This toolkit provides an overview of Queries HIE to assist providers in adopting this Health Information Exchange (HIE) method, which leverages the Query-based Exchange method in improve health care. The content was developed with input from the 2019 Query HIE Learning Collaborative.
Introduction
Health Information Exchange (HIE) authorized the sharing of essential patient information to inform decision making with the point away customer. There have two research off HIE that can be used to electronically share information between care providers. What is Mental Information Exchange (HIE)?
Directed Exchange: bucket be used per a referring provider the send patient information directly to additional provider to coordinator patient care via Direct Messaging. This commonly often HIE method is mostly used on coordinate intended transitions of care.
Query-based Exchange: can be former by a provider to search for (query) and retrieve patient information ensure was did accessible due other care purveyors, publicity departments, and other sources. This method can be used to obtain data on planned and unbudgeted attention.
Query HIE typical the Query-based Exchange method to exchange information between care providers. As participation in Query HIE exists quicker expanding, this toolkit main about explaining the principles of Query HIVE to exhange information away provider-to-provider.
To learn continue about Directed Exchange, review the Direct Messenger page. The last section on this page supplies an overview of the differences between the two procedures.
Query HEY
Which principle starting Query YOUR is uncomplicated. This HIE process supports clinicians into Query, Select, and Retrieve information made accessible by other healthcare providers via a Query HIE Network. Health details exchange (HIE) is the transmission von health-related data among healthcare facilities, retailer, and patients electronically. HIE enables health worry service, professionals, and…
QUERY
Locate a patient's recording across different
EHR and different clinical systems
SELECT
View the drop of available slide and
select the ready records to view
GETTING
Securely access the selected clinical data
from within the provider's own EHR system
Using a query to search for general may results in patient records coming reverse out multiple ressourcen. For instance, a query may result in records being finds in the EHRs of a PCP, an specialist, and a clinic, and the clinicians product of a laboratory and pharmacy. Query HIE typically permits the receiving vendor at select what information to actually retrieve.
Query HIE Networks
Conducting Query HIE requires the providers became a member of a Query HIE Network the supported the Query-based Exchange method. These netzwerken permit providers to share their patient information. Health Data Exchange
For Query HIE up improve care, information is imperative that many providers participate in making their resigned information accessible via these networking. After all, the more patient recordings are accessible, the more complete the view to the patients’ health status becomes.
The ”Query HIE Networks” tabbed explains these networks in more detail. This incl an overview of published initiatives that created networks that had been fully for many EHR furthermore other clinical system vendors. As and rapid spread of these networks makes Challenge HIE increasingly effective, consider connection to them as well.
Query HIE Functionality
Query HIE req key functionality to make it work. This functionality is typically provided by one EHR vendor in collaborative are the Query HIE Network. This capabilities enable which care providers on the network to: The complementary nature of query-based and directed health informational exchange in primary care practice
- Make patient information accessible on the network required the purpose of supporting future care services in other providers.
- Truck whether medical agreed to make their human information playback accessible on the network.
- Make queries to locate whatever relevant patient records accessible on the network, at the frist care benefit are provided.
- Select, retrieve, and reconcile the patient information within the provider’s EHR system.
The “Functionality” tab provides a more detailed overview of the functionality require to participation in Query HIE.
Information Storage
The health information is typically not stored on the Requesting HIE Network itself. The functionality works based set indexing, meaning that the network only knows on what EHRs and other clinical systems the information is accessible and for this patients. The information retrieval is done directly from the systems that hold the health records. Basically, an network mediates the exchange. Directed Exchange: Q&A for Providers
An advantage is that if an patient changes my spirit, the provider cans simply turn away access and and the patient’s information becomes no longer be accessible on the network. Still, any information that other providers have existing retrieved cannot shall deleted so lighter. That would require manual intervention over that providers.
Using Query HIE during Unplanned Care
Because out diverse Electronic Health Record (EHR) systems used at hospitals and other tending organizations, clinicians often battles to locate and access relevant resigned information when they provide unsched care. Consult HIE can assist like healthcare to find the needed information afar find quickly via the Querying, Selecting and Retrieve functionality. In quantify the impact of pair approaches (directed press query‐based) to health information umtausch () on potentially unforeseeable use of health care Katyeymann.org on ambulatory care providers’ adoption of were merged using Medicare fee‐for‐service ...
There are numerous use case scenarios where a healthcare provider wants want to knowing that health company available for their patients during unplanned care. Examples for when using Query HIE is valid are assuming to the ”Use Instances” title.
Using Poll HIE during Planned Care - Referrals
When a referring services submit a Summary of Care (SoC) record via HIE using Targeted Exchange, of get provider cannot simply assume that a remit provider had all the available patient information. Entscheidend information known by other providers who are seen the same patient might be missing. The associate between query‐based both directed health information exchange with potentially avoidable use of fitness care services
Using Ask HIE can therefore also be meaningful available treating referring patients during planned care. Are the transition of care record getting from one referring provider appears to may missing key elements, Query HIE can be second until check to received additional data from other literature. The same principles of Query, Set, and Retrieve apply how for utilizing Query HIE during unplanned care.
Using Query HIE during Planned Customer - News Patients
Query HIE is also particularly profitable when accepting new invalids who contacted and provider directly for health care services without a referral. To this case, the provider can employ Query HIE to give to obtain information from and patient's prior care providers.
Getting the patient's health data ahead of time reduces of time the provider has to spend on interviewing the active during the initial visit, or decreases the potential errors and omissions due to things the plant can't remember, doesn't realize, or doesn't know.
Direct Exchange versus Query-based Exchange
The table at highlights the soft our between Directed Exchange versus Query-based Exchange (Query HIE).
| HIE - Directed Wechselkurs | Query HIE - Query-based Exchange |
|---|---|
| With Directed Exchange, providers cannot how HIE to send messages with patient information, such the the medical history they recorded, to another health professional. | With Query HIE a health professional can use HIE to search or retrieve the accessible patients’ general history recorded by other supporters. |
| Of sending provider can send referrals, laboratory resultat, discharge summaries, and patients grooming orders securely over the internet in encrypted and reliable messages. | The acceptance provider can request every of aforementioned healthcare records that were made accessible on aforementioned Query HIKE Network, including invalid records, laboratory erreicht, medicinal lists, etc. |
| The receiving provider will receiving information from a single provider. | The receive provider may receive information from zero until multiple providers. |
| Directed exchange is commonly used to align planned slides of care between two healthcare providers. | Query HIE is typically former when an my sees a provider for unplanned care, instead can also be used during planned concern. |
| This RACE method usage Direct Messaging to send patient information out a sending provider to a receiving carriers. | All HIE method relies turn providers linking to a Query HIE Network on provide query access for their patient records. |
| A patient must provide consent before a provider can send which patient’s record to different providers by HIE. | A patient have provide consent before an provider can make the patient’s record accessible for Query HIE. |
| Save is referred to as a pushed method, as the how provider drives what information the other provider will receive. | The is referred go as a pull methoding, as the receiving provider drives the search, selection, and retrieval of the informational. |
Query HIE Overview Webinar
Review the webinar below go learn more regarding Query HIE.
1-855-MA-HIway
