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Trust, Sharing and Managing Health Information

Posted Sep 03 2009 9:51am

I been wanting to add a couple of documents related to health information exchange (HIE) to my blog since I read the Spring Issue of the Journal of Health Information Management. They are all worth reading in their entirety.

Crying Wolf:  Consumers May be more Willing to Share Medication Information Than Policymakers Think:   While the subtitle of this article says it all, the study revealed that participants almost universally chose to share their medical information with the providers, however, they didn' t always understand as a whole the possible consequences of their choices. 

The Next Step in Health Data Exchanges:  Trust and Privacy in Exchange Networks:   The idea that it is no longer efficient for a RHIO to negotiate a separate data exchange agreement with every one of its exchange partners is explored.  The paper explores the use of multi-party trust agreements and their crucial components.

  • Common goal to improve clinical patient care

  • Stakeholder input

  • Mechanism to establish trust

  • Protecting exchanged information

  • Allocation of liability risk

Best of Breed Strategies:  Hospital Characteristics Associated with Organizational HIT Strategy:   Of the hospitals  surveyed, 65% indicated a single-vendor; 29% indicated a best-of-suite; and 10% suggested a best-of-breed strategy. 

  • The single-vendor strategy was more common in small, stand-alone, for-profit, non-teaching and/or non-JCAHO accredited facilities.
  • The best-of-breed strategy was most common in system affiliated and JCAHO-accredited hospitals.
  • The best-of-suite strategy was most common among very large, system affiliated, teaching and JCAHO-accredited hospitals.

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