Learning Outcome: Recommend data standard policies for interoperability and sharing.
Outside Reading: Challenges and Barriers to Interoperability–A Report to Congress
You are the Director of HIM for an Integrated Healthcare Delivery System. Your chief medical informatics officer, Mary Watson, is creating a strategic plan for the new home care and skilled care services available in the system including the skilled care unit affiliated with the Flagship hospital, swing bed services offered by the three rural hospitals and the five nursing homes with skilled care beds that are part of your system. The system expects that there will be frequent transfers of patients and residents from one level of care to another within the system.
Assume that the rural hospitals either have a paper based record or do not have a sophisticated EHR.
There are various categories of standards that are important to HIM when looking at sharing of information between systems.
Of these, what are the most significant standards that Mary Watson needs to consider? Your outside reading discusses the challenges and barriers to interoperability. What are the barriers to exchanging information between the various components of the healthcare system that Mary has to consider. How can those barriers be turned into opportunities? Assuming that this merger is taking place sooner rather than later, what would your recommendation(s) be to Mary Watson that would allow for an efficient flow of information between the components of the healthcaresystem as it currently stands?
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