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Briefs

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Driving a federated clinical data repository

Indiana Health Information Exchange supports a federated clinical data repository that provides a single point of collection for all clinical data provided by the participating providers. A resident of a long-term care or palliative facility may be transferred to a hospital for treatment or an outpatient procedure. Hospital staff admitting and caring for the patient can view information contributed by the long-term care or palliative facility. Contributed data includes advanced directives, allergies, medication lists, problem lists, and SBAR’s (Situation Background Assessment Recommendation). In these cases, hospital staff can access recent information regarding the patient’s medications, mobility, diet allowing them to better anticipate the patient’s needs. Similarly, the long-term care or palliative facility staff can follow the patient’s care while at the hospital so they can better anticipate the patient’s care while at the hospital so they can better anticipate his or her care needs when the patient is transferred back.

Enabling home monitoring for high-risk patieints

Sutter Health initiated a home monitoring program for high-risk patients with heart disease and hypertension. Patients referred to the program receive assistance from a nurse in downloading an app to their phone that connects via Bluetooth to monitoring devices, e.g., blood pressure monitors. The devices check blood pressure, weight, and activity. The data is transmitted to Validic where it is standardized and integrated into Sutter’s EHR to create smart alerts to the patient’s provider.

Capturing admission and discharge records

The Indiana Health Information Exchange (IHIE) captures 20 million admission and discharge records from 106 hospitals. This allows IHIE to track the current census, available beds, and types of beds available at each hospital. This information, used by emergency management personnel, helps identify available beds and dispatch ambulances to facilities with the capacity to provide care to the patient.

FHIR and the Future of Interoperability

The ability to exchange healthcare information between systems is important to achieve the triple aim – better heath for individuals, better care for populations, and greater cost efficiency in care. In 2012, a new version of the HL7 standard emerged for information exchange: Fast Healthcare Interoperability Resources (FHIR®). This webinar will explore how FHIR® facilitates easier exchange of healthcare data between systems in a straightforward yet secure manner.