HIMSS 2008: Privacy--The 'Thorniest' Issue in Data Exchange
Formed in 2006, BHIX is an effort to share data among several nursing homes and home care agencies with Maimonides Medical Center and Kingsbrook Jewish Medical Center. The presentation provided insight into why data exchanges often struggle. For example, BHIX initially had hoped for a "universal consent" process. In this model, having one provider in the exchange gain a patient's agreement to participate in the exchange would automatically enroll all other providers, and thus streamline sharing data among the multitude of potential participants.
However, after reviewing other exchanges, BHIX opted for a "provider-by-provider" consent process. In this method, the provider gaining patient consent would be able to view information generated by other providers.
There were other difficulties encountered beyond the logistics of gaining informed consent, however. For example, Koch pointed out how the lack of a standard clinical vocabulary makes interpreting shared records difficult. Pertaining to medications, "start date" and "effective date" mean different things at different organizations.
The Brooklyn project is among some nearly 400 similar ventures underway in the U.S., according to HIMSS Analytics. Maimonides won a New York state grant in 2006, which sparked the formation of the now-independent BHIX. It has a joint governing model, representing three home care agencies and four nursing homes. The data exchange will enable the sharing of both discrete electronic data and scanned images, such as advance directives. Data sharing is expected to begin later this year.
- CMS to Speak with ICD-10 Backers Tuesday
- Boston Marathon Bombing Yields Lessons for Hospitals
- Governor Details Healthcare Payment Reform Path in Arkansas
- Reform Puts Vise Grips on Physicians
- MetroHealth Revs Its Population Health Engine
- Medicare Opt-Out a Viable Physician Strategy
- Hospital Groups Back NQF Report on Patient Sociodemographics
- Providers Lag as Consumers Set Agenda
- NPP Demand Rising Under Value-Based Care Models
- HIX Success Could Generate Add-On Revenue for CT