Indiana Health Information Exchange
The Indiana Health Information Exchange (IHIE) is a non-profit health information exchange (HIE) located in Indianapolis, Indiana. It serves a large percentage of hospitals across the state of Indiana and was one of the first HIEs introduced.
Contents
History
Inception
IHIE was formed in 1996 with the alliance of the five largest hospital groups in Indianapolis and initially created as the Indiana Network for Patient Care (INPC)[1], a data sharing collaborative that at its formation primarily focused on patient seen in the emergency departments (EDs) of the hospitals in each of the hospital groups. The INPC was originally created and supported by the Regenstrief Institute.
Departure from Regenstrief
In 2004, IHIE was officially incorporated as a non-profit organization separate from Regenstrief[1]. While the two organizations freely share data and software fixes and enhancements, the ongoing maintenance of the INPC and its associated services falls to IHIE.
Core Features
IHIE has a number of core features that enable its services. As a requirement of participation, all institutions must agree to freely sharing their data among other participating parties, maximizing the data access for all involved.
Data Sources and Mapping
IHIE receives HL7 data feeds from each of its participating institutions and stored in the INPC (see below). As data flows, it is normalized and mapped to allow the data to be compared and trended with data from other participating members. This is accomplished by assigning a standardized Regenstrief term (each term associated with a corresponding LOINC code) to each result. A lab mapping team monitors codes that fail to be assigned and works to create new Regenstrief terms as needed for unmapped terms. Cite error: Closing </ref> missing for <ref> tag requires many orthopedic surgeons to be held accountable for the care of their postoperative patients for the 90-day period follow the procedure, no matter where the patient chooses to follow up. If a patient presents to an ED outside of the initial hospital network where the procedure was performed, the cost of that visit falls on the original surgeon. In this case, the key benefit of IHIE is that it could trigger a notification to an orthopedic surgeon that her patient is potentially having a complication of surgery in a situation where that information might otherwise be unavailable. Another example is the automated reporting of notifiable diseases to the Indiana State Department of Health, a process which previously required filling out a fairly complicated form.
