Interoperability & Health Information Exchange

1. Interoperability & Health Information Exchange Lecture 10 Friday, February 8, 2013 Victoria Aceti

2. Agenda • Interoperability • Health information exchange • Comparison of interoperability and health information exchange • Requirements for HIE • Benefits & Challenges • Final Thoughts • Case Study Interoperability & Health Information Exchange

3. Interoperability • Improve the continuity of care • Ensure that all healthcare providers are “in the know” with regards to a patient’s condition • Ability to look at information without having to TRACK the information down “The ability to transfer and use information in a uniform and efficient manner across multiple organizations and information technology systems” (Hovenga, 2010, p.135)

4. Types of Interoperability Interoperability & Health Information Exchange

5. Levels of Interoperability Interoperability & Health Information Exchange

6. Health Information Exchange Patient Access? Health Information Family Physician Cardiologist Pharmacist Physiotherapist Interoperability & Health Information Exchange

7. Interoperability VS Health Information Exchange Interoperability Health Info Exchange Clinicians have access to information and ability to add to that information Information doesn’t HAVE to be kept locally ie. one record/per person A push AND pull of information. ie. NEON • Systems “speaking” to each other. • Information is still kept locally • ie. Multiple records/per person • Usually only a pull of information, not a push of information • Example: ePrescribing

8. Requirements for HIE • Interoperable aspects (semantic & clinical) • Collaboration and coordination between organizations • Move beyond old healthcare services architecture • Data sharing agreements – potentially through external organization • Revised security policies and procedures Interoperability & Health Information Exchange

9. Benefits of HIE • More scalable • Easier to change systems • Resources can focus on security issues • Improves communication and coordination between regional health care organizations • Easier access for patients to their health data Interoperability & Health Information Exchange

10. Challenges of HIE • Technical migration is a huge process that takes time • Communication and coordination is sometimes tricky or highly political • Requires a major shift in security policies and procedures which could take years in legislation • Clinicians have a huge push back for patient access to their own data Interoperability & Health Information Exchange

11. Originated at Toronto Sick Kids in late 2000 • Covers 98% of pediatric patients in Ontario • Just under 2.6 million records • Wants to deepen the type of information gathered in eCHN

12. “The ConnectingGTA project will allow electronic patient health information to be seamlessly and securely shared to deliver better, timelier and more coordinated care in the Greater Toronto Area (GTA). ConnectingGTA will deliver robust, scalable and re-usable building blocks to exchange clinical data across the GTA and accelerate the delivery of electronic health records”. (C-LHIN, 2011)

13. Interoperability has 3 main aspects: technical, semantic & clinical. • Interoperability is a sufficient but not necessary condition for HIE success. • HIE requires the coordination and collaboration of all participating organizations for success. Final Thoughts