Health Information Exchange Agreements

Organizations such as the Global Consortium for eHealth Interoperability, co-founded by HIMSS, IHE International and HL7 International, are working to strengthen and coordinate the work of organizations such as IHE and HL7 to increase the acceptance of new and sophisticated healthcare IT standards. The main objective of the consortium is to coordinate work with governments and national ministries of health to continue to align existing and emerging standards and implementation directions with strategic health objectives to improve health outcomes for people everywhere. The Interoperability Standards Advisory (ISA) process is a unique public list of standards and implementation specifications published by ONC. The ONC coordinates the identification, evaluation and definition of these recommended standards and implementation specifications for use in industry to meet specific interoperability requirements for clinical health technologies. Stakeholders are encouraged to implement and apply these recommended standards as they apply to their needs. The development of health information exchange (HIE) has necessitated the exchange of data across the borders of often competing institutions, with the hope of reducing wasted resources in the health sector (reducing duplication of testing and promoting better coordination of medicines, better care and better coordination of care between fragmented systems). Such an exchange of data was problematic because of a lack of trust between these otherwise competing institutions. This page of the Directive looks at how to address these challenges and the new policies adopted. Query-based exchange The ability of clinicians to find and/or request information about a patient from other clinicians, often used for unforeseen treatments It is the ability of different information systems, devices and applications (systems) to coordinatedly access, exchange, integrate and use data cooperatively, within and across organizational, regional and national boundaries, to provide rapid and transparent portability of information and optimize the health of individuals and populations globally.

Historically, the focus has been on the exchange of clinical information between providers and hospitals. With the advancement of technology, these exchange partners have expanded to people such as patients and nurses, as well as organizations such as long-term care, public health services, community organizations, and paying agencies. This expansion, along with the shift to value-based care, has also given rise to a wide range of types of data available to inform health and care, including device data, patient-generated data, and data related to the social determinants of health. Social determinants of health may include data points such as a person`s residency status, access to reliable transportation, and level of food security. Clinicians also use Directd Exchange to send vaccination data to public health agencies or to report quality metrics to the Centers for Medicare & Medicaid Services (CMS). AHRQ`s investments in health technologies have focused on managing the introduction of information and health technologies in order to achieve the desired results. In addition to assessing the potential for specific applications through competitive grants, efforts are also being made to identify, both through grants and through national and regional demonstration contracts, the problems that communities face in the development of RES, how they can respond to these policy questions and how to communicate what they have learned to the health community, so that the same mistakes do not happen again. In the context of health informatics, standards refer to agreed file formats for electronic documents, messages and other health data elements. These standard formats allow the creation of electronic messages exchanged between different health and information technology systems, allowing interoperability and exchange of health information.

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