Journal: Types of Health Information Exchange (HIE) Models

Types of Health Information Exchange (HIE) Models
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Types of Health Information Exchange (HIE) Models
As the Health Information Manager for the Manchester Health Access Network (MHAN), I would choose the hybrid model that combines the centralized and decentralized health information exchange (HIE) models. The model would meet MHAN’s requirements since the network requires a model that ensures efficient interoperability, improves coordination, quality, and efficiency of cases besides staying within the budget. The model includes a centralized clinical data warehouse (CDW) that interfaces with data from the local remote data warehouses. The remote data warehouses would then relay clinical information to the central data warehouse. All systems would use a unique and similar patient identifier. The representatives of all member hospitals would be able to access clinical information on the patient directly from the central database thus ensuring access to patient information within the shortest time possible. The centralized clinical data warehouse would prevent the duplication of patient records, as it would have been the case with the decentralized CDW.
The model would use the query-based type of exchange to meet its primary objective of enabling healthcare providers to search and discover the patient’s clinical information based on demand from the central database. Even though the system would allow healthcare providers to obtain clinical data from the primary database, the care process would be unplanned thus implying that the query-based exchange would be the most appropriate type of exchange.

Providers would be able to access information such as recent medications, radiology images, among other lists of problems that would enable the proper adjustment of treatment plans to prevent cases of duplicative testing and adverse reactions to drugs (Turvey et al., 2016). Therefore, the hybrid model is the best model for the network since it requires less time and finances to implement than the centralized model besides guaranteeing interoperability and security of clinical information.
References
Turvey, C. L., Klein, D. M., Witry, M., Klutts, J. S., Hill, E. L., Alexander, B., & Nazi, K. M. (2016). Patient education for consumer-mediated HIE. Applied clinical informatics, 7(03), 765-776.