HIE is the electronic sharing discreet clinical information among organizations according to nationally recognized standards. The main purpose of HIE is to provide immediate access to relevant medical information whenever needed to improve quality, safety, and cost of patient care. HIE initiatives focus on the areas of technology, interoperability, standards utilization, harmonization, and business information systems while supporting activities focuses on national, state, and local levels (Report 2008).
The potential benefits of HIE to public health agencies lie upon the principles of public health informatics. "Public health informatics is the application of information science and technology …show more content…
Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) established three stages of the EHR Incentive Program. The three stages of Meaningful Use are designed to support eligible professionals and hospitals with implementing and using EHRs in a meaningful way to improve the quality and safety of the healthcare system. Stage 1 began in 2011 and emphasized on the data capture and sharing. This stage required that participating eligible professionals and hospitals must store, record, and report clinical quality measures as well as public health information for safety net community to be considered EHR 'S meaningful users in 2011 and 2012. Stage 2 began in 2014 and concentrated on advanced clinical processes. To qualify for CMS incentive payments, providers must start employing clinical decision support systems and using the capability that undergirds much of the value of EHRs such as HIE, e-prescribing, Computerized physician order entry (CPOE), ETC. Stage 3 was set to start in 2016. In this stage, the benefit of EHR is to be extended to the patients. The providers are required to provide the patients with …show more content…
There are three levels of interoperability those are foundational, structural, and semantic. The lowest level is foundational operability that allows data exchange from one system to be received by another and does not require the ability for the receiving system to interpret the data. The next level is structural operability that defines the structure or format of data exchange (i.e., the message format standards like HL7), preserves clinical or operational purpose and meaning of the data, and ensures that data exchanges between systems can be interpreted at the data field level (Shah et al.,