patients having the mental issues. The important aspect of interoperability has been taken into account for everybody. The Health Data Exchange has also been used for the identification for the cancer drivers (Beat, 2015).
The heath data exchange also incorporates the concept of integrating the tumor data used from around 6,000 patients in the Cancer Genome Atlas where the structures of more than 18,000 3D protein structures has been used which has been devised from the Protean Data Bank. The researchers will also make use of the structure of the mutation proteins for the identification of the structural features (Irving, Policy Committee, ONC Spar on Health Information Exchange, 2015). The New York State Department of Health has made the health network on the communitywide as being the priority.
This however allows the hospitals to get connected to the region health information by the end of the 2016. The research study by Brookings Institution has shown that in one emergency department, there has been exchange of Data via the use of New York State Health information exchange where the duplication of the laboratory tests has been reduced by 52 percent and also the duplicate issues in the radiology examination by 36 percent. There is another advantage with this exchange of data is that the staff is able to visit the medical records on time and with ease which helps in the provision of convenience for the patients (Galanis, 2015).
The implementation of Electric Health Record is an easy way to provide communication among the various departments. The doctors are able to share information about the patient’s last visit with the emergency department if the patient ends up in the emergency department. The Centers for Medicare & Medicaid Services (CMS) has also made it mandate that the hospital must make use of the EHR system in the year 2009 (Newswire, 2015). In the today’s world, around 80% of the physicians have been practicing in Massachusetts and they have developed the successful implementation of the HER systems.
ZappRx, which is a digital health services company, has also made the adaptation of the Point of Care Partners e-Prescribing Regulatory Tracker. By the time of 2018, the medications are expected to be taking all the drugs cost and the fulfillment process will also be really complex as well as time consuming for the physicians. Also around 57 million of the people are struggling to get the specialty medications on the time because of the inefficacies present tin the process.
This solution provided by ZappRx is also able to provide the feature to the patients, pharmacists, physicians and other staff members to work together in order to provide the patients with the access to the treatment and also make sure the delivery of the medicine faster than before. Epic Systems’ Information sharing practices are seen to be controlling the patients’ referrals and then steer back the patients to their network (Jayanthi, 2015). This is creating challenges for the physicians to practice it and control the referrals of the patients.
They are also unable to get the complete access to the full medical records of the patients until or unless they are being associated with the hospital. There are also various options available for the physicians in order to join the network. The Yale has offered the system which charged $175 fee per month per physicians which could save the problem. Top Problems/Challenges identified: 1. It is also seen to be everyone’s goal to have the sharing of data on the easy basis but this also appears to be a goal which is challenging to achieve. 2.
Indeed there have also been some hospitals which are having issues in the use of electronic health systems. 3. The major issues to be catered include privacy controls, data formats, exchange issues, data storage, care coordination and governance. 4. The technology and policy issues are seen to be prominent in the health information exchange planning. Solutions proposed The most important aspect to be taken into account is to make sure that the users of the health care exchange system have the needed and required training through which they can manage the system accordingly.
There is a need to make sure that the users are provided with the adequate services, trainings and manuals through which they can make the best use of the health care data exchange systems. On the other hand, the next step is to make sure that the administrators have focused on the privacy and usability concerns because many systems are seen to be making issues with regarding the privacy concerns. This includes the need of privacy control measures to make sure that the information related to the patients is not misused and also not accessible to everyone.
Secondly there should be authority measures regarding the use and accessibility of the information. This will allow only the authorized users to access the data related to the patients and no other unauthorized user would be allowed the access the system. The other most important aspect is to make sure that there are checks implemented on the systems with the use of which it will be possible to make sure that the data entered in the systems are consistent and there are no issues of redundancy in the systems.
This could be done easily with the use of checks and entry checks which will allow to make sure that no information has been entered twice and the data is also entered in the right field and also the required data entry fields checks are maintained by adding the information and also for the access of the information to the particular users. This will allow making sure that the data is secured and there are no issues regarding the privacy and wrong accessibility of the data.
