Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understand, manage and make use of a health information exchange infrastructure, which moves patient-centered information within the health care system. The book informs and guides the development of new infrastructures as well as the management of existing and expanding infrastructures across the globe. Sections explore the reasons for the health information exchange (HIE) infrastructures, how to manage them, examines the key drivers of HIE, and barriers to their widespread use.
In addition, the book explains the underlying technologies and methods for conducting HIE across communities as well as nations. Finally, the book explains the principles of governing an organization that chiefly moves protected health information around. The text unravels the complexities of HIE and provides guidance for those who need to access HIE data and support operations.
Section 1: Health Information Exchange Fundamentals1. What is Health Information Exchange?2. Health Information Exchange as a Profession3. Policies and Incentives for Adoption: Towards Broader Use Section 2: Organizational Aspects of Managing Health Information Exchange 4. Engaging and Sustaining Stakeholders: Towards Governance5. Managing the Business of Health Information Exchange: Towards Sustainability6. Managing Privacy, Confidentiality, and Risk: Towards Trust7. Managing Threats to Health Data and Information: Towards Security Section 3: Technical Architecture and Building Blocks 8. Architectures and Approaches to Manage the Evolving Health Information Infrastructure9. Syntactic Interoperability and the Role of Syntactic Standards in Health Information Exchange10. Standardizing Health Care Data across an Enterprise11. Shared, Longitudinal Health Records for Clinical and Population Health12. Client Registries: Identifying and Linking Patients13. Facility Registries: Metadata for Where Care Is Delivered14. Health Worker Registries: Managing the Health Care Workforce15. Finance and Insurance Services: Supporting Achievement of Universal Healthcare Section 4: Impacting Health Care Delivery and Outcomes16. The Evidence Base for HIE17. Measuring the Value of HIE18. Leveraging HIE to Facilitate Large Scale Data Analytics19. Incorporating Social, Genomic, and Environmental Determinants into HIE20. Cross-border HIE to Achieve World Health Outcomes21. Future Directions for Health Information Exchange Section 5: Case Studies in Health Information Exchange22. The Indiana Health Information Exchange23. Using Health Information Exchange to Support Public Health Activities in Western New York: A Case Study24. Creating a 21st Century Health Information Technology Infrastructure: New York’s Health Care Efficiency and Affordability Law for New Yorkers Capital Grant Program25. Use of HIEs for Value-Based Care Delivery: A Case Study of Maryland’s HIE26. Return on Investment: The Case of the Social Security Administration27. HIE-Enhanced Care Coordination: Implementation and Evaluation of Event Notification Services in the Veterans Health Administration28. A Resilient Infrastructure to Facilitate Digital Health: The Case of HIE in Denmark29. National Health Information Systems: Exchange in Multiple African Nations30. Health Information Exchange in Taiwan: Multiple Layers to Facilitate Broad Access and Use of Data for Clinical and Population Health31. Israel’s National HIE Network Ofek: A Robust Infrastructure for Clinical and Population Health32. Bringing HIE to the Middle East and North Africa: The Case of Malaffi in Abu Dhabi
Brian E. Dixon, MPA, PhD, FACMI, FHIMSS both teaches and does research in the area of health information exchange. Since 2012, he has taught a course on HIE, first at the IU School of Informatics and Computing and now at the IU Fairbanks School of Public Health. The course covers the fundamentals of information exchange between clinical and public health organizations, focusing on governance, privacy, and technical aspects of developing as well as managing HIE. His research focuses on improving clinical and public health decision-making through innovative processes and technologies that provide comprehensive information on patient and population health. Recent and ongoing work includes leveraging clinical and administrative data in electronic health records from an HIE to improve public health reporting processes, surveillance activities, continuity of care for Veterans, and community health assessment activities.
