Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. 3.6.1. HIE Interventions Identified for Study

10/29/2013

HIE "interventions" or activities were identified that support transitions and information for persons receiving LTPAC/LTSS care and described in Appendix G. The interventions described in this section were not confirmed or updated by informants, other than for the three case study sites. The interventions were categorized by: (1) individual LTPAC/LTSS providers; (2) groups of LTPAC/LTSS providers that were part of a national corporation or chain; (3) HIEOs such as regional health information organizations and community HIEOs that support HIE for multiple participating LTPAC/LTSS providers and their exchange partners; and (4) health care provider networks with HIE. There is overlap among these four categories. For example, a HIEO may be helping LTPAC providers participate in HIE, and within that state, a participating LTPAC provider that was actively engaged in HIE may also be identified as another intervention.

HIE interventions that included electronic HIE with LTPAC/LTSS providers were identified in 22 states. This likely does not include all of the states with electronic HIE to support care coordination for persons receiving LTPAC/LTSS services. The type of LTPAC/LTSS provider participating in the intervention is also noted. The most frequent LTPAC/ LTSS provider type reported to be engaged in exchange is HHA, followed by SNFs. Four of the interventions involve senior housing, two with continuing care retirement communities, one with a LTCH, and three with HCBS or other LTSS, including one AAA.

The next section describes some of the more common HIE interventions to support care coordination for persons receiving LTPAC/LTSS services, including the context for HIE, users and workflow, key exchange partners, technology, standards and data. Selected examples are provided. More in-depth information, observations, and insights from the three site visits are discussed in Section 4, and in the individual site visit summaries in Appendix H, Appendix I and Appendix J.

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