3. Changes in partners’ priorities
The Rhode Island Quality Initiative is an HIO that had a goalto expand ADT and care management alerts and its statewide common provider directory specifically with the Yale New Haven Health System in Connecticut. The organization also sought to expand ADT alerts to a healthcare system in Massachusetts, but due to a shift in priorities, the system pulled out of the project.
However, it was able to share continuity of care documents with one hospital within the health system, based off a redesign of the hospital’s care management work flow and processes. RIQI also work with ambulatory sites to adopt health information exchange services and is integrating Yale New Haven Health System provider data into its statewide common provider directory.
4. Incomplete data due to EHR changes
The Utah Health Information Network (UHIN), is an HIO that aimed to reach smaller rural and urban clinics within Utah via email, and it aimed to connect with long-term post-care acute facilities with ADT notification. Outside of Utah, it aimed to connect health information organizations in Idaho, Nevada, and Nebraska. It created a provider directory based on Fast Healthcare Interoperability (FHIR) technologies.
The organization faced issues connecting with neighboring states due to different states having different and/or competing priorities, and receiving incomplete data from hospital systems due to changes in EHR systems.
“In addition, UHIN spent more time and effort than originally anticipated to encourage participation in the provider directory exchange among states and clinics. Initially, some state and clinical staff did not understand the benefit of such a directory. However, through continued outreach and education with these staff, UHIN has been able to add valuable provider information to the ADT alerts that are currently sent, providing the right data at the right time,” the ONC reported.