Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. B.2. Facet: Health Information Exchange Technology Component

10/29/2013

The Technology Facet captures information around interoperable HIE in a detailed and uniform manner.

TABLE B-2. Examples of Categories Associated with the Technology Facet

  Category     Characteristics     Examples of Sub-categories  
and Measures
  Important to Capture  
for LTPAC/LTSS
Functionality
  • Describes the functionality & design purpose of the technical application.
  • Describes where & how technology used, such as point-of-care, assessment tool, tracking tool.
  • HIE architecture, design, functionality, interoperability.
  • HIE interventions, electronic tools, & activities being implemented.
  • Pre-caching to facilitate retrieval, automated printing of summary record for clinicians at discharge, ED check-in.
  • Integration into EHR.
  • Use of portals, security, login.
  • Availability of technology in workflow.
  • Advanced notification of patient with HIE data.
  • Types & purpose of electronic tools for care coordination such as discharge summaries, preadmission assessments, point-of-care documentation.
Non-functional Requirements
  • Indicates how well the system performs.
  • Reliability, availability.
  • Performance.
  • Security.
  • Scheduled down time.
  • Update schedule.
  • Aspects that can influence adoption & the value to the user of the HIE.
Data Feeds & Interoperability
  • Captures the attributes related to the data & its ability to be shared electronically with other systems.
  • Includes interoperability & HIT-related standards (transaction, clinical, etc.).
  • S&I standards, clinical document standards (e.g., CCDA, CDA).
  • ADT.
  • Demographic information used to populate the MPI.
  • Data feeds such as EHR, MDS, OASIS, other software that captures information .
  • Summary of care record.
  • Care plan.
  • Use of current standards (e.g., for transitions of care, care plans, electronic signatures).
Data Transport
  • Query.
  • Push.
  • Subscribe.
 
  • Use of query-based HIE model or DIRECT.
User-based IT Design
  • Includes user interface design but also the workflow that the HIT was designed to support.
  • Wide range of options & formats.
  • If applications & tools were developed based on user-centered design principles.
  • Assessment of if the HIE application was designed for the users & supports the workflow.
Cost
  • There are several layers relating to cost: hardware; software; operation & maintenance; implementation costs.
  • Initial & ongoing training costs.
  • Costs for initial license & recurring yearly cost such as operations & maintenance.
  • Implications of cost on development & implementation.
  • Insights into importance, measurement of ROI of technology.
  • Resources to support technology.
Hardware, software
  • Describes the specific technology product (i.e., hardware, software).
  • Includes hardware & software, (e.g., operating system, software version, hardware modules, interface type, programming language).
  • HIE matching methods & algorithms.

 

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