Literature DB >> 30815078

Veterans Health Information Exchange: Successes and Challenges of Nationwide Interoperability.

Margaret Donahue1, Omar Bouhaddou1, Nelson Hsing1, Todd Turner1, Glen Crandall1, Joseph Nelson1, Jonathan Nebeker1.   

Abstract

Health Information Exchange (HIE) between organizations is necessary to have more complete information and coordinate care. Given its nationwide footprint, the Department of Veterans Affairs (VA) connects and exchanges health information with a large number of organizations and consequently has a unique opportunity to experience most issues affecting clinical interoperability. The Veterans HIE Program manages these exchanges by focusing on patient engagement, provider adoption, partner relationship, technology platform, and performance. This paper analyzes the success and challenges of this program over the last five years, and offers valuable metrics and insights. Although significant progress has been made, nationwide interoperability remains fragmented and laborious, requiring multiple agreements and exchange methods. A future nationwide interoperability would embrace a single "on-ramp" to connect to everyone.

Entities:  

Mesh：

Year:  2018        PMID： 30815078      PMCID： PMC6371252     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  8 in total

1.  Assessments of the Veteran Medication Allergy Knowledge Gap and Potential Safety Improvements with the Veteran Health Information Exchange (VHIE).

Authors:  Eric Pan; Nathan Botts; Harmon Jordan; Lois Olinger; Margaret Donahue; Nelson Hsing
Journal:  AMIA Annu Symp Proc       Date:  2017-02-10

2.  Automated Detection of Privacy Sensitive Conditions in C-CDAs: Security Labeling Services at the Department of Veterans Affairs.

Authors:  Omar Bouhaddou; Mike Davis; Margaret Donahue; Anthony Mallia; Stephania Griffin; Jennifer Teal; Jonathan Nebeker
Journal:  AMIA Annu Symp Proc       Date:  2017-02-10

Review 3.  Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care.

Authors:  Saurabh Rahurkar; Joshua R Vest; Nir Menachemi
Journal:  Health Aff (Millwood)       Date:  2015-03       Impact factor: 6.301

4.  Improved Veteran Access to Care through the Veteran Health Information Exchange (VHIE) Retail Immunization Coordination Project.

Authors:  Nathan Botts; Eric Pan; Lois Olinger; Margaret Donahue; Nelson Hsing
Journal:  AMIA Annu Symp Proc       Date:  2017-02-10

5.  Medication Use among Veterans across Health Care Systems.

Authors:  Khoa A Nguyen; David A Haggstrom; Susan Ofner; Susan M Perkins; Dustin D French; Laura J Myers; Marc Rosenman; Michael Weiner; Brian E Dixon; Alan J Zillich
Journal:  Appl Clin Inform       Date:  2017-03-08       Impact factor: 2.342

6.  Veterans Health Administration Experience with Data Quality Surveillance of Continuity of Care Documents: Interoperability Challenges for eHealth Exchange Participants.

Authors:  Jay Lyle; Omar Bouhaddou; Nathan Botts; Marie Swall; Eric Pan; Terry Cullen; Margaret Donahue; Nelson Hsing
Journal:  AMIA Annu Symp Proc       Date:  2015-11-05

7.  Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network.

Authors:  Omar Bouhaddou; Jamie Bennett; Jennifer Teal; Margaret Pugh; Melissa Sands; Frank Fontaine; Marie Swall; Sanjay Dhar; Tony Mallia; Brian Morgan; Tim Cromwell
Journal:  AMIA Annu Symp Proc       Date:  2012-11-03

8.  Consensus Statement: Feature and Function Recommendations to Optimize Clinician Usability of Direct Interoperability to Enhance Patient Care.

Authors:  Steven R Lane; Holly Miller; Elizabeth Ames; Lawrence Garber; David C Kibbe; Joseph H Schneider; Christoph U Lehmann
Journal:  Appl Clin Inform       Date:  2018-03-21       Impact factor: 2.342
  8 in total
  5 in total

1.  Easy Medication Reconciliation at Hospital Admission: The EzMedRec Decision Support System.

Authors:  Brigitte Seroussi; Mourad B Ghomari; Gilles Guezennec; Florence Federspiel; Isabelle Debrix; Jacques Bouaud
Journal:  AMIA Annu Symp Proc       Date:  2021-01-25

2.  Racial differences in patient consent policy preferences for electronic health information exchange.

Authors:  Carolyn L Turvey; Dawn M Klein; Kim M Nazi; Susan T Haidary; Omar Bouhaddou; Nelson Hsing; Margaret Donahue
Journal:  J Am Med Inform Assoc       Date:  2020-05-01       Impact factor: 4.497

3.  Motivation and Barriers to Using the Veterans Health Information Exchange: A Survey of Veterans Affairs 'Superusers'.

Authors:  Kristen Wing; Omar Bouhaddou; Nelson Hsing; Carolyn Turvey; Dawn Klein; Joseph Nelson; Margaret Donahue
Journal:  AMIA Annu Symp Proc       Date:  2020-03-04

4.  A NATIONAL SURVEY ASSESSING HEALTH INFORMATION EXCHANGE: READINESS FOR CHANGES TO VETERANS AFFAIRS ACCESS STANDARDS.

Authors:  Thomas R Martin; Hamlet Gasoyan; Gabriella Pirrotta; Rakesh Mathew
Journal:  Perspect Health Inf Manag       Date:  2021-07-01

Review 5.  Digital health needs for implementing high-quality primary care: recommendations from the National Academies of Sciences, Engineering, and Medicine.

Authors:  Alex H Krist; Robert Phillips; Luci Leykum; Benjamin Olmedo
Journal:  J Am Med Inform Assoc       Date:  2021-11-25       Impact factor: 4.497
  5 in total

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