The Department of Veterans Affairs’ (VA) implementation of the Virtual Lifetime Electronic Record (VLER): Findings and lessons learned from Health Information Exchange at 12 sites

2014 ◽  
Vol 83 (8) ◽  
pp. 537-547 ◽  
Author(s):  
Colene M. Byrne ◽  
Lauren M. Mercincavage ◽  
Omar Bouhaddou ◽  
Jamie R. Bennett ◽  
Eric C. Pan ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Electronic Record ◽  
Veterans Affairs ◽  
Lessons Learned ◽  
Department Of Veterans Affairs

It’s Time for Health Record Banking!

2014 ◽  
Vol 53 (02) ◽  
pp. 63-65 ◽  
Author(s):  
A. Shabo Shvo
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
State Of The Art ◽  
The State ◽  
Lessons Learned ◽  
Health Record ◽  
Health Records

SummaryThis article is part of a Focus Theme of Methods of Information in Medicine on Health Record Banking. This Focus Theme aims at describing the Health Record Banking (HRB) paradigm, which offers an alternative constellation of health information exchange and integration through sustainability of health records over the lifetime of individuals by independent and trusted organizations.It also aims at describing various approaches to HRB and reporting on the state-of-the-art HRB through actual implementations and lessons learned, as described in articles of this Focus Theme.

scholarly journals Technical Challenges of Syndromic Surveillance System Deployment in a Health Information Exchange

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Julio C. Silva ◽  
Charles Cox ◽  
Dino P. Rumoro ◽  
Shital C. Shah ◽  
Marilyn M. Hallock ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Health Information Exchange ◽  
Scaling Up ◽  
Lessons Learned ◽  
Technical Process ◽  
Syndromic Surveillance System ◽  
Collaborative Initiative

This session describes the technical process, challenges, and lessons learned in scaling up from a local to regional syndromic surveillance system using the MetroChicago Health Information Exchange (HIE) and GUARDIAN collaborative initiative.

scholarly journals Potential impact of data source and interoperability messaging on health information technology (HIT) users: a study series from the United States Department of Veterans Affairs

2019 ◽  
Vol 26 (1) ◽  
pp. e000014
Author(s):  
Jennifer Herout ◽  
Donna Baggetta ◽  
Amanda Cournoyer ◽  
Aaron S Dietz ◽  
Jane Robbins ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
The United States ◽  
United States Department ◽  
Department Of Veterans Affairs ◽  
Multiple Data ◽  
Technical Issues ◽  
Data Source ◽  
System Errors

BackgroundThe promise of Health Information Exchange (HIE) systems rests in their potential to provide clinicians and administrative staff rapid access to relevant patient data to support judgement and decision-making. However, HIE systems can have usability and technical issues, as well as fail to support user workflow.ObjectiveShare the findings from a series of studies that address HIE system deficiencies for an Electronic Health Record (EHR) viewer which accesses multiple data sources.MethodsA variety of methods were used, in a series of studies, to gain a better understanding of issues and their mitigation through use of promising EHR viewer features.ResultsThe study series results are presented by the themes that underscore the importance for users to distinguish between data that are available but missing due to connection or system errors, data that are omitted entirely because they are not available and data that are excluded due to filtered search criteria.ConclusionsThe principal findings from this study series led to improvement recommendations for the EHR viewer, as well as citing areas that are ripe for further investigation and analysis.

scholarly journals Implementing health information exchange: Perceptions of leaders within the Veterans Health Administration (Preprint)

2020 ◽  
Author(s):  
Cherie Luckhurst ◽  
Brian E Dixon ◽  
David Haggstrom
Keyword(s):  
Health Information ◽  
Medical Staff ◽  
Information Exchange ◽  
Health Informatics ◽  
Success Factors ◽  
Health Information Exchange ◽  
Care Delivery ◽  
Electronic Record ◽  
Veterans Health ◽  
Health Administration

BACKGROUND The U.S. Department of Veterans Affairs (VA) seeks to achieve interoperability with other organizations, including other integrated delivery networks, via its Virtual Lifetime Electronic Record (VLER) program. OBJECTIVE While prior research has examined the adoption and use of VA health information exchange (HIE) among providers, this study sought to understand the implementation of VA-HIE by a wider range of organizational leaders. METHODS Operational, clinical, and health informatics leaders at the VA facility and its external community HIE partner were interviewed. Respondents discussed their experiences with HIE including barriers and facilitators to implementation. Qualitative analyses utilized a hybrid method that combined inductive and deductive approaches. RESULTS VA leaders considered training and preparation to be key success factors when implementing HIE and employed a wide array of strategies to prepare medical staff. During recruitment, a “high-touch approach” was successfully used to enlist patients in-person. Operational and clinical leaders described at least two potential barriers to HIE use: (1) the time and effort to use the system and (2) a fear of disappointment among medical staff and leadership. Overall enthusiasm was consistently high regarding the potential value of data sharing in improving care coordination and patient health outcomes. CONCLUSIONS The major management challenge was coordination of the complex interrelationships among entities within and outside the VA. A model that captures the interconnected web of information systems and human teams is helpful to visualize and describe HIE implementation. This model can be applied by other national and regional networks that seek to achieve interoperability goals across health care delivery systems. CLINICALTRIAL n/a

scholarly journals Health Information Exchange for Continuity of Maternal and Neonatal Care Supporting: A Proof-of-Concept Based on ISO Standard

2017 ◽  
Vol 08 (04) ◽  
pp. 1082-1094 ◽  
Author(s):  
M.R. Santos ◽  
T.Q.V. de Sá ◽  
F.E. da Silva ◽  
M.R. dos Santos Junior ◽  
T.A. Maia ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Reference Model ◽  
Health Information Exchange ◽  
Minas Gerais ◽  
Lessons Learned ◽  
Complex Nature ◽  
Proof Of Concept ◽  
Iso 13606

Background Around the world, people receive care at various institutions; therefore, clinical information is recorded either on paper or distributed on different information systems with reduced capabilities for sharing data. One approach to handling the complex nature of the health information systems and making it interoperable is the two-level modeling, and the ISO 13606 standard is an option to support this model. A regionally governed EHR program in Brazil proposed to use the ISO 13606 standard and archetypes. This program includes an EHR repository for consolidating the longitudinal electronic record of patients' health. Objective This article aims to present the results and lessons learned from a proof-of-concept (POC) for integrating the Maternal and Neonatal Healthcare Information System (SISMater) developed by the Federal University of Minas Gerais (UFMG) with the EHR system developed by the Department of Healthcare for the State of Minas Gerais (SES/MG). Methods The design of the architecture and software development were driven by the content to be exchanged between the SISMater system and the EHR system and the usage of XML transformation to translate an ISO 13606 EHR extract and vice versa. This POC did not include tests related to revision objects according to ISO 13606 reference model. Results The software architecture and software components required for this POC were proposed and tested. The EHR system validated the syntax and semantic and persisted the extract in the EHR repository. Complete results can be accessed at https://github.com/pocppsus/repository. Conclusion The approach for using XML transformations could make easier the process for ISO 13606 noncompliant EMR systems to exchange EHR data with the SES/MG EHR system.

Retrospective: Lessons Learned From The Santa Barbara Project And Their Implications For Health Information Exchange

2007 ◽  
Vol 26 (Suppl2) ◽  
pp. w589-w591 ◽  
Author(s):  
Jonah Frohlich ◽  
Sam Karp ◽  
Mark D. Smith ◽  
Walter Sujansky
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Lessons Learned ◽  
Santa Barbara
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