In the summer of 2012, HIMSS initiated an effort to provide a more robust definition of Enterprise HIE and understand how it is different from Community or Regional HIE. Three IDNs, four hospital systems, and two physician group practices were interviewed. The group’s responses were aggregated into short summaries, paired with representative quotes, and then validated by the entire group.
Read the summary of answers below.
1. How do you define Enterprise HIE?
Summary Answer: “Enterprise HIE (or Private HIE) is the exchange (verb) of pertinent clinical information across separate EMRs and separate vendors. Started and funded by a single enterprise, it includes employed doctors and trusted partners caring for shared patients.”
2. Why implement Enterprise HIE?
Summary Answer: The number one reason for implementing enterprise HIE is to provide better and more efficient patient care. Business drivers fell into four key areas:
- Distribute hospital information to doctors
- Patients expect that doctors know what is happening at every stage of their healthcare encounter.
- Shifting reimbursement model
Many interviewed cited the importance of trust, which can be much more challenging for other HIE models.
3. How will Enterprise HIE work?
Summary Answer: There are three main expectations providers have for how Enterprise or Private HIE will work: Doctors can continue to work in the EHR rather than having to access a separate portal for patient information, the flow of data should be bi-directional, and the data and integration should be under the control of the enterprise. Michael Oppenheim of North Shore – LIJ Health System states, “We need ownership and control of the interoperability to be able to tweak it, work it, and massage it, because the subtleties in these workflows are very complicated and can change very quickly. We can’t be dependent upon a third party to continually update the changes in the clinical workflows.”
4. What problems have you experienced (or do you expect) with Enterprise HIE?
Summary Answer: The research revealed a few problems with the enterprise HIE model. Because the enterprise model is limited to just the enterprise’s facilities and trusted partners, the organization will always be faced with patients not staying within the enterprise. Another problem associated with enterprise HIE is that EHRs do not communicate with each other and it is often unrealistic for an IDN to transition to a single vendor. And finally, integration projects can be very complex, time consuming, and costly.
Download the full presentation, including quotes by the IDNs, hospital systems, and groups that we interviewed by clicking the button below.