Case Study: The Challenges of Interoperability It is necessary to safely and sec

Question

Case Study: The Challenges of Interoperability

It is necessary to safely and securely exchange protected health information (PHI) among providers and organizations because this is critical to delivering coordinated, accountable, and patient-cen- tered care, promoting better health and better care at lower costs. The reality is, however, that patient records are often housed in disconnected and dissimilar electronic systems in varied settings across a community: offices of primary care and specialist physicians, clinics, hospitals, long-term care facilities, and home health agencies. Imagine that you are the administrator of the county health care cooperative. The patient population is small with an average age of of forty-five. This means that many patients are older and are being treated by more than one physician group in the area, mean- ing that your local health care providers have overlapping patient lists (i.e., the cardiology group, women’s health center, orthope- dic group, physical therapy group, and the hospital all are treating many of the same patients).

Question :

What will you do to overcome these challenges of interoper- ability? What specific actions can you take so a majority of the health care providers in your community can gain the benefits of sharing patient information?

(Read the complete case study of the Beacon Community-EHR Vendor Affinity Group on the HealthIT website: http://www. healthit.gov/providers-professionals/vendors-and-communities- working-together-catalyst-interoperability-and-exchange)

Explanation / Answer

Question no 1

operating closed network system

Implementing hard data access

Security protocols

Adequate security network to be introduced

Cost of data breaches to be considered

direct data entry

Reduces errors in data entry

Provide secure wireless access throughout care facility

Develop new security and compliance protocols for physicians who want to use their own mobile computing hardware

looking for new strategical plan

Computing data should be a productivity and profitability

Question no 2:

1.care and support is patient-centered: personalized coordinator and empowering

2. Services which are created in partnership with citizens and communities

3. Focus is on equality and narrowing health inequalities

Carers are identified, supported and involved

Voluntary community, social enterprise and housing sector as key partners and enablers

6.volunteering and social action to key enablers.

Building health partnerships

Coalition for collaborative care

Patient experience team development

10. Support for self management

Overcoming the challenges of interoperability S.no challenges description overcoming 1 HIPPA compliance

operating closed network system

Implementing hard data access

Security protocols

Adequate security network to be introduced

Cost of data breaches to be considered

2 Mobile computing

direct data entry

Reduces errors in data entry

Provide secure wireless access throughout care facility

Develop new security and compliance protocols for physicians who want to use their own mobile computing hardware

3 sharing patient data centralised patient records sharing data records will be very helpful 4 lack of integration between clinical and administrative system integration gap between patient, care giver and administrative system data management system has to be configured to ensure that treatment codes 5 operational analytics

looking for new strategical plan

Computing data should be a productivity and profitability

Organise appropriate analytical pesony 6 lack of analysis talent struggling to find a right analytical expert arrange for operative analyst

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