What Is HIE? How useful is it?

What Is HIE? How useful is it?

by Bryn Fest

Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care.

Despite the widespread availability of secure electronic data transfer, most Americans’ medical information is stored on paper—in filing cabinets at various medical offices, or in boxes and folders in patients’ homes. When that medical information is shared between providers, it happens by mail, fax or—most likely—by patients themselves, who frequently carry their records from appointment to appointment. While electronic health information exchange cannot replace provider-patient communication, it can greatly improve the completeness of patient’s records, (which can have a big effect on care), as past history, current medications and other information is jointly reviewed during visits

Interoperability solution for healthcare

 Health data has always been challenging to access and share in a secure manner. The nature of health data creates a paradox: It’s difficult to share because it’s sensitive and requires a high level of privacy and security, yet the inability to access it when it’s needed has potential to cause significant harm. A lack of interoperability can result in an incomplete understanding of an individual’s or population’s health needs, which can lead to poorer outcomes and higher costs.

As populations around the world age and people live longer, interoperability and data sharing are going to become increasingly critical for delivering effective healthcare. In the United States, the Agency for Healthcare Research and Quality has estimated that two out of three older Americans have at least two chronic behavioral or physical conditions. Treatment for people with multiple chronic conditions currently accounts for an estimated 66% of US healthcare costs.

In their nationwide roadmap (PDF, 3.5 MB), the Office of the National Coordinator for Health Information Technology (ONC) says the use of electronic health records (EHRs) has dramatically increased in the United States. Many hospitals now have routine access to medical records and patient data from outside providers, yet less than half of hospitals are integrating the data they receive into individual patient records. So although access to vital clinical data has improved, there’s still a lot of work that needs to be done to bring stakeholders together to create an integrated data ecosystem.

Healthcare interoperability solution

IBM Watson Health offers an end-to-end suite of capabilities and services that supports healthcare organizations as they work to follow interoperability regulations as well as exceed user expectations for privacy and consent. Organizations can realize significant benefits if they look to interoperability solutions not just to comply with industry requirements, but to work toward digital transformation.

Comprehensive healthcare interoperability solutions for payer organizations can address strategy development, data curating and management, patient access API management, implementation and support, and consent management. By enhancing healthcare information exchange, payer organizations not only meet the CMS final rule requirements, but can potentially better engage their members, compete more effectively in their market and digitally transform their organizations.

Blockchain technology the solution for healthcare interoperability

Blockchain is an emerging technology being applied for creating innovative solutions in various sectors, including healthcare. A Blockchain network is used in the healthcare system to preserve and exchange patient data through hospitals, diagnostic laboratories, pharmacy firms, and physicians. Blockchain applications can accurately identify severe mistakes and even dangerous ones in the medical field. Thus, it can improve the performance, security, and transparency of sharing medical data in the health care system. This technology is helpful to medical institutions to gain insight and enhance the analysis of medical records. In this paper, we studied Blockchain technology and its significant benefits in healthcare.

Various Capabilities, Enablers, and Unified Work-Flow Process of Blockchain Technology to support healthcare globally are discussed diagrammatically. Finally, the paper identifies and debates fourteen significant applications of Blockchain for healthcare. Blockchain plays a decisive part in handling deception in clinical trials; here, the potential of this technology offer is to improve data efficiency for healthcare. It can help avoid the fear of data manipulation in healthcare and supports a unique data storage pattern at the highest level of security. It provides versatility, interconnection, accountability, and authentication for data access. For different purposes, health records must be kept safe and confidential. Blockchain helps for the decentralised protection of data in healthcare and avoids specific threats.

HIE

Hypoxic-ischemic encephalopathy (HIE) is a type of newborn brain damage caused by oxygen deprivation and limited blood flow. HIE software is a type of birth injury; this is a broad term used to refer to any harm that a baby experiences at or near the time of birth. Other terms used for HIE include birth asphyxia, perinatal asphyxia, and neonatal encephalopathy.

In some cases, therapeutic hypothermia can prevent or minimize permanent brain damage, although it must be given within just hours of the baby’s birth/oxygen-depriving injury (see “Treatment for HIE” for more information). However, with and without therapeutic hypothermia, many infants with HIE go on to develop permanent health conditions and disorders. These include cerebral palsy (CP), cognitive disabilities, epilepsy, hearing and vision impairments, and much more.

 HIE definition

HIE is managed using a treatment called therapeutic hypothermia, where the baby’s brain or body is cooled down below normal temperatures to slow the cascade effect that causes widespread damage. This allows the baby’s brain to recover and reduces the level of disability they may have as they grow. According to current guidelines, the treatment must be given within six hours of birth, although there is some evidence to suggest it may be beneficial when given up to 24 hours.

Therapeutic hypothermia lasts for around 72 hours, allowing the baby’s metabolic rate to slow. This prevents further damage known as reperfusion injury, which occurs when normal oxygenation and blood flow are restored too quickly to the brain’s cells. While it may seem counter-intuitive that restoring flow quickly could cause further injury, the brain’s cells react differently to rapid oxygenation after being oxygen deprived. After oxygen deprivation injury, rapid oxygenation can cause more inflammation and the release of certain harmful compounds. Hypothermia treatment works to stabilize the brain’s cells and prevent or limit damaging inflammation.

HIE medical abbreviation

Most babies with mild HIE recover quickly. If your baby has mild HIE, doctors will monitor them closely to check that they are stable and do not need any more treatment.If your baby has moderate to severe HIE, there is a risk of death or long-lasting damage to the brain.

To reduce this risk, babies with moderate or severe HIE are likely to receive a treatment called therapeutic hypothermia or cooling, which needs to be started within the first 6 hours after birth. A special cooling mattress is used to lower the baby’s temperature to between 33 and 34 degrees centigrade for 72 hours. The mattress is filled with fluid that can be cooled or warmed according to your baby’s needs.

Your baby’s temperature will be monitored closely to ensure that it stays at the right temperature, and cooling will usually be continued for 72 hours before rewarming.

 What is HIE

Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care.

HIE meaning

To hie is to move in a hurried or hasty way. It’s the kind of word you are more likely hear in a Shakespeare play, like when a character demands, “Hie thee hither!”

The verb hie is extremely old fashioned, so you’re much more likely to read it in a book than to hear someone say it. Still, it’s good to know when you read, “Hie thee to the castle!” that it means “Hey, get a move on! Go to the castle!” It comes from the Old English word higian, “strive or hasten,” from a Proto-Germanic root.

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