Health information exchange (HIE) is the mobilization of healthcare information electronically across organizations within a region, community, or hospital system. HIE can also refer to an organization that facilitates the exchange of patient data.
HIE provides the capability to move clinical information electronically among different health care information systems. The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer and more timely, efficient, effective, and equitable patient-centered care. HIE is also critical to public health authorities to assist in analyses of the health of the population.
HIE is a vital technology component to achieving Meaningful Use. Current state of HIE service offerings across the U.S. support the achievement of Meaningful Use (MU) Stage 2 goals, including patient engagement and transitions of care.
In Missouri, many of the state's hospitals are using HIE to transmit patient care documents. The Missouri Health Connection (MHC) is Missouri's statewide health information network that ensures patients, providers, physicians, hospitals, and other health care organizations have access to critical medical record information in order to improve patient care and public health. MHC is among the first in the nation to exchange Direct secure messages across state lines, an achievement made possible through partnerships with the Illinois Health Information Exchange (ILHIE), Kansas Health Information Network (KHIN) and Nebraska Health Information Initiative (NeHII).
- MHC is the only statewide HIE network with the majority of acute care provider participation
- More than 70 hospitals, 350 clinics and community health centers
- More than 7,000 physicians
- MHC will provide interstate connectivity and interoperability with Missouri's eight border states and Healtheway.
- 2015 and after roadmap includes connectivity to ambulatory, specialty, and ancillary health care providers.
- MHC is the only HIE network that provides connectivity and interoperability with MO HealthNet (Medicaid), offering clinical and claims data for all Medicaid patients.
There are two regional HIEs in Missouri. The Lewis and Clark Information Exchange (LACIE) is located in northwest Missouri and, in addition to serving providers in that region, connects with the Kansas Health Information Network (KHIN). Tiger Institute Health Alliance is a regional HIE serving Missouri health care institutions and providers in central, northeast, and southwest regions of the state.
Opt-In. With this method, a patient is not automatically enrolled into the HIE by default and must submit an explicit written authorization to allow his/her health information to be shared by a Health Information Exchange, typically through a care provider. The Missouri Health Connection utilizes this consent method.
Opt-Out. With this method, a patient provides his/her implicit patient consent, and is automatically enrolled into the HIE by default. In this method, patients give implicit consent to join an HIE when they agree to use the services of a health care provider who is submitting data into an HIE and sign the provider's Notice Of Privacy Practices or Consent to Treat authorizations. In this model, patients can request to Opt-Out of the HIE and not share his/her data with the HIE, generally with a written form. LACIE and Tiger Institute utilize this consent method.