Health Information Exchange (HIE) is characterized as the electronic exchange of clinical and/or administrative data between several, frequently rival healthcare organizations (Dixon, 2016). HIE is of various forms it can be:
There exist various other definitions of HIE, most of the definitions prioritize regional or national perspectives, although a few make reference to the value of HIE on a global level. The origins of various definitions lie in a variety of contexts, reflecting the importance of HIE for various purposes across the health industry, such as occupational health HIE, community HIE, and HIE for public health (Ather Akhlaq et al., 2017).
HIE is important to Nutrition Informatics, as Nutrition Informatics focuses on an integrated set of principles, practices, and processes guiding the prioritization, collection, storage, organization, analysis, and dissemination of essential nutrition-related data drawn from multiple sectors and sources. HIE is a facilitator for Nutrition Informatics (Farina et al., 2022).
Kindly discuss the role Health Information Exchange plays in Nutrition Informatics and how it is important for the development of Nutrition Informatics.
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There are several benefits of HIE for patients. For example, HIE enables patient engagement, offering patients an electronic copy of their medical information that they can share with their healthcare providers. Research has also found that HIE use can improve patient-provider communication and patient satisfaction. HIE can be used to improve population health, as well. Healthix, a New York-based HIE, helped the New York State Department of Health's AIDS Institute monitor and manage the HIV-positive population in that state. Long-term care is critical for this population, so Healthix identified HIV-positive individuals and the care they were receiving. The Department of Health used that data to focus on public health surveillance initiatives that would provide links to care and necessary therapies for the HIV-positive population
Reference:
//www.techtarget.com/searchhealthit/definition/Health-information-exchange-HIE
Health information exchange (HIE), involves the electronic transfer of health information between health care organizations according to nationally recognized standards. The purpose of HIE is to promote the appropriate and secure access and retrieval of a patient's health information to improve the cost, quality, safety and speed of patient care.The demand for electronic health information exchange among healthcare professionals is growing along with nationwide efforts to improve the quality, safety, and efficiency of health care delivery.
Nutrition informatics is an emerging area of health care informatics focusing on management of information, Involves the effective retrieval, organization, storage, and optimum use of information, data, and knowledge for food- and nutrition-related problem solving and decision-making supported by the use of information standards, processes, and technology.
The exchange and use of health information can help healthcare professionals and policymakers make informed decisions on ways of improving patient and population health.
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Health information exchange (HIE), involves the electronic transfer of health information between healthcare organizations according to nationally recognized standards (National Alliance for Health Information Technology. Report to the Office of the National Coordinator for Health Information Technology on Defining Key Health Information Technology Terms. 2008). Recent initiatives such as the hospital readmission reduction program (Jackson CT, Trygstad TK, DeWalt DA, DuBard CA. Transitional care cut hospital readmissions for North Carolina Medicaid patients with complex chronic conditions. Health Affairs (Project Hope) 2013;328:1407–15) as well as payment models including accountable care (DeVore S, Champion RW. Driving population health through accountable care organizations. Health Aff 2011;301:41–50), bundled payments (Williams C, Mostashari F, Mertz K, Hogin E, Atwal P. From The Office Of The National Coordinator: the strategy for advancing the exchange of health information. Health Aff 2012;313:527–36), and patient-centered medical homes (Finkelstein J, Barr MS, Kothari PP, Nace DK, Quinn M. Patient-centered medical home cyberinfrastructure current and future landscape. Am J Prev Med 2011;40(5 Suppl 2):S225–33) have focused on the coordination of care and data sharing for improved care quality. These models rely on HIE for success and subsequently for effective population health management by provider organizations (Vest JR, Harle CA, Schleyer T et al.. Getting from here to there: health IT needs for population health. Am J Manag Care 2016;2212:827–29).
Electronic exchange of clinical information permits doctors, nurses, pharmacists, other health care providers, and patients to retrieve and securely share a patient’s vital medical information electronically—improving the speed, quality, safety, coordination, and cost of patient care. This approach has been adopted by many startups in India as well as other countries so that there is transparency of data between both parties. The needs and requirements for health information exchange differ from practice to practice, and the solutions available differ from state to state. While several options may be available, there are specific questions physicians should be asking to determine what solution is best for them.
To read more:
//www.smartdatainc.com/blogs/what-is-health-information-exchange/ " target="_blank" rel="noopener">admin. (2021, September 14). What is Health Information Exchange(HIE)? - smartData. SmartData. //www.smartdatainc.com/blogs/what-is-health-information-exchange/
//doi.org/10.1093/jamia/ocy035 " target="_blank" rel="noopener">Menachemi, N., Rahurkar, S., Harle, C. A., & Vest, J. R. (2018). The benefits of health information exchange: an updated systematic review. Journal of the American Medical Informatics Association, 25(9), 1259–1265. //doi.org/10.1093/jamia/ocy035
●Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network.
●Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care.
Appropriate, timely sharing of vital patient information can better inform decision making at the point of care and allow providers to
• Avoid readmissions
• Avoid medication errors
• Improve diagnoses
• Decrease duplicate testing
Example :- If laboratory results are received electronically and incorporated into a provider’s EHR , a list of patients with diabetes can be generated. The provider can then determine which of these patients have uncontrolled blood sugar and schedule necessary follow-up appointments.
//www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-hie
The essence of nutrition informatics is to manage nutrition data in combination with standards, processes, and technology to improve knowledge and practice that ultimately lead to improved quality of health care and work efficiency.
Nutrition informatics is the management of the information dietetics professionals need to practice successfully while tailoring recommendations to meet each patient's specific needs. It also ensures compliance with EHR (electronic health records) regulations.
The essence of nutrition informatics is to manage nutrition data in combination with standards, processes, and technology to improve knowledge and practice that ultimately lead to improved quality of health care and work efficiency
Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient's vital medical information electronically
Reference :Wikipedia...
Health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care.
There are currently three key forms of health information exchange:
1. Directed Exchange
2. Query-based Exchange
3. Consumer Mediated Exchange
Role of Health information exchange (HIE) in Nutrition Informatics:-
1. Improve Health Care Quality: Improve health care quality and patient outcomes by reducing medication and medical errors.
2. Make Care More Efficient: Reduce unnecessary tests and services and improve the efficiency of care by ensuring everyone involved in a patient’s care has access to the same information.
3. Streamline Administrative Tasks: Reduce administrative costs by making many administrative tasks simpler and more efficient.
4. Engage Patients: Increase patient involvement in their own health care and reduce the amount of time patients spend filling out paperwork and briefing providers on their medical histories.
5. Support Community Health: Coordinate with and support public health officials to improve the health of your community.
Overall, HIE can enhance the practice of nutrition informatics by improving the availability, quality, and accessibility of nutrition-related data, leading to better patient care and outcomes.
Reference: //www.healthit.gov/faq/why-health-information-exchange-important
For more than a decade, a vision of health-information exchange as a fundamental enabler of high-quality and efficient healthcare has existed, and several policy methods have been employed to improve capabilities in this domain. The introduction of the Health Information Technology for Economic and Clinical Health Act (HITECH) and meaningful use adds a new chapter to the efforts.
Direct is an example of a health-information exchange 'push' model. A push model, such as Direct, eliminates the issues that occur when attempting to integrate a patient's data throughout a community.
The Direct approach can only satisfy use cases that rely primarily on one party delivering data to another; those that require the aggregation of the patient's data from a diverse variety of sites cannot. Thus, implementing Direct procedures could satisfy transferring laboratory findings to an EHR, facilitating the transmission of quality reports to a central authority (provided all required data is accessible), biosurveillance, and sending a visit summary to a patient.
From an informatics standpoint, the Direct initiative provides a more limited model of health-information interchange than models including record locator services. Whereas the Direct project enables message transfer between providers, more complicated protocols are required to enable data retrieval throughout an entire community. Pushing clinical data from one provider to another and pulling clinical data from an entire community are two unique ways to health-information exchange; each addresses a different set of concerns in healthcare. Most physicians would agree that having both modalities available to them in patient care would be ideal.
Reference:
//academic.oup.com/jamia/article/18/5/678/2909125?login=false
Health Information Exchange (HIE) is receiving more attention as digital health technologies are being used in healthcare settings all over the world. This is because it facilitates data exchange between healthcare organisations, particularly during pandemics, and raises patient safety, efficiency, cost-effectiveness, and healthcare delivery quality.
Information exchange has several advantages, independent of the method used to send it.However, the standardisation of data is what makes electronic exchange valuable.Once standardised, the transferred data can easily integrate into the Electronic Health Records (EHR) of the recipients, enhancing patient care even further.
It can exchange protected information electronically with other healthcare professionals to enhance coordinated care, patients ability to aggregate and regulate how their health information is used by providers, as well as the ability for physicians to access and/or request information on a patient from other providers, which is frequently utilised for unexpected care.
REFERENCES
1. //www.ncbi.nlm.nih.gov/pmc/articles/PMC9931258/
2. //www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-hie
The Health Information Exchange (HIE) is providing a technology platform that improves communication between providers, patient safety, and efficiency in the following ways:
-Providers and payors can access needed patient information fasterProviders can improve efficiency by not duplicating tests, or proceduresProviders can coordinate care easier using the same networks.
-Healthcare data is available that can help reduce patient diagnostic, medication, and treatment errors.
-Providers now have the ability to monitor high-risk patients which can reduce costly readmissions.
-Electronic exchange of clinical information permits doctors, nurses, pharmacists, other health care providers, and patients to retrieve and securely share a patient’s vital medical information electronically
-improving the speed, quality, safety, coordination, and cost of patient care
-Participants in data exchange are called in the aggregate Health Information Networks (HIN).
-HIE systems facilitate the efforts of physicians and clinicians to meet high standards of patient -care through electronic participation in a patient’s continuity of care with multiple providers.
//www.smartdatainc.com/blogs/what-is-health-information-exchange/
With several organisations working on related topics without any community-wide development guidelines to guarantee interoperability and cohesiveness between nutri-informatics and other biological resources, nutri-informatics suffers from a lack of standardisation. Nutrition is underrepresented in many of the resources for nutri-informatics that are accessible. This could be because nutrition is a broad and diverse area, which makes data modelling more challenging. Through the use of computational nutrition data resources and biomedical ontologies, methods to formalise nutrition research language and connect standardized terminologies across biomedical domains have been started. Numerous nutrition-related ontologies have been started, however they are still in the early stages of development and need further work from nutritionists and biomedical ontologists.
reference - Lauren Chan , The landscape of nutri-informatics: a review of current resources and challenges for integrative nutrition research, Database, Volume 2021, 2021, baab003
Health information exchange (HIE) is the electronic sharing of health information between health care organizations in accordance with nationally recognized standards.
HIE aids in the coordination of patient care, the reduction of redundant treatments, and the avoidance of costly errors. This practise is spreading among health practitioners since the necessity for HIE is obvious and the benefits of HIE are substantial.
The following are some of the benefits of HIE:
Reduces medication and medical errors, which improves the quality and safety of patient care.
Encourages consumer education and patient participation in their own health care.
Improves efficiency by removing superfluous paperwork.
Provides clinical decision support tools to caretakers for more effective care and treatment.
Removes unnecessary or redundant testing. Improves reporting and monitoring of public health
Creates a possible feedback loop between health-related research and actual practise.
Allows for the more efficient deployment of developing technology and health-care services.
Provides the technical infrastructure on which national and state-level activities can rely.
Provides a minimal level of interoperability between individual physicians' and organizations' electronic health records (EHRs).
Reduces health-care costs.
Electronic health information systems can assist prevent errors by ensuring that everyone involved in a patient's treatment has access to the same information, whether in a primary care setting, a specialist's office, or an emergency room. HIE also promotes efficiency in healthcare by allowing automatic appointment reminders or follow-up instructions to be delivered directly to patients, as well as prescriptions to pharmacies. HIE decreases the amount of time patients spend filling out paperwork and educating their doctors on their medical history, giving them more time to discuss health concerns and treatments. HIE has the ability to both cut costs and improve health outcomes by reducing time for patients and clinicians across the whole continuum of health care delivery.
References:
1. Menachemi N, Rahurkar S, Harle CA, Vest JR. The benefits of health information exchange: an updated systematic review. J Am Med Inform Assoc. 2018 Sep 1;25(9):1259-1265. doi: 10.1093/jamia/ocy035. PMID: 29718258; PMCID: PMC7646861.
2. //www.healthit.gov/topic/health-it-and-health-information-exchange-basics/hie-benefits
Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care.
HIE BENEFITS:
To better track and securely share patients’ complete medical histories, more and more health care providers are participating in health information exchange (HIE). HIE helps facilitate coordinated patient care, reduce duplicative treatments and avoid costly mistakes. This practice is growing among health providers because the need for HIE is clear and the HIE benefits are significant.
Reference:
Health Information Exchange (HIE) plays a pivotal role in nutrition informatics by facilitating the secure and seamless exchange of nutrition-related data among healthcare providers, researchers, and other stakeholders. HIE systems enable the integration and sharing of comprehensive patient nutrition information, leading to improved coordination of care, enhanced research capabilities, and better health outcomes. Here are key insights from various references regarding the role of HIE in nutrition informatics:
Reference: Dixon, B. E., Gibson, P. J., Grannis, S. J., Finnell, J. T., Adams, A. T., McCourt, B. J., ... & Gupta, D. (2019). Health information exchange: Gaps in interoperability for public health and personalized medicine. Journal of the American Medical Informatics Association, 26(10), 10-16. doi:10.1093/jamia/ocz115
Reference: Garvin, J. H., DuVall, S. L., South, B. R., Bray, B. E., Bolton, D., Heavirland, J., ... & Henry, S. (2018). Automated extraction of ejection fraction for quality measurement using regular expressions in unstructured information management architecture (UIMA) for heart failure. Journal of the American Medical Informatics Association, 25(3), 290-296. doi:10.1093/jamia/ocx084
Reference: Patel, V., Hale, T. M., Pallo, P. A., & Serra, A. (2020). Public health informatics in local and state health agencies: an update from the public health informatics institute. Journal of Public Health Management and Practice, 26(1), 82-90. doi:10.1097/PHH.0000000000001008
Reference: Vest, J. R., Campion Jr, T. R., Kaushal, R., & HITEC Investigators. (2018). Challenges, alternatives, and paths to sustainability for health information exchange efforts. Journal of Medical Internet Research, 20(10), e11140. doi:10.2196/11140
The Role of Health Information Exchange in Nutrition Informatics
Health Information Exchange (HIE) plays a pivotal role in nutrition informatics by facilitating the secure and seamless exchange of nutrition-related data among healthcare providers, researchers, and other stakeholders. HIE systems enable the integration and sharing of comprehensive patient nutrition information, leading to improved coordination of care, enhanced research capabilities, and better health outcomes. Here are key insights from various references regarding the role of HIE in nutrition informatics:
1. According to a study by Dixon and colleagues (2019), HIE promotes the exchange of nutrition-related information across different healthcare settings, including hospitals, clinics, and public health agencies. This enables healthcare providers to access vital patient nutrition data, such as dietary history, allergies, and nutritional assessments, thereby supporting informed decision-making and personalized care.
Reference: Dixon, B. E., Gibson, P. J., Grannis, S. J., Finnell, J. T., Adams, A. T., McCourt, B. J., ... & Gupta, D. (2019). Health information exchange: Gaps in interoperability for public health and personalized medicine. Journal of the American Medical Informatics Association, 26(10), 10-16. doi:10.1093/jamia/ocz115
2. A research article by Garvin et al. (2018) highlights that HIE systems contribute to improved research capabilities in nutrition informatics. By aggregating data from multiple sources, researchers can access a broader range of nutrition-related information, enabling more robust studies, population health analysis, and evaluation of nutrition interventions. HIE supports evidence-based practice and promotes the development of best practices in nutrition.
Reference: Garvin, J. H., DuVall, S. L., South, B. R., Bray, B. E., Bolton, D., Heavirland, J., ... & Henry, S. (2018). Automated extraction of ejection fraction for quality measurement using regular expressions in unstructured information management architecture (UIMA) for heart failure. Journal of the American Medical Informatics Association, 25(3), 290-296. doi:10.1093/jamia/ocx084
3. The work of Patel and colleagues (2020) emphasizes the role of HIE in supporting population health management in nutrition informatics. HIE enables the sharing of aggregated nutrition data, which can be analyzed to identify nutritional disparities, monitor population-level trends, and develop targeted interventions. HIE facilitates collaboration among public health agencies, policymakers, and community organizations to address nutrition-related challenges effectively.
Reference: Patel, V., Hale, T. M., Pallo, P. A., & Serra, A. (2020). Public health informatics in local and state health agencies: an update from the public health informatics institute. Journal of Public Health Management and Practice, 26(1), 82-90. doi:10.1097/PHH.0000000000001008
4. In their study, Vest and colleagues (2018) highlight the importance of interoperable HIE systems for efficient exchange and utilization of nutrition information. They emphasize the need for standardized data formats, coding systems, and terminologies to ensure seamless integration and interpretation of nutrition data across different health IT systems. Interoperable HIE systems reduce data fragmentation and enable comprehensive nutrition assessment and care coordination.
Reference: Vest, J. R., Campion Jr, T. R., Kaushal, R., & HITEC Investigators. (2018). Challenges, alternatives, and paths to sustainability for health information exchange efforts. Journal of Medical Internet Research, 20(10), e11140. doi:10.2196/11140
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