Posted: January 17th, 2023

Evaluation Proposal of interoperability efforts of Commercial Electronic Health Records

Evaluation Proposal of interoperability efforts of Commercial Electronic Health Records

Utilizing the following proposal standpoint and attached articles, in addition of other articles, develop a evaluation proposal to conduct an evaluation study. Demonstrate your understanding of various methods available within of communication between commercial electronic health records and it’s interoperability to improve healthcare. You must examine the problem of lack of commercial EHRs not integrating with each other.

Fine tune the following proposal to outline the problem within interoperability of commercial Electronic Health records. And then propose a method for its evaluation. Provide a literature review of the included references and any additional reference that support this paper.

Utilize http://healthit.ahrq.gov/health-it-tools-and-resources for added structure of this paper.

The design should be either Before and after evaluation, the a method how others could build an evaluation from this proposal.

Electronic Health records are marvelous tools, when given to the right individuals such as physicians and nurses; considerable improvements of patient care can be found. According to the U.S. Department of Health and Human Services, “More than half of eligible professionals and 80 percent of eligible hospitals have adopted these systems…” (U.S. Department of Health & Human Services, 2013) This was driven by encouragement and policies set forth on Capitol Hill, to encourage the adoption of Electronic Health Records. However, with the consistent high cost of complex, fully integrated EHR systems; eligible professionals developed joint relationships with larger practices and hospitals to supplement the cost. By doing so, the EHR has encapsulated even more end-users, sometimes located off-campus.

I propose to evaluate the problem of communication between two commercial electronic health records. The concept is to share patient information within a Heath Information Exchange (HIE) framework that quality of care can improve no matter the hospital a patient resides in. According to InformationWeek, “more than 300 electronic health record systems are on the market.” (Jolly, 2011)

According to ONC’S ‘Plan to Pull It All Together’ “ONC is also prodding the industry to settle on standards for communicating health data. These are the wide variety of technical specifications that will allow data to follow patients from facility to facility and region to region, enabling information to be entered once and use multiple times.” (Heubusch, 2006)

Large Health Systems already manage this, for example within my current institution we have a total of 15 hospitals from New York to South Carolina. We have a marketing slogan, ‘One Chart, One Patient’. We are able to provide a seamless, Health Information Exchange from one in-network hospital to another, because we utilize a standard structured one vendor electronic health record.

However, “In an Oct. 15th letter to HHS Secretary Sylvia Burwell, a number of groups cited the HHS Office of the National Coordinator for Health Information Technology’s finding that less than 14% of physicians are able to electronically transmit health information outside of their organization because of a lack of HER interoperability and other issues.” (Twachtman, 2014)

Resulting in physician frustration to either reenter pertinent patient information into the receiving EHR or sending paper records to the hospital for scanning. Once a document is scanned, it becomes difficult for keywords within the document to become index to be able to search or pull that data into the Health Record.

I researched ten articles by searching using the following keywords ‘EHR Interoperability’, ‘EHR Interoperability Solution’ and ‘EHR Interoperability Evaluations’. Of the hundreds of articles found, I decreased the results to recent articles within the last 5 years. Also, only utilizing Journal Articles and Press Releases/Newspaper versus e-Books.

The future of interoperability: three experts from different parts of the health IT arena discuss the barriers to achieving interoperability. (2014, October 25). Medical Economics, 91(20), 30+. Retrieved from http://go.galegroup.com/ps/i.doid=GALE%7CA388967757&v=2.1&u=drexel_main&it=r&p=AONE&sw=w&asid=f96c6a3c1783ccd7168c75953d9066bd

Notte, C., & Skolnik, N. (2014, November 15). EHR report: sharing is caring: a primer on EHR interoperability. Family Practice News, 44(19), 19+. Retrieved from http://go.galegroup.com/ps/i.doid=GALE%7CA393098525&v=2.1&u=drexel_main&it=r&p=AONE&sw=w&asid=724246e318c2486eb120fb4926d74d05

Al-Enazi, T., El-Masri, S. (2013, October, 25). HL7 Engine Module for Healthcare Information Systems. Journal of Medical Systems, 1-8. DOI: 37:9986

Otto, M. A. (2011, February 15). True EHR interoperability remains years off. Internal Medicine News, 44(3), 61. Retrieved from http://go.galegroup.com/ps/i.doid=GALE%7CA252193360&v=2.1&u=drexel_main&it=r&p=AONE&sw=w&asid=de6ad649f73c8f124af391fbbb6d72d9

Greenway, Epic achieve EHR interoperability. (2013, October). Health Management Technology, 34(10), 22. Retrieved from http://go.galegroup.com/ps/i.doid=GALE%7CA348451674&v=2.1&u=drexel_main&it=r&p=AONE&sw=w&asid=06133f17d20b67eee9d75f1b8bf7c6e2

Courtney, P. K. (2011). Data Liquidity in Health Information Systems. Cancer Journal (Sudbury, Mass.), 17(4), 219–221. doi:10.1097/PPO.0b013e3182270c83

Abernethy, A. P., Wheeler, J. L., Courtney, P. K., & Keefe, F. J. (2011). Supporting implementation of evidence-based behavioral interventions: the role of data liquidity in facilitating translational behavioral medicine. Translational Behavioral Medicine, 1(1), 45–52. doi:10.1007/s13142-011-0024-4

Dougherty D, Conway PH. The “3T’s” Road Map to Transform US Health Care: The “How” of High-Quality Care. JAMA. 2008;299(19):2319-2321. doi:10.1001/jama.299.19.2319.

eClinicalWorks and epic work collaboratively to make EHRs interoperable. (2013, Sep 24). Business Wire Retrieved from http://search.proquest.com/docview/1435384267accountid=10559

Works Cited
Heubusch, K. (2006). Interoperability: What it Means, Why it Matters. Journal of AHIMA, 77(1), 26-30.
Jolly, F. (2011, Jan 28). So Many Electronic Health Record Choices. Retrieved from InformationWeek.com: https://monkessays.com/write-my-essay/informationweek.com/healthcare/electronic-health-records/so-many-electronic-health-record-choices/d/d-id/1095743
Twachtman, G. (2014). Phsician Groups: Fix EHR Interoperability. Internal Medicine News, 47(19), 2.
U.S. Department of Health & Human Services. (2013, May 22). News. Retrieved Janurary 24, 2015, from HHS.gov: https://monkessays.com/write-my-essay/hhs.gov/news/press/2013pres/05/20130522a.html

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