At Infosys, our focus on Healthcare is aimed at radical progress in affordability, wellness, and patient-centricity. We believe technology is a catalyst for game-changing healthcare solutions. In this blog, we discuss challenges, ideas, innovations, and solutions for the healthcare economy.

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HIEs as a vehicle for Meaningful Use

Meaningful use should not be seen just as installing a certified EHR and generating the required reports. Ability to exchange Health Information securely over the internet is one of the foundations that need to be in place for realizing the key benefits of improved quality of care and patient safety at lower cost. While most of the stage 1 criteria may not have a direct dependency on Health Information Exchanges (HIE), you can expect to see increased relevance of HIEs in near future, in the context of implementing some of the Meaningful Use (MU) requirements.

Stage 2 of MU will focus on increased use of decision support. HIEs will facilitate integrated health records of patients across providers which is a key requirement for effective clinical decision support. HIEs will also play a key role in enabling better care coordination, which is a critical success factor for better clinical outcomes, a key focus area for stage 3 of MU.

The success of HIE would depend on the functionalities it offers and the extent of its adoption among the provider communities. A collaborative approach is required with participation from all stakeholders to build a successful HIE. A HIE is expected to facilitate exchange of Clinical information among the care providers, routing of referrals/authorizations and Lab orders/results and prescriptions, exchange of CCD between EHRs, secure communication between 2 providers and sharing problem lists/active medication and chart notes over the health information network. It can also host EHR systems within the network for use by providers on a pay-as-you-use model. Once the majority of the providers have been on boarded, it will act as an important source of information for disease registry and public health reporting.  Secured data exchange, identity management, non-repudiation, consent management, Record locator/Master patient index and provider directory are the key foundational components for delivering the above functions. Additionally, the exchange should be able to support interoperability and multiple vocabularies through effective vocabulary translation.

We are seeing increased activities in the HIE space, particularly in last one year, with the financial support from government providing the much needed impetus. We can expect even more buzz around HIEs as more community health information exchanges, RHIOs and states coming together to establish this useful foundation for meaningful use.


US, European Union and BRIC nations are progressing through healthcare reforms. With the push for accountable care, understanding the cost implication and outcome will be mission-critical for both government and private players in provider space in these nations.
Under the umbrella of HIE (Health Information Exchange) data needs to be efficiently collected from internal and external sources-EMRs, clinical departmental systems, back office, research-and then integrated into a single view for enterprise wide analytics. Such a solution can drive organizational response to healthcare transformation with foresight and leadership. Moreover a healthcare provider organization can get the optimal recognition for patient safety and exceptional evidenced-based care quality while getting ahead of regulatory reform.
There are quite a few package players playing significant roles in the global market e.g. Cerner, GE, Oracle etc. Infosys can tap this large scale opportunity by primarily looking at two aspects: become the sole implementation partner for the suit of Oracle products and create a pool of business analysts to target the provider consulting space.

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