By Mark L. Braunstein (auth.)
Despite its excessive price, the U.S. healthcare approach produces rather brief existence spans, and is wasteful, inefficient and has severe safeguard and caliber concerns. whereas different industries have surmounted related demanding situations by means of remodeling themselves via info expertise, healthcare lags at the back of. significant purposes are that our ways to care supply and monetary incentives have been designed for a bygone period. past that the know-how provided to practitioners has usually been overly pricey, poorly designed, overly proprietary, challenging to enforce and hard to exploit. Spurred through a different, one-time Federal stimulus and the recent cellular, instant and cloud applied sciences now on hand, this panorama is quickly altering. To prevail going ahead practitioners, and people drawn to coming into the sector, have to comprehend the recent using forces and feature a uncomplicated knowing of up to date medical informatics. Practitioners, particularly, have to comprehend the choice applied sciences and techniques to be had for his or her use in person sufferer care and extra non-stop administration in their persistent illness sufferers. To successfully meet those wishes, this ebook offers an advent to the explanation for care transformation via medical informatics; its program to sufferer care outdoors of hospitals; and a glance at its destiny. Key issues are illustrated all through by means of real examples of open resource and advertisement health and wellbeing IT services. whereas written with practitioners and scholars getting into the sector of scientific informatics in brain, the ebook eschews technical terminology and is definitely obtainable via the lay reader now not trained in scientific drugs or details technology.
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Example text
The term MPI (or Enterprise MPI) has typically meant an index of patients within a health system. If health information exchange encompasses multiple health systems then an MPI designed for this purpose is needed. As we discussed, in the IHIE it is possible for a provider to see all clinical data about a patient in one view, including actual medical images. CONNECT can support a similar capability by maintaining what is often called a document locator service, essentially an index to where specific data about each patient is stored.
OptumInsight (formerly Axolotl) is part of a wholly owned subsidiary of UnitedHealth whose goal is to provide an integrated technology solution for the delivery of care under outcome-based contracts. Medicity, now a wholly owned subsidiary of Aetna, has similar goals. It is very significant that two of the four largest commercial health insurance companies8 are now major providers of health informatics solutions for creating a more integrated and coordinated form of healthcare. By all appearances we have crossed an important bridge and there may be no turning back.
A cancer patient, for example, might want to disclose certain aspects of their care to support a research effort for their particular condition or to see if they qualify for a clinical trial. They might not want to release other aspects of their care, such as a sexually transmitted disease or a mental health problem. The general principle here is referred to as “granular control” of health records (or “data segmentation” in the report that we’ll quote in the following paragraphs). It has to do with how clinical data can be logically grouped for the purposes of patient consent to its Health Information Exchange (HIE) 27 use beyond TPO.