Health Information Exchange

Health Information Exchange

Navigating and Managing a Network of Health Information Systems

2nd Edition - November 9, 2022

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  • Editor: Brian Dixon
  • Paperback ISBN: 9780323908023
  • eBook ISBN: 9780323908030

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Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understand, manage and make use of a health information exchange infrastructure, which moves patient-centered information within the health care system. The book informs and guides the development of new infrastructures as well as the management of existing and expanding infrastructures across the globe. Sections explore the reasons for the health information exchange (HIE) infrastructures, how to manage them, examines the key drivers of HIE, and barriers to their widespread use. In addition, the book explains the underlying technologies and methods for conducting HIE across communities as well as nations. Finally, the book explains the principles of governing an organization that chiefly moves protected health information around. The text unravels the complexities of HIE and provides guidance for those who need to access HIE data and support operations.

Key Features

  • Encompasses comprehensive knowledge on the technology and governance of health information exchanges (HIEs)
  • Presents business school style case studies that explore why a given HIE has or hasn't been successful
  • Discusses the kinds of data and practical examples of the infrastructure required to exchange clinical data to support modern medicine in a world of disparate EHR systems


Graduate students in medical informatics, healthcare providers, global health stakeholders, medical informaticians

Table of Contents

  • Section 1: Health Information Exchange Fundamentals
    1. What is Health Information Exchange?
    2. Health Information Exchange as a Profession
    3. Policies and Incentives for Adoption: Towards Broader Use

    Section 2: Organizational Aspects of Managing Health Information Exchange 
    4. Engaging and Sustaining Stakeholders: Towards Governance
    5. Managing the Business of Health Information Exchange: Towards Sustainability
    6. Managing Privacy, Confidentiality, and Risk: Towards Trust
    7. Managing Threats to Health Data and Information: Towards Security

    Section 3: Technical Architecture and Building Blocks 
    8. Architectures and Approaches to Manage the Evolving Health Information Infrastructure
    9. Syntactic Interoperability and the Role of Syntactic Standards in Health Information Exchange
    10. Standardizing Health Care Data across an Enterprise
    11. Shared, Longitudinal Health Records for Clinical and Population Health
    12. Client Registries: Identifying and Linking Patients
    13. Facility Registries: Metadata for Where Care Is Delivered
    14. Health Worker Registries: Managing the Health Care Workforce
    15. Finance and Insurance Services: Supporting Achievement of Universal Healthcare

    Section 4: Impacting Health Care Delivery and Outcomes
    16. The Evidence Base for HIE
    17. Measuring the Value of HIE
    18. Leveraging HIE to Facilitate Large Scale Data Analytics
    19. Incorporating Social, Genomic, and Environmental Determinants into HIE
    20. Cross-border HIE to Achieve World Health Outcomes
    21. Future Directions for Health Information Exchange

    Section 5: Case Studies in Health Information Exchange
    22. The Indiana Health Information Exchange
    23. Using Health Information Exchange to Support Public Health Activities in Western New York: A Case Study
    24. Creating a 21st Century Health Information Technology Infrastructure: New York’s Health Care Efficiency and Affordability Law for New Yorkers Capital Grant Program
    25. Use of HIEs for Value-Based Care Delivery: A Case Study of Maryland’s HIE
    26. Return on Investment: The Case of the Social Security Administration
    27. HIE-Enhanced Care Coordination: Implementation and Evaluation of Event Notification Services in the Veterans Health Administration
    28. A Resilient Infrastructure to Facilitate Digital Health: The Case of HIE in Denmark
    29. National Health Information Systems: Exchange in Multiple African Nations
    30. Health Information Exchange in Taiwan: Multiple Layers to Facilitate Broad Access and Use of Data for Clinical and Population Health
    31. Israel’s National HIE Network Ofek: A Robust Infrastructure for Clinical and Population Health
    32. Bringing HIE to the Middle East and North Africa: The Case of Malaffi in Abu Dhabi

Product details

  • No. of pages: 732
  • Language: English
  • Copyright: © Academic Press 2022
  • Published: November 9, 2022
  • Imprint: Academic Press
  • Paperback ISBN: 9780323908023
  • eBook ISBN: 9780323908030

About the Editor

Brian Dixon

Brian E. Dixon, MPA, PhD, FACMI, FHIMSS both teaches and does research in the area of health information exchange. Since 2012, he has taught a course on HIE, first at the IU School of Informatics and Computing and now at the IU Fairbanks School of Public Health. The course covers the fundamentals of information exchange between clinical and public health organizations, focusing on governance, privacy, and technical aspects of developing as well as managing HIE. His research focuses on improving clinical and public health decision-making through innovative processes and technologies that provide comprehensive information on patient and population health. Recent and ongoing work includes leveraging clinical and administrative data in electronic health records from an HIE to improve public health reporting processes, surveillance activities, continuity of care for Veterans, and community health assessment activities.

Affiliations and Expertise

Assistant Professor, Richard M. Fairbanks School of Public Health, Indiana University, USA; Research Scientist, Center for Biomedical Informatics, Regenstrief Institute

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