Health Information Management: Concepts, Principles, and Practice, 4th Edition (LaTour) chp9

Nationwide Health Information Network Exchange
nhin, government program that seeks to increase interconnectivity among healthcare
Data Use and Reciprocal Support Agreement
the services and policies used in the nhin
direct project
simpler, standards-based way for participants to send authenticated, encrypted health information directly to known recipients over the Internet
meaningful use stage 1
use both EPs and EHs must attest “yes” to having performed at least one test of certified EHR technology’s capacity to electronically exchange key clinical information prior to the end of the EHR reporting period to meet this measure
Stage 2 Meaningful Use
transmit 10 percent of its summary of care documents during transitions of care or for the purposes of referral
widens the scope of privacy and security protections available under HIPAA; it increases the potential legal liability for non-compliance; and it provides for more enforcement.
record locator service
A key infrastructure component of the Common Framework to support connectivity and interoperability
application programing interface
set of definitions or protocols used by programmers to write applications that allow one piece of computer software to communicate with another
centralized health exchange model
single db, fast, however monolithic system may be more expensive, ownership of data
federated health exchange model
db at each facility, easy updates, clear ownership, slower when records scattered
hybrid health exchange model
mix, shared patient consent db, shared directories for providers and healthcare facilities for use by all participating organizations
office of the national coordinator for health information technology, est 2004, develop and implement a strategic plan for interoperable HIT in both the public and private sectors
Common Framework
tools for interoperable environment, defined and uniform technical standards, policies and methods
is a process of gathering, integrating, interpreting, and communicating essential information that might relate to disease activity and threats to human, animal, or plant health.
Health Information Security and Privacy Collaboration
project received federal funding to assess differences in business policies and state laws that would affect health information exchange.
use case
scenarios that describe interaction between a user and a system