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and security, business practices, and technology.


“Physicians who participate in an ac-


credited HIE will know that the HIE has met best practices with respect to pri- vacy and security as well as other key areas in order to provide them and their patients a level of trust with the HIE,” Mr. Gilman said. THSA is collaborating with the Health Information Trust Alliance to implement the Texas Covered Entity Privacy and Security Certification Program early this year. Mr. Gilman says the goal of certifi- cation is to strengthen the protection of Texas residents’ health information. “Texas is the first state to develop a formal approach to certification that incorporates state and federal privacy and security regulations. HIEs and other organizations participating in the pro- gram will be able to show they have met state and federal privacy and security standards to manage risk and increase confidence in how they protect health information,” he said. For additional information about Tex-


as HIE privacy and security, visit http:// bit.ly/J2pvw0.


“We know that the exchange of health information is integral to the ongoing efforts to transform the nation’s health care system, and we will continue to see that grow as more hospitals and other providers adopt and use health IT to im- prove patient health and care,” said Dr. Mostashari. “Our new research is crys- tal clear: Health information exchange is happening, and it is growing. But we still have a long road ahead toward uni- versal interoperability.” Highlights of the research include the following:


• Fifty-eight percent of hospitals ex- changed data with professionals out- side their organization in 2012, and hospitals’ exchanges with other hospi- tals outside their organizations more than doubled during the study period.


• Hospitals with basic EHR systems and participating in HIOs had the highest rates of hospital exchange activity in 2012.


• The proportion of hospitals that ad- opted at least a basic EHR and par- ticipated in an HIO grew more than fivefold from 2008 to 2012.


ONC: EHR adoption spurs data exchange


Research by the Office of the National Coordinator for Health Information Technology (ONC) shows that health information exchange (HIE) between hospitals and other health professionals jumped 41 percent from 2008 to 2012. The research, authored by National


Coordinator for Health Information Technology Farzad Mostashari, MD, and ONC researchers, indicates six in 10 hospitals actively exchanged electronic health information with health profes- sionals and hospitals outside their or- ganizations in 2012. The research sug- gests electronic health records (EHRs) and health information organizations (HIOs) are complementary tools that enable HIE.


44 TEXAS MEDICINE February 2014


• Between 2008 and 2012, significant increases were seen in the percentage of hospitals exchanging radiology re- ports, laboratory results, clinical care summaries, and medication lists with hospitals and providers outside their organizations.


• Eighty-four percent of hospitals that adopted an EHR system and partici- pated in a regional HIO exchanged information with providers outside their organizations.


One area that the research found needs more attention is that of clini- cal care summaries and medication lists. Only about one-third of hospitals exchanged clinical care summaries or medication lists with outside health pro- fessionals and entities. To see state-level estimates for several of the measures included in the research, visit ONC’s Health IT Adoption and Use dashboard at http://dashboard.healthit .gov. The research abstract can be ac- cessed at http://content.healthaffairs .org/content/32/8/1346.abstract.


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