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Healthcare Information Exchange in Advancing Shared Care Regionally

Kari Harno
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Kari Harno: Helsinki University Central Hospital, Finland

International Journal of Healthcare Delivery Reform Initiatives (IJHDRI), 2010, vol. 2, issue 1, 43-58

Abstract: Healthcare information exchange (HIE) has been refined from point-to-point messaging to wide-area networks, integrating multiple service providers and transforming the practice and structure of healthcare delivery. The scale and complexity of these information and communication technology (ICT) systems have induced technical, administrative and security challenges that require the roles, relationships and processes in healthcare to be revised in order for the expected change and productivity to be delivered. This article introduces how a federated regional information system was successfully deployed in a Finnish Hospital District and evaluates regional HIE between public healthcare providers. Understanding these principles and critical success factors, that is, the role of stakeholders, governance and financing, is essential for guidance to implement viable cross-organizational information exchange. In this context, ICT not only fulfills the objective of cost containment, but also creates positive impacts on patient care and service quality. The roadmap to a national eHealth network is paved on the premises of these experiences and lessons learned are conceptualized to plans when migrating to a national eHealth network.

Date: 2010
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