Health Information Exchange

HealthInformation Exchange

HealthInformation Exchange


Thisarticle will discuss about (HIE). Inaddition, it will discuss how HIE helps the medical practitioners toaccess and retrieve clinical data in a safer and timely manner. Thearticle will be divided into four major parts, “US history of HIE”will the first part, and then “The Benefits of HIE” will be thesecond major part. The third and the fourth part will be, “Privacyand Security” and “Current Challenges and Ways to Overcome them”respectively.

USHistory of HIE

Whatis HIE

HIEis the electronic exchange of health- related information amongorganisation within the same community, region, or hospital system.In other words, HIE is the organisation that facilitated exchange ofinformation. In this first part, I will clearly introduce HIE indetails, give a brief history of HIE and HIE environment.

Whendid it begin?

In1990, the Harford Foundation came up with community health managementinformation system (CHMISs) to promote centralised data repository inseven communities (Roebuck,2012).However, these communities struggled to secure a cost-effectivetechnology, strong political support, and interoperable data sources.Some years later, they replaced CHMIS with HIE that was lessexpensive and fulfilled most of their desires. This section gives theorigin of HIE and its transition from CHMIS system to HIE system.

Benefitsof HIE (underlying the justification for HIE)

HIEis associated with many health related benefits. Some of thesebenefits include improved patient care, improved care coordination,improved diagnostics and patients’ outcomes, practise efficienciesand cost savings, increase patients participation and many more. Thissection will expound and explain in detail the above-mentionedbenefits.

Privacyand Security Concerns

  1. How are privacy and security concerns addressed?

Toenjoy the benefits of HIE, it is important to ensure privacy andsecurity of health information. Therefore, participants of thenetwork should trust HIE, or otherwise the system may havelife-threatening consequences. This part will discuss what healthorganisations are doing to ensure privacy and security of HIE.

  1. What kinds of restriction are set in place (who has access to what and when?

Toensure privacy and security of HIE, organisation are restricting thenumber of people to participate in the system. In addition, they arealso restricting the duration an eligible participant can use thesystem. This section explains these restrictions in details.

Roleof Networks

  1. How multiple user needs for data and data exchange are met

Fromdefinition, HIE is exchange of health related information. Therefore,in there is a network involved that is, all participants who sharethe information are connected through a network. This section willdiscuss how multiple users use HIE system to exchange information andhow data exchange is met.

CurrentChallenges and Ways to Overcome Them

Benefitsits many benefits, HIE is also faced with challenges. Firstly, HIE iscostly to implement it in a health organisation. Besides, it ischallenging and complex to implement it from technical stability tosecurity policies (Gensinger,2010).In addition, HIE requires strong governance oversight, as well as astrong management for it to be successful. This section will discussin details the challenges of HIE, as well as its disadvantages.Further, the section will discuss the remedies of these challenges.


Thissection with give the source of information used to accomplish thisarticle. The sources will be books, journals, or internet source.


Adler-Milstein,J., DesRoches, C. M., &amp Jha, A. K. (2011). Health informationexchange among US hospitals.&nbspTheAmerican journal of managed care,&nbsp17(11),761-768.

Gensinger,R. A. (2010).&nbspIntroductionto healthcare information enabling technologies.Chicago, IL: Healthcare Information and Management Systems Society.

Kaelber,D. C., &amp Bates, D. W. (2007). Health information exchange andpatient safety.&nbspJournalof biomedical informatics,&nbsp40(6),S40-S45.

Menachemi,N., &amp Singh, S. K. (2012).&nbspManagementissues in the international context of health information technology(HIT).Bingley: Emerald.

Roebuck,K. (2012).&nbspHIE- : High-impact Strategies – What You Needto Know: Definitions, Adoptions, Impact, Benefits, Maturity, Vendors.Dayboro: Emereo Pub.

Vest,J. R., &amp Gamm, L. D. (2010). Health information exchange:persistent challenges and new strategies.&nbspJournalof the American Medical Informatics Association,&nbsp17(3),288-294.