Care Coordination and Interoperable Health IT: Overview of Interoperable Health IT Self-assessment key 1. Health care interoperability is best defined as: a. The ability of a system to make electronic health information related to a patient's current visit available to the patient, as well as to their health care provider b. The ability of providers to work together within and across organizational boundaries in order to advance the effective delivery of health care for individuals and communities c. Broadband capabilities and a telecommunications infrastructure across health IT products and health care organizations supporting patient and provider communication over the Internet *d. Making the right electronic health information available to the right people at the right time across products and organizations, in a way that can be relied upon and meaningfully used by recipients Answer: d. a is incorrect becaue health interoperability goes beyond making data available for a single visit. b. is not correct - it is a goal that requires health interoperability for it to succeed. c is helpful infrastructure for health interoperability but is not health interoperability. d is the correct answer. Objective:: 1-Define health care interoperability Lecture/Slide: a,2-3 2. Interoperable health IT is seen as key to enable: a. Better coordination of care b. A learning health system c. Patient-centered care *d. All of the above Answer: d. Each of these goals require health interoperability for success. Objective:2- summarize the vision and benefits of interoperable health IT Lecture/Slide: a, 8-13 3. Which one of the following is a benefit of interoperable health IT? a. Offers faster access to patient records by health care providers in their certified EHR *b. Promotes better longitudinal tracking of patients and patient groups C. Leads to reduction in errors and redundant testing within individual records, but not across records d. Patient has multiple identification numbers at each organization. Answer: b. Both a and c discuss EHR use without interoperability. d is a challenge not a benefit. a is a benefit because interoperable health IT connects enables the connection of a patient's records across encounters. Objective: 1 Summarize the vision and benefits of interoperable health IT Lecture/Slide: a, 14-16 4. Lack of interoperable health IT can be a problem for entrepreneurs when trying to create innovative health IT solutions. *a. True b. False Answer: a. According to the JASON Report entitled “A Robust Health Data Infrastructure” describes the difficulty in developing innovative solutions due to the lack of EHR interoperability. Objective:: 3-Identify barriers and challenges to obtaining interoperable health IT Lecture/Slide: b, 5 5. Which of the following statements is NOT true regarding barriers to interoperable health IT in the United States. a. Without a national patient ID, it is difficult to match all patient records to the right patient *b. Health IT standards that facilitate any level of interoperability have yet to be adopted in the United States c. There is a need for better governance and trust among entities to facilitate sharing of health information d. Implementing widespread interoperable health IT is expensive and providers do not have strong incentives for implementation Answer: b.Health Interoperability standards have been adopted in the United States. However, robust integrated standards solutions have yet to be widely adopted. Current interoperability standards adopted still require a large amount of implementation work to connect systems together therefore impeding interoperability when its at a large scale. Objective:: 3-Identify barriers and challenges to obtaining interoperable health IT Lecture/Slide: b, 4, 8 6. Ensuring patient privacy can be a challenge when implementing health interoperability. Which statement(s) discuss this challenge? a. Costs of interoperability implementation can be prohibitive to vendors and providers b. Some potential sharing partners are not able to accept or send information electronically because these organizations chose not to participate in the EHR Incentive Program or were ineligible *c. Consent management complexities include handling of revoked consents and consents requesting additional privacy of sensitive data d. Health IT vendors may feel they do not benefit from an open-systems approach Answer: c. a, b, and d are challenges but they do not discuss privacy related challenges. c. discussed consents which are important to manage to honor a patient's privacy wishes. Objective:: 3-Identify barriers and challenges to obtaining interoperable health IT Lecture/Slide: b, 11 7. Implementing and supporting health interoperability on a large scale is a challenge because: a. Provider workflow must change to support interoperability between two organizations b. Inadequate vendor interoperability testing may lead to unpredictable results when sharing information between parties c. Patient records can be located once their national patient identifier is known *d. Governance and decision-making is complex and time-consuming Answer: d. c. is not a challenge. d is the best answer since the scale of an interoperability problem directly effects the complexity and time of governance and decision making. Objective:: 3-Identify barriers and challenges to obtaining interoperable health IT Lecture/Slide: b,13 8. Which of ONC's Federal Health IT Strategic Plan goals addresses the interoperable health IT necessary to achieve the rest of the goals? *a. Enhance the nation's health IT infrastructure b. Advance person-centered and self-managed health c. Transform health care delivery and community health d. Foster research, scientific knowledge, and innovation Answer: a. b-d are all strategic plan goals that build on an interoperable health IT infrastructure provided by a. Objective:: : 4-Discuss the U.S. strategy for health interoperability Lecture/Slide: c, 6 9. ONC's interoperability roadmap discusses the idea of expanding data sources and users of the interoperable health IT ecosystem by 2020. This refers to: a. Sharing information with rehabilitation facilities b. Using telehealth to communicate with patients outside of the traditional clinical setting c. Collecting relevant information from a variety of data sources through mobile devices *d. All of the above Answer: d.Expanding data sources and users means going beyond the traditional sources for data and now including patients, home health, longterm care and other sources. Telehealth and mobile Health are important tools of access expansion. Objective:: 4-Discuss the U.S. strategy for health interoperability Lecture/Slide: c,14 10. The ultimate goal of the ONC interoperability roadmap is to: a. Support accountable care organizations *b. Support a learning health system c. Support patient-centered medical homes d. Support the health of chronically ill patient populations Answer: b.The roadmap shows that the final goal for 2024 is to achievement a Learning Health System which consists of fully data driven healthcare and a continuously learning healthcare system Objective:: 4-Discuss the U.S. strategy for health interoperability Lecture/Slide: c., 14 Health IT Workforce Curriculum Care Coordination and Interoperable Health IT Systems Version 4.0 / Spring 2016 Exchange of Health Information This material (Comp22 Unit8) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0006. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.