SERVICES / PATIENT RECORD EXCHANGE
Patient Record Exchange
What is Patient Record Exchange?
Patient Record Exchange, a method of health information exchange (HIE), searches for a patient’s health information across one or many clinical data sources, and can be done locally, statewide, and nationally. Queries use Cross-Community Access (XCA) standards, as defined by IHE, and return the information in the form of Continuity of Care Documents (CCDs). The Florida HIE encourages health care organizations to connect to the national exchanges (eHealth Exchange, Carequality, CommonWell) or to regional/enterprise HIEs. Information about the national networks is linked below.
What is Patient Search?
Patient Search, a method of health information exchange (HIE), searches for a patient’s health information across one or many clinical data sources, and can be done locally, statewide, and nationally. Queries use Cross-Community Access (XCA) standards, as defined by IHE, and return the information in the form of Continuity of Care Documents (CCDs).
When possible, the Florida HIE recommends healthcare organizations connect directly to national exchanges (eHealth Exchange, Carequality, Commonwell) or regional/enterprise HIEs. We can provide technical assistance and guidance for the connection process. For organizations that don’t have the ability to connect directly to a national network, the Florida HIE offers it’s State Gateway service. See below for more information about each of these options.
eHealth Exchange
The eHealth Exchange, a founding member of the Sequoia Project, is a network of exchange partners who securely share clinical information over the Internet across the US, using a standardized approach. By leveraging a common set of standards, legal agreement and governance, eHealth Exchange participants are able to securely share health information with each other, without additional customization and one-off legal agreements. The eHealth Exchange connectivity spans across all 50 states and is now the largest health data sharing network, or HIE, in the US.
Who is connected?
eHealth Exchange connectivity represents 4 federal agencies, approximately 75% of US hospitals, 70,000 medical groups, 5,200 dialysis centers, and 8,300 pharmacies. Click for a complete and up to date list of participants and for information on how you can join.
Carequality
Carequality brings together a diverse group of existing networks from the private sector and government to implement technical and policy agreements to enable data to flow between and among disparate networks, platforms, and geographies.
Who is connected?
Carequality implementers include technology vendors, HIEs, and many others.
Commonwell Health Alliance
Commonwell Health Alliance, similar to Carequality, enables health care practitioners, from single physicians offices to multi-hospital system to share patient data.
Who is connected?
Commonwell Service Adopters include technical vendors and HIEs.
The State Gateway
The State Gateway, a service offered by the Florida HIE, serves as an onramp to the eHealth Exchange for organizations that choose not to connect directly. Organizations in Florida can connect to the State Gateway and enjoy the benefits of connectivity to national exchange networks with support of the Florida HIE Services technical infrastructure and team. Connection to Carequality is planned for the near future.
ARCHER
ARCHER, short for Automated Retrieval of Clinical Health e-Records, delivers comprehensive clinical records after patient discharge. Obtaining essential information post-discharge can be manually intensive, time consuming, and lead to inconsistent results. ARCHER automatically retrieves clinical patient record data in a timely manner, after a discharge from the hospital, to jump start care transitions. By eliminating the arduous process of monitoring various EHR portal logins, national networks, faxes, calls to hospital records offices, and similar administrative tasks, ARCHER empowers hospitals and providers to re-focus their time on patients, reduce cost, and deliver the highest standards of quality care.
The State Gateway
The State Gateway, a service offered by the Florida HIE, serves as an onramp to the eHealth Exchange for organizations that choose not to connect directly. Organizations in Florida can connect to the State Gateway and enjoy the benefits of connectivity to national exchange networks with support of the Florida HIE Services technical infrastructure and team. Connection to Carequality is planned for the near future.
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ARCHER, short for Automated Retrieval of Clinical Health e-Records, delivers comprehensive clinical records after patient discharge. Obtaining essential information post-discharge can be manually intensive, time consuming, and lead to inconsistent results. ARCHER automatically retrieves clinical patient record data in a timely manner, after a discharge from the hospital, to jump start care transitions. By eliminating the arduous process of monitoring various EHR portal logins, national networks, faxes, calls to hospital records offices, and similar administrative tasks, ARCHER empowers hospitals and providers to re-focus their time on patients, reduce cost, and deliver the highest standards of quality care.