A number of opportunities emerged from this study to advance the efficient use of HIE to support care coordination for persons receiving LTPAC. These opportunities are discussed in the report, and include the following areas:
Exploring opportunities in the policy and service delivery environments to advance HIE, particularly in new health care delivery models.
Supporting multiple methods of electronic information exchange by LTPAC/LTSS, particularly as HIT standards mature.
Identifying the information that LTPAC/LTSS can provide to HIEOs to support care coordination such as assessment data (e.g., cognitive, functional), medication administration records, care plans, and flow sheets.
Specifying EHR certification criteria for LTPAC providers that align with the EHR and HIE requirements for other providers (e.g., physicians/hospitals).
Establishing policies that encourage greater use of CEHRT by LTPAC to support HIE with other providers.
Leveraging of existing standards to support HIE; developing and testing HIT standards that can be easily used and deployed to support interoperability and HIE by LTPAC providers.
Defining key HIE use case and modifying the workflow to support electronic HIE.
Increasing resources for the acquisition and use of HIE technology for LTPAC/LTSS providers.
Improving communication across all providers, HIEOs, and state and federal programs, of the value proposition of including LTPAC/LTSS providers in HIE activities including supporting administrative processes.
Addressing privacy and consent issues that hinder LTPAC/LTSS engagement in HIE activities.
Exploring the feasibility, benefits and limits of making available electronic pharmacy data (including from long-term care pharmacies) to support medication reconciliation.
"HIEengage.pdf" (pdf, 976.86Kb)
"HIEengageA.pdf" (pdf, 122.65Kb)
"HIEengageB.pdf" (pdf, 132.47Kb)
"HIEengageC.pdf" (pdf, 62.72Kb)
"HIEengageD.pdf" (pdf, 64.52Kb)
"HIEengageE.pdf" (pdf, 71.74Kb)
"HIEengageF.pdf" (pdf, 67.17Kb)
"HIEengageG.pdf" (pdf, 128.62Kb)
"HIEengageH.pdf" (pdf, 1.02Mb)
"HIEengageI.pdf" (pdf, 264.75Kb)
"HIEengageJ.pdf" (pdf, 663.47Kb)
"HIEengageK.pdf" (pdf, 126.77Kb)
"HIEengageL.pdf" (pdf, 141.17Kb)