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principles information systems
Health Information Exchange Navigating And Managing A Network Of Health Information Systems 2nd Edition Brian Dixon - Solutions
3. What are the primary federal laws the regulate privacy and security in the healthcare space?
2. Explain the difference between “privacy”and “confidentiality.”
1. How is “trust” defined in the context of HIE?
9. Compare the concept of a Health Data Utility to the HIE models used in Denmark(Chapter 28), Israel (Chapter 31), and the United Arab Emirates (Chapter 32). What are the similarities and differences between the various approaches?
8. What progress has been made to evolve HIE networks into health data utilities? Will this concept make HIE networks sustainable in the United States?
7. What can the leaders of individual HIEs do to make HIE a natural and indispensable element of delivering healthcare and maintaining health in their market?
6. What is needed in terms of government policy to make sustainable HIE a natural and indispensable element of delivering healthcare and maintaining health in our country?
5. What ideas do you have for HIE services that you feel could produce value and be sustainable?
4. For any existing HIE you are aware of, discuss ways that HIE could try to increase its revenue.
3. For any HIE service that you are aware of, discuss ways an HIE could try to increase the gross margin from that service.
2. What examples of sustainable HIE services are you aware of? Do you understand the business model behind these services?
1. Using concepts in this chapter, what arguments would you make to support the basic tenet that HIE businesses can be run sustainably?
4. What impact do you believe TEFCA will have on HIE governance? Why?
3. How can HIE networks ensure their governing bodies are representative of the populations they serve? How would you convince a governing body to diversify its membership?
2. An established regional HIO is considering joining the eHealth Exchange at the request of a nationwide health care organization(e.g., retail pharmacy chain) operating in its market. However, the policies and data sharing agreements of the regional HIO conflict with the policies and DURSA
1. As detailed in the Governing Body section, a group of primary care physicians and specialists request approval to access a care summary from the exchange without a patient registration transaction, which is the approved use case. Why do you think the governing body denied the request? Should it
6. Which barriers to adoption of HIE are unlikely to be solved by governmental health policy? How might these barriers be addressed?
5. What additional activities should governments, including ministries of health, be doing to encourage the adoption and use of HIE?
4. Which emerging trend will have the greatest impact on HIE adoption? Why?
3. What is the adoption of HIE like outside the United States? What are some reasons for greater or lesser levels of adoption?
2. Which policy-driven incentives within the United States are most likely to influence health systems to adopt HIE? How about providers? Is there is a difference between these two groups?
1. What is the historic role of government in the adoption of health information technologies including health information exchange? What should it be?
4. What kind of ongoing professional certification or development might be necessary for HIE specialists to seek as they mature in their careers?
3. What knowledge and skills might be important for HIE specialists to develop over time to complement the larger digital health workforce?
2. Describe how HIE specialists might interact with or support operations within a national health system. How about within an individual hospital or clinic or within a family physician(s)’s practice?
1. In which roles within a hospital, clinical or health system would knowledge and/or expertise in HIE be useful?
• Describe various services provided by Maryland’s HIE to improve population health efforts.
• Explore care examples of utilizing HIE to enhance accountable care.
• Understand the role of population health in accountable care organizations.
• Define the aims and organizational structure of value-based care and accountable care organizations.
• Discuss the motivations for and against mergers between health information organizations.
• Discuss the advanages and disadvantages of grant funding to support health information organizations.
• Contrast the strengths and weaknesses of a geographically defined approach to exchange.
• Explain success factors for health information exchange to support public health
• Describe challenges faced by health information exchange to support public health activities
• Outline uses of health information exchange to support public health functions
• Describe how different SDOH data types are collected and documented
• Explore case examples of utilizing various SDOH types in a clinical setting(Section 19.2).
• Understand the importance of including SDOH data within an HIE network(Section 19.2).
• Accurately define and differentiate between various social determinants of health (SDOH) (Section 19.1).
• List and describe three types of analytics that can be used at an HIE.
• Understand how HIE architecture models can impact analytics.
• Identify barriers to implementing analytics in an HIE.
• Explain how analytics are supported in an HIE.
• List ways in which analytics can provide value for HIEs and participants in public health and healthcare organizations.
• Describe how health information organizations can provide real-time analytics to health systems to improve population health outcomes.
• Describe the data, information, knowledge, wisdom pyramid.
• Define analytics and discuss how it supports achieving the goals outlined in many nations’ digital health strategy.
• Describe why dissemination is an important aspect of evaluation.
• Prepare an evaluation plan to measure some aspect of health information exchange.
• State the key sections or components of an evaluation plan.
• Outline important considerations to the design of an evaluation plan.
• Discuss the importance of developing an evaluation plan.
• Identify the various roles recommended for inclusion as part of the evaluation team.
• List and describe the domains of evaluation commonly examined in health information exchange.
• Compare and contrast the various categories of evaluation.
• Define evaluation in the context of health information exchange.
• Discuss the gaps in available evidence on the impact of HIE.
• Describe those factors associated with beneficial impact of HIE on clinical processes as well as patient outcomes.
• Discuss trends in scientific studies on the impact of HIE over time.
• Summarize the available scientific evidence on the impact of health information exchange (HIE) on health outcomes.
• List and describe two examples of nations that have implemented HIE technologies in support of claims processing.
• Discuss the role of health information exchange in supporting the processing of claims and achievement of universal healthcare goals.
• Define claims processing and describe its role in the health system.
• Describe the concept of universal healthcare as defined by the World Health Organization.
• Identify syntactic and semantic standards to support a health worker registry.
• Explain the process of developing a minimum data set for a health worker registry.
• List and describe potential uses for a health worker registry in the context of health information exchange.
• Define a health worker registry.
• Identify sources of health worker data and describe the limitations of their use.
• Define a health worker.
• Describe how metadata enable facility data integration and harmonization.
• Recommend FR signature and service domain components based on local context.
• Discuss various methods of generating unique identifiers for healthcare facilities.
• Explain the value of health facility registries in supporting health systems.
• Differentiate between a master facility list and health FR.
• Define the concept of a master facility list.
• Define the concept of a health facility registry (FR).
• Distinguish between the common methods of patient matching.
• Highlight the critical role a unique identifier plays in implementing a client registry.
• Discuss common challenges encountered when implementing a client registry.
• Detail common strategies for implementing a client registry.
• Define a client registry and describe why such registries are essential for in health information exchange.
• Discuss emerging trends likely to shape the evolution of shared health records and health management information systems.
• Compare the implications of implementing a shared health record using an electronic health record system versus a database management system; and
• Define a database management system;
• Identify and describe application domains for a health management information system;
• Define a population health indicator;
• Discuss the role and benefits of a health management information system within a health information exchange;
• List and describe the components of a shared health record;
• Explain the role of a shared health record in a health information exchange;
• Identify and describe the differences between an electronic medical record, electronic health record, and a shared heath record;
• Explain why a Terminology Service is important in health information exchange, and describe the process for its implementation.
• Describe the process of mapping from local to reference terminologies, as well as identify the types of tools available to assist in mapping.
• Identify factors to consider when selecting context-appropriate terminology standards.
• Describe the utility of standard reference terminologies in health information exchange.
• Identify and describe resources and services used by organizations when they implement syntactic standards.
• Recognize how multiple syntactic standards are used throughout the health information ecosystem to facilitate HIE.
• Describe the process for developing standards in health care.
• Describe some of the most common syntactic standards and distinguish their application in health care.
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