{"title":"健康信息交换循环缺失的一环:吸引患者","authors":"A. Noblin, K. Cortelyou-Ward","doi":"10.4018/IJUDH.2016070103","DOIUrl":null,"url":null,"abstract":"Since2004,theservicesoftheFloridaHealthInformationExchange(HIE)havegrown,andin2011, thestatecontractedwithHarrisCorporationtoprovidesomebasicservicestotheFloridahealthcare industryandprovidefunctionalimprovementstotheexpandingstate-wideHIE.Theendeavorsof thispublic-privatepartnershipcontinuetothepresentday;however,asHIEserviceshaveexpanded, challengescontinue tobeencountered.Ultimately, successfulexchangeofmedicaldata requires patientengagementand“buy-in.”Thepurposeofthisarticlewillconsiderwhypatientengagement isimportantforHIEsuccess,offerrecommendationstoimprovebothpatientandproviderinterest, andconsidertheimportanceofonlinepatientportalstoincreasetheeffectivenessofhealthrecord keepingandthesharingofvitalpatientmedicalinformationneededbycaregiversandtheirpatients. KEywoRDS Florida, Health Information Exchange, Patient Engagement, Privacy INTRoDUCTIoN EffortstowardbuildingaHealthInformationExchange(HIE)inFloridabeganin2004.TheAgencyfor HealthCareAdministration(AHCA)laidthefoundationforastatewideHIEbyorganizinghealthcare stakeholdersandprovidinginitialfundingtolocalRegionalHealthInformationOrganization(RHIO) projectsthroughitsgrantsprogram.Floridaworkedtoachieveasecureandsustainableapproach tohealth informationtechnologyadoptionandexchangeresultinginbetterhealthcareoutcomes with lowered totalcosts. In2010, theOfficeof theNationalCoordinatorforHealthInformation Technology(ONC)providedgrantfundstosignificantlyadvanceFlorida’splanstobuildastatewide healthinformationinfrastructure.SincethefundingfromONChasnowended,sustainabilityhas beenattheforefrontforHIEsacrossthecountry,includingFlorida. Todate,keyservicesimplementedintheFloridaHIEincludethefollowing: • Patientlook-up(accessingpatientinformation) • Securemessaging(transmittingpasswordprotected&encrypteddata) • Eventnotification(sharinghealthcareencounterinformation)Thepurposeof thispaper is todescribe thecurrentservicesofFloridaHIE, identify future HIEgoals including theneed to increasepatients’access to theirownhealthrecords,define the obstaclestogoals,andofferrecommendationstoovercomeobstaclesandreachthedesiredgoals. Asnetworksareestablishedthroughoutthestate,theabilityofpatientstoaccesshealthinformation","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Missing Link of the Health Information Exchange Loop: Engaging Patients\",\"authors\":\"A. Noblin, K. 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引用次数: 0
Missing Link of the Health Information Exchange Loop: Engaging Patients
Since2004,theservicesoftheFloridaHealthInformationExchange(HIE)havegrown,andin2011, thestatecontractedwithHarrisCorporationtoprovidesomebasicservicestotheFloridahealthcare industryandprovidefunctionalimprovementstotheexpandingstate-wideHIE.Theendeavorsof thispublic-privatepartnershipcontinuetothepresentday;however,asHIEserviceshaveexpanded, challengescontinue tobeencountered.Ultimately, successfulexchangeofmedicaldata requires patientengagementand“buy-in.”Thepurposeofthisarticlewillconsiderwhypatientengagement isimportantforHIEsuccess,offerrecommendationstoimprovebothpatientandproviderinterest, andconsidertheimportanceofonlinepatientportalstoincreasetheeffectivenessofhealthrecord keepingandthesharingofvitalpatientmedicalinformationneededbycaregiversandtheirpatients. KEywoRDS Florida, Health Information Exchange, Patient Engagement, Privacy INTRoDUCTIoN EffortstowardbuildingaHealthInformationExchange(HIE)inFloridabeganin2004.TheAgencyfor HealthCareAdministration(AHCA)laidthefoundationforastatewideHIEbyorganizinghealthcare stakeholdersandprovidinginitialfundingtolocalRegionalHealthInformationOrganization(RHIO) projectsthroughitsgrantsprogram.Floridaworkedtoachieveasecureandsustainableapproach tohealth informationtechnologyadoptionandexchangeresultinginbetterhealthcareoutcomes with lowered totalcosts. In2010, theOfficeof theNationalCoordinatorforHealthInformation Technology(ONC)providedgrantfundstosignificantlyadvanceFlorida’splanstobuildastatewide healthinformationinfrastructure.SincethefundingfromONChasnowended,sustainabilityhas beenattheforefrontforHIEsacrossthecountry,includingFlorida. Todate,keyservicesimplementedintheFloridaHIEincludethefollowing: • Patientlook-up(accessingpatientinformation) • Securemessaging(transmittingpasswordprotected&encrypteddata) • Eventnotification(sharinghealthcareencounterinformation)Thepurposeof thispaper is todescribe thecurrentservicesofFloridaHIE, identify future HIEgoals including theneed to increasepatients’access to theirownhealthrecords,define the obstaclestogoals,andofferrecommendationstoovercomeobstaclesandreachthedesiredgoals. Asnetworksareestablishedthroughoutthestate,theabilityofpatientstoaccesshealthinformation
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