Assignment task:
You are the chief nursing officer and have been asked by your health care system to represent the hospital on a board of a new not-for-profit entity established by your community to build and manage the HIE within your region. Your region has been awarded a federal grant of $250,000 to build the HIE to serve the community. At the first board meeting of diverse stakeholders, including payers, providers, hospitals, public health, and health care consumers, the group must advise the chief executive on what type of exchange the group believes is needed. The chief executive indicates that a basic exchange using the Direct Project protocols for the size of the community is likely to exceed the federal grant dollars, and as such, the group needs to align on a value proposition of what the community needs. This is hoped to result in the community being willing to pay for the additional costs.
The community has a population of more than 250,000, with a significant indigent population that tends to use the ED as an access to care for routine health care needs. Hospital staff also suspect that they have drug seekers going from one ED to the next seeking additional medications, yet do not have the information to confirm this suspicion or to track patients from one institution to another.
The community has two major health care systems that are heatedly competitive and unlikely to be willing to share data in a central data repository. Providers in the community compromise one large-practice consortium and multiple independent providers. The large group of providers is demanding that some sort of exchange be established to support their referral base. As a result, there is heated debate as to whether the community aligns on a business and infrastructure strategy.
1. Based on the needs of the community noted in the case study, what is your recommendation as to the best infrastructure and technical exchange model that the community should promote?
2. What are some of the barriers consistent with other communities' failures that might be issues for your community, and how do you overcome those issues?
3. What type of exchange might support the needs of the providers in the community?
4. What does the region need to accurately track patients across care settings? Need Assignment Help?
5. What is the most cost-effective model to be considered, and is it generating value for the community?