The goal of these HIEs is to facilitate access to and retrieval of clinical data to provide safer and more timely, efficient, effective, and equitable patient-centered care and to give patients choice of health plans endorsed by government HIE is also useful to public health authorities to assist in analyses of the health of the population.
So much for good intentions. Now for the politics of health reform. We have an election coming up in November, and it will decide the fate of Obama’s health law, which depends heavily on the use of computer-generated data to work. Governor Romney, who is now leading narrowly in the polls, has promised to repeal Obamacare.
Where does this political uncertainty over who will win the presidency leave HIEs? It leaves their future in doubt, and it leaves the states in uncertainty as what to do about HIEs, for these entities tend to be state-based and cost millions of dollars to implement,
This much is known. Sixty nine percent of physicians are now using Electronic Health Records (EHRs), many of these EHRs do not communicate with each other or with hospital systems. For physicians, health information exchanges lack interoperability, lack infrastructure, and cost too much to set up and to maintain interfaces. Hospitals and the government may help in the funding, but there many standardization question to be answered and many bureaucratic snarls to be disentangled.
Tweet: Obamacare requires data for insurance and information exchanges but many states await election results before acting on these exchanges.