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          The Home Care Association of Florida
        
        
          FEATURE
        
        
          Health Information Exchange (HIE) – The
        
        
          concept of one universal, accessible health record
        
        
          has been around for decades. However, due to a
        
        
          variety of factors in the care continuum (different
        
        
          vendors for different providers within the same
        
        
          circle of care, etc.), it has not been feasible. The
        
        
          HIE concept was born from the ACA to solve
        
        
          this puzzle. An HIE securely bridges the gap
        
        
          between groups and organizations taking part
        
        
          in the care of the patient; including hospitals,
        
        
          labs, outpatient facilities, etc. Each one of these
        
        
          providers use their own software vendors which
        
        
          do NOT communicate with each other – and the
        
        
          HIE serves as the middleman in a secure fashion.
        
        
          An HIE is designed to feed as much information
        
        
          as possible about that patient to the providers
        
        
          of care. These include but are not limited to:
        
        
          lab results and orders, advance care directives,
        
        
          medication lists, admission/discharge/transfer
        
        
          notifications, transcribed documents, and much
        
        
          more. How many times have you experienced a
        
        
          clinician knocking on the patients’ front door
        
        
          Monday morning only to realize they had been
        
        
          admitted to the hospital Saturday afternoon?
        
        
          When part of an HIE, this information is
        
        
          sent in real-time and notified to all providers
        
        
          securely across the continuum – not via fax two
        
        
          days later. Still a relatively “fresh” idea to home
        
        
          care, take a look at 
        
        
        
           to
        
        
          learn more about these programs and how they
        
        
          could help your agency.
        
        
          Electronic Medical Records (EMR) –
        
        
          Communication and data analysis are two keys
        
        
          that lie behind an agency’s success in the newstate
        
        
          of health care reform. Whether part of an ACO
        
        
          or not, not having a secure and timely means of
        
        
          communication (from clinical documentation
        
        
          to secure messaging between disciplines) will be
        
        
          a load to bear by agencies into the future. Initial
        
        
          cost, implementation, training, and process
        
        
          changes are all “fear factors” to those who
        
        
          have not already gone through the transition
        
        
          from paper to electronic documentation – and
        
        
          understandably so. However, in the long run,
        
        
          the types of data analysis which the majority of
        
        
          EMR vendors can supply will be valuable tools
        
        
          in possibly gaining admittance to an ACO and/
        
        
          or improving your value based reimbursement.
        
        
          In closing, home health has come out of the
        
        
          ACA in one piece with a global understanding
        
        
          that value-based payments are the future.
        
        
          Being in an ACO isn’t a requirement to survive,
        
        
          but as many experts will state; “thinking like
        
        
          one should be.” Any one of these trends in
        
        
          technology listed above will only help you
        
        
          improve your quality of care – but remember,
        
        
          technology is merely a tool and not solely a
        
        
          solution. When placed in the right hands,
        
        
          technology can be part of the answer.
        
        
          
            HCAF
          
        
        
          Elek Hutchinson is the Client Liaison - East Coast
        
        
          Operations for HealthCare Synergy Inc. HealthCare
        
        
          Synergy Inc., offers an intuitive web format application.
        
        
          Thank you to HealthCare Synergy for consistently
        
        
          participating and supporting HCAF educational
        
        
          events. To thank them or receive more info please visit