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    Considerations for participating in an HIE

    As the healthcare industry moves further into value-based reimbursement models, the need to share patient records becomes increasingly critical to providing quality care in the most efficient manner.

                Health information exchanges (HIEs) are one way to ensure access to all needed patient information. However, selecting and participating in an HIE is not a seamless process, and it requires running through a checklist of questions to ensure success.

    To start, physicians should ask whether the practice needs more support sharing records and whether it needs to do that on a regional or national level, said Mari Greenberger, MPPA, director of informatics for the nonprofit Healthcare Information and Management Systems Society (HIMSS).

    Not all physicians need more help sharing records.

    “If you’re a small rural provider and work with the only hospital there, and you have only one lab, you’re probably getting all the information in that self-contained community. Then you have to ask what value do you get for your patient by being part of a regional or statewide exchange,” said James Turner, MJ, MBA, senior policy counsel for Health IT Now, a coalition of patient groups, provider organizations, employers and payers supporting health IT to improve patient outcomes.

    If a practice opts to participate in an HIE, physicians need the right technology, Turner said. An EHR is essential, and it’s preferable to have one certified to meet ONC standards because it’s more likely to have the needed technology.

                Many EHRs today have an application program interface (API) that enables the connection to an exchange, Turner explained, and vendors, the HIE or both often can set up the technical components required for electronic exchange.

                However, physicians may still have to determine whether the practice’s existing EHR has the tools built into the system to support the exchange, whether they’ll have to add on those functions or buy an API or other middleware to enable the data exchange, Turner said.

    In addition, physicians may need to set up the EHR to allow patients to opt in or opt out of having their records as part of the HIE, experts said. Physicians also need the EHR to be configured to meet any governing rules that the HIE may have in place.

    Next: Weighing the value of an HIE


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