HIE: Latest and Greatest Developments

Patrick Rossignol, Principal, Deloitte Consulting, LLP. We have just seen unprecedented activity in the Health Information exchange (HIE) area with the influx of funds by ONC and the impact of HITECH’s meaningful use. Patrick presents ongoing developments and potential end points at each level and their cumulative impact: 1) The National Health Information Network (NHIN) efforts and the long-term impact of the definition interoperability standards; 2) State-level HIE Cooperative Agreements: the states’ role as conveners, connectors and operators and ONC’s assumption is that service-oriented architecture (SOA) will be the foundation; 3) Regional and “proprietary” HIEs: the multiplication of hospital-sponsored HIEs using the impact of HITECH requirements on community hospitals and community physicians (and the relaxation of the Stark laws) to create “HIEs-of-One” throughout the U.S.; 4) Medical Home and Connected Communities; and 5) Interoperability’s endgame: clinical effectiveness; where interoperability and healthcare reform create a completely new operating environment for providers including those caused by ICD-10 and HIPAA 1050.