The state of regional health information (RHIOs) :The state of regional health information (RHIOs) :

Health data exchange Health data exchange on the Rise on the Rise

Student : Laura LinStudent : Laura Lin

Teacher : Mr. MaTeacher : Mr. Ma

Number : 9651009MNumber : 9651009M

Date : 3 / 12Date : 3 / 12

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Definition for a RHIODefinition for a RHIO(1/2)(1/2)

HIMSS : group of organizations with a buHIMSS : group of organizations with a business stake in improving the quality, safsiness stake in improving the quality, safety and efficiency of healthcare deliveryety and efficiency of healthcare delivery

.. The concept of a RHIO developed from tThe concept of a RHIO developed from t

he community health information netwohe community health information networks (CHINs) of the mid-1990s.rks (CHINs) of the mid-1990s.

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Definition for a RHIODefinition for a RHIO(2/2)(2/2)

There are myriad challenge to face There are myriad challenge to face when organizing one.when organizing one.

There also many benefits that can be There also many benefits that can be derived from collaborative data derived from collaborative data exchange.exchange.

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The Benefits of Data The Benefits of Data ExchangeExchange(1/4)(1/4)

Mission : Mission : improveimprove patient care patient care

Fewer medical errors , avoidance of duplicate Fewer medical errors , avoidance of duplicate testing , fewer readmissions , shortened hospittesting , fewer readmissions , shortened hospital stays , better management of chronic condital stays , better management of chronic conditions…ions…

Greatest benefit [ of RHIOs ] : interoperability aGreatest benefit [ of RHIOs ] : interoperability and widespread electronic exchange of health ind widespread electronic exchange of health information between providers.nformation between providers.

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The Benefits of Data ExchangeThe Benefits of Data Exchange(2/4)(2/4)

Regional data exchange also aim to Regional data exchange also aim to streamlinestreamline physicians’ work.physicians’ work.

IHIE ( Indiana Health Information IHIE ( Indiana Health Information Exchange) is a nonprofit company.Exchange) is a nonprofit company.

There also are public health There also are public health implications.implications.

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The Benefits of Data ExchangeThe Benefits of Data Exchange(3/4)(3/4)

Data exchange is currently Data exchange is currently performed only among emergency performed only among emergency departments.departments.

Massachusetts is experiencing the Massachusetts is experiencing the positive effects of community positive effects of community collaboration.collaboration.

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The Benefits of Data ExchangeThe Benefits of Data Exchange(4/4)(4/4)

Reductions in duplicare tests and unnecReductions in duplicare tests and unnecessary medical procedures are beneficiaessary medical procedures are beneficial to patients and also result in cost savinl to patients and also result in cost savings for health facilities.gs for health facilities.

Electronically versus paperElectronically versus paper

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Barriers to Data ExchangeBarriers to Data Exchange

The Competitive EdgeThe Competitive Edge Data Ownership Data Ownership ，，StandardsStandards Protecting Patient InformationProtecting Patient Information Financial Concerns Financial Concerns

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The Competitive EdgeThe Competitive Edge

There are significant challenges facing There are significant challenges facing those who with to form or join a RHIO.those who with to form or join a RHIO.

Part of the problem is the competitive Part of the problem is the competitive nature among health systems.nature among health systems.

It typically is easier to develop a RHIO It typically is easier to develop a RHIO in a community that has collaborative in a community that has collaborative efforts already in place.efforts already in place.

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Data Ownership Data Ownership ，，StandardsStandards

““Who owns the data?”Who owns the data?” Federal privacy laws , such as HIPAA.Federal privacy laws , such as HIPAA. The Memphis RHIO VS. Participating The Memphis RHIO VS. Participating

organizationsorganizations Data standards also are an issue.Data standards also are an issue.

ex. Massachusettsex. Massachusetts

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Protecting Patient InformationProtecting Patient Information(1/2)(1/2)

It should be a top priority in all RHIO It should be a top priority in all RHIO efforts.efforts.

These are there groups consumers These are there groups consumers are afraid will gain access to their are afraid will gain access to their health information health information

◆◆insurersinsurers◆◆employersemployers◆◆the state the state

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Protecting Patient InformationProtecting Patient Information(2/2)(2/2)

There are sophisticated software programs There are sophisticated software programs that can help protect patient data.that can help protect patient data.

Providers must be educated about HIPAA so Providers must be educated about HIPAA so they can , continue to educate patients about they can , continue to educate patients about it .it .

Protecting patient information have to be Protecting patient information have to be constantly monitored within an organization , constantly monitored within an organization , even after safety measures are put into place.even after safety measures are put into place.

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Financial ConcernsFinancial Concerns(1/2)(1/2)

Finding a sustainable business model Finding a sustainable business model Some RHIOs also have gotten off the grouSome RHIOs also have gotten off the grou

nd through financial contributions from ind through financial contributions from interested parties.nterested parties.

““How will we pay for this in the long run?How will we pay for this in the long run?””

Service fee models & transaction fee moService fee models & transaction fee modelsdels

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Financial ConcernsFinancial Concerns(2/2)(2/2)

Some organizations are then able to Some organizations are then able to put the money they earn from put the money they earn from administrative data transactions into administrative data transactions into exchange clinical data with other exchange clinical data with other organizations.organizations.

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Getting Involved With RHIOsGetting Involved With RHIOs

Getting people to work together.Getting people to work together. Support financial decision and provide oSupport financial decision and provide o

ther administrative guidancether administrative guidance ““What does the future hold for RHIO?”What does the future hold for RHIO?” The size of the RHIOs will grow.The size of the RHIOs will grow.

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Learning proverb happilyLearning proverb happily 快 樂 學《諺語》快 樂 學《諺語》

An uncut gem goes not sparkle.An uncut gem goes not sparkle.

Patience is bitter but its fruit is Patience is bitter but its fruit is sweetsweet..

Thanks youThanks you ！！！！