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Interopoerability, may  help you? Is there something wronge.

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Interopoerability, may  help you? Is there something wronge.

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Healthcare Technology Outlook 2020 - Technology uptake

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Podcasts Interoperability  2 – Where Are We at With Interoperability?

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Podcasts Interoperability  2 – Where Are We at With Interoperability?

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In this second episode, HIMSS VP for Informatics Joyce Sensmeier welcomes John Loonsk, chair of the HIMSS Interoperability Policy Section (HIPS) Work Group. As a clinician, technologist, and former Director of Interoperability and Standard at the U.S. Department of Health and Human Services (HHS), Dr. Loonsk provides his unique perspective on interoperability related to health IT adoption and meaningful use compliance. He looks at the state of health information integration and exchange from a multidisciplinary view point, not only taking into consideration the technical challenges and economic incentives, but also, the political climate and regulatory considerations that impact the likelihood and rate in which the U.S. healthcare system is moving toward the ultimate goal of semantic interoperability.
If you are interested in health IT at all, this will be 10 minutes well spent.
Guest:
Dr. John Loonsk, MD, FACMI
Chief Medical Information Officer, CGI; and Adjunct Associate Professor, Center for Population Health IT, Johns Hopkins University Bloomberg School of Public Health.

Interviewer:
Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, FAAN
Vice President, Informatics, HIMSS

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Episode #2: Where are we at with interoperability in health information technology?

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In this second episode, HIMSS VP for Informatics Joyce Sensmeier welcomes John Loonsk, chair of the HIMSS Interoperability Policy Section (HIPS) Work Group. As a clinician, technologist, and former Director of Interoperability and Standard at the U.S. Department of Health and Human Services (HHS), Dr. Loonsk provides his unique perspective on interoperability related to health IT adoption and meaningful use compliance.

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Podcasts  from week 4  Interoperability 1-             What Is Interoperability in Health IT?  

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Podcasts  from week 4  Interoperability 1-             What Is Interoperability in Health IT?  

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In this episode, the Chair of the Interoperability & Standards (I&S) Committee, Dr. Keith Salzman walks us through the definition of Interoperability in health IT. This definition was approved by the HIMSS Board of Directors on April 5, 2013. Keith also gives examples of healthcare operations that correlate to each of the three levels of interoperability: 1) Foundational; 2) Structural; and 3) Semantic.

Guest:
Keith Salzman, MD, MPH
Chief Medical Information Officer of CACI International Inc.

Interviewer:
Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, FAAN
VP HIMSS Informatics

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Episode #1: What is Interoperability in Health IT?

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In this episode, the Chair of the Interoperability & Standards (I&S) Committee, Dr. Keith Salzman walks us through the definition of Interoperability in health IT. This definition was approved by the HIMSS Board of Directors on April 5, 2013.

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Interoperability is important because it allows important information to be shared in meeting the needs of patients and organizations

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Interoperability Challenges And Successes In A Value-Based World

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Interoperability Challenges And Successes In A Value-Based World

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By Christine Kern, contributing writer

White paper demonstrates how to position for success in the "merger mania" era.
The shift to value-based care reimbursement models has caused a number of mergers, acquisitions, and strategic partnerships leading some experts to dub 2016 the year of "merger mania." In a white paper, Allscripts presents responses from industry leaders about the interoperability challenges they face as healthcare organizations align, and how they are forging ahead with quality care, population health, and analytics initiatives to provide advice from these leaders on how to position for success in a value-based world.

Truly Connected: Clinical Data Integration Strategies in the Merger and Acquisition Era recognized, "As healthcare organizations come together, often with different legacy Information Technology (IT) systems already in place, the trials of integrating data across new alliances can compromise providers' abilities to deliver on quality care, population health and analytics initiatives - limiting their ultimate financial viability in today's healthcare environment."

The study provided five basic pieces of advice for successfully navigating the merger mania landscape:

Recognize the cultural aspects of change. "Right now, we're in an environment that has nine different EHRs and 14 different practice management systems across all practices. One of the biggest challenges our providers face in this transition is a sense of loss of control. They're really fighting to maintain their independence while at the same time recognizing they need to be part of this network to meet the requirements and regulations that they can't meet on their own," explains Neal Hafez, Chief Information Officer, Pediatric Physician's Organization at Children's (PPOC).

Set the tone with strong clinical leadership. "There's no secret sauce here," says Jim Feen, CHCIO, Associate CIO, Southcoast Health. "In order to set the tone, the objectives, and the improvements in efficiencies that will affect care delivery, you need that strong clinical leadership in place and that starts at the top. When that tone is set, and the message and objectives are understood, you'll find you have buy-in across the board."

Define common, clinically relevant data sets. "Some of the workflow issues we face are really aggravating for patients," explains Phyllis Teater, Chief Information Officer, Ohio State University Wexner Medical Center. "Caregivers may have to ask patients for extra specifics on a medication because they can't get data in a particular format. So we are putting emphasis on defining common data sets. To really understanding what the caregiver needs to know to make good decisions. It's all about looking at interoperability from the lens of the clinician's use."

Connect with standardized, reusable components. "You need to have a really good view of what existed and what's going to change," says Doug Dietzman, Executive Director, Great Lakes Health Connect. "And then a plan in place that makes sure you don't unplug something that will have negative impacts downstream that you didn't anticipate. But with the right plan in place, with all that upfront work, you'll do it right. If you do it right, no one is going to notice a difference because they are getting the data they need when they need it."

Beware rip-and-replace strategies. "Rip-and-replace can take years, requiring intense redirection of resources and a disruption to care. You run the risk of a cost overrun. And we're seeing the impacts of those overruns as executives lose their jobs and hospitals are blaming their budget issues on the cost of their EHR. Instead, it's possible to leverage technology platforms that you already have in place to minimize the cost and disruption," warns Martha Thorne, Senior Vice President and General Manager, Population Health, Allscripts.

Last month, Allscripts launched the which is a roadmap that defines the critical components needed for interoperability and connectivity including health information exchange, care coordination, analytics and patient engagement. IMM enables organizations to evaluate themselves across the entire spectrum of interoperability challenges and opportunities.

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Interoperability Challenges And Successes In A Value-Based World

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By Christine Kern, contributing writer White paper demonstrates how to position for success in the "merger mania" era. The shift to value-based care reimbursement models has caused a number of mergers, acquisitions, and strategic partnerships leading some experts to dub 2016 the year of "merger mania."

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This SGIP OpenFMB Use Case animation provides a fun and informative story of the microgrid use cases we will be demonstrating at the SGIP Annual Conference in New Orleans on November 3-5, 2015. The same demonstration will be hosted by Duke Energy Feb 9-11, 2016 at DistribuTech.

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Interoperability paper discussion questions 

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Interoperability paper discussion questions 

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1.  What does the role of interoperability play in improving the health of individuals and populations?
2. What are some of the ways in which interoperability can reduce healthcare costs?

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Understanding Interoperbility made easy via youtube

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Understanding Interoperbility made easy via youtube

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Berkman Klein Center for Internet & Society

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Healthcare Data Integrity and Interoperability Standards for Health Information Exchanges

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©2013 Real Time Innovations, Inc. All rights reserved. For more 2-Minute Videos, see the playlist: http://www.youtube.com/playlist?list=PLDjgQ9Uij7oerklHrnuZ2d_abq-VfxZsw

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This article has been published under copyright; please see our access terms and copyright guidance regarding use of content from this article. See also our explanations of how to cite Ariadne articles for examples of bibliographic format.

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Slide show on Interoperability and healthcare Infomration system

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Interoperability in health care information systems

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A slide show from our bachelor thesis presentation. Its main focus is interoperability in health care and how interoperability issues can be addressed by open ...

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DEFINE

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Interoperability describes the extent to which systems and devices can exchange data, and interpret that shared data. For two systems to be interoperable, they must be able to exchange data and subsequently present that data such that it can be understood by a user.

HIMSS17 Infocus
The Interoperability Imperative:

Value-Based Care Depends on Health Information Exchange.
Read the ebook >>

HIMSS Definition
The HIMSS Board approved the following definition of interoperability on April 5, 2013:
In healthcare, interoperability is the ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged. ¹ Data exchange schema and standards should permit data to be shared across clinician, lab, hospital, pharmacy, and patient regardless of the application or application vendor. ²

Interoperability means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities. ³ There are three levels of health information technology interoperability: ⁴

"Foundational" interoperability allows data exchange from one information technology system to be received by another and does not require the ability for the receiving information technology system to interpret the data.

"Structural" interoperability is an intermediate level that defines the structure or format of data exchange (i.e., the message format standards) where there is uniform movement of healthcare data from one system to another such that the clinical or operational purpose and meaning of the data is preserved and unaltered. Structural interoperability defines the syntax of the data exchange. It ensures that data exchanges between information technology systems can be interpreted at the data field level.

"Semantic" interoperability provides interoperability at the highest level, which is the ability of two or more systems or elements to exchange information and to use the information that has been exchanged.⁵ Semantic interoperability takes advantage of both the structuring of the data exchange and the codification of the data including vocabulary so that the receiving information technology systems can interpret the data. This level of interoperability supports the electronic exchange of patient summary information among caregivers and other authorized parties via potentially disparate electronic health record (EHR) systems and other systems to improve quality, safety, efficiency, and efficacy of healthcare delivery.⁶

Also see Interoperability Definition and Background as approved by the HIMSS Board of Directors on June 9, 2005.

References

¹ HIMSS Dictionary of Healthcare Information Technology Terms, Acronyms and Organizations, 2nd Edition, 2010, Appendix B, p190, original source: Wikipedia. ² American Academy of Family Physicians (AAFP), Center for Health IT, 2013.
³ HIMSS Dictionary of Healthcare Information Technology Terms, Acronyms and Organizations, 3rd Edition, 2013, p. 75. ⁴ National Committee on Vital and Health Statistics (NCVHS) Report on Uniform Data Standards for Patient Medical Record Information, July 6, 2000, pp. 21-22. ⁵ Institute of Electrical and Electronics Engineers, IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries, New York, NY: 1990. ⁶ HIMSS Dictionary of Healthcare Information Technology Terms, Acronyms and Organizations, 2nd Edition, 2010, Appendix B, p190, original source: HIMSS Electronic Health Record Association.

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Interoperability describes the extent to which systems and devices can exchange data, and interpret that shared data. For two systems to be interoperable, they must be able to exchange data and subsequently present that data such that it can be understood by a user. Value-Based Care Depends on Health Information Exchange.