Helping clinicians to view patient records, regardless of care setting.
When time is of the essence, every moment that you wait for a patient’s information could have life altering repercussions for the individual and their family. The ability to cut out this waiting time won’t just help you respond to the needs of a single patient quicker, you’ll also be able to maintain a continuous flow of patients through your health system.
By supporting the exchange of data across organisational, geographical and technological boundaries, caregivers can access clinical information from any venue of care. That means that medications, pre-existing conditions, test results, allergies and more can all easily be considered when clinicians are creating health plans for patients, with safer and more timely decisions reached at the point of care.
Misappropriation of personal data is a key issue for many, but our HIE has been designed with these concerns in mind. It’s built on a secure, standards-based infrastructure, so that individuals’ data is stored, exchanged and managed in an appropriate way, meaning that people only experience the benefits of information sharing.
Quality health and care is best delivered when the entire care team is informed, connected and accountable. Patient risk exists when moving between services and venues, and when care teams are under-informed. Cerner’s Health Information Exchange (HIE) is a standards-based, scalable, vendor-agnostic point-of-care solution built upon the reliable and proven Integrating the Healthcare Enterprise technology infrastructure.
At Cerner we firmly support techUK’s interoperability charter and the principles contained therein. We believe that in order to deliver real integrated health and care, it should be a fundamental patient right that their data can flow to the appropriate place where it is needed for health or care regardless of provider, vendor or venue.
“Community View [HIE] has radically changed the way I practice and revolutionised how my colleagues work.”
— Dr Osman Bhatti, GP and informatics lead, Tower Hamlets CCG
“...A 26-year-old girl came in with an incredibly complex medical history, and we wouldn’t have been able to manage her at the front door without access to her clinical records and letters; the only place that we could access them were on HIE.”
— Robert Fearn, consultant gastroenterologist, Homerton University Hospital NHS Foundation Trust
The HIEs managed by Barts Health NHS Trust and Homerton University Hospital NHS Foundation Trust provide a joined-up information exchange including 183 GP practices, the East London Foundation Trust and three local community services in East London covering Waltham Forest, Newham, Tower Hamlets and City & Hackney CCGs. Together this has created the East London Patient Record. Out of the 89,258 patient record requests made from either Barts Health or Homerton hospitals in the region over a six-month period, 31% (27,567) of the searches returned data from the other hospital’s linked information exchange, demonstrating the value of joining up across adjacent regions for patient care. Plans are being made to link up other Cerner HIE instances and other HIE-based solutions across the capital to improve care co-ordination, quality and safety.
Care providers exchange a wide range of clinical information through HIE including: medical conditions, medications, allergies, laboratory results, radiology, microbiology, care procedures, immunisations, vital signs, diagnoses, visits, discharge summaries and future appointments.
Built to support high volumes of data in a scalable setting, the HIE supports all the primary interoperability standards, including HL7 v2, HL7 v3, IHE, XDS, NwHIN, DICOM, NCPDP, SNOMED CT, ICD-9, ICD-10, NANDA, NIC, NOC, CDA, CCD, CCR, X12, RxNorm, XML, PDF, and non-standard formats like CSV and text files. It facilitates secure exchange through several protocols, including TCP/IP MLLP, web services, and direct messaging.
Here are some of the main use cases and benefits of an HIE:
Cerner is working with several supplier partners to make data accessible across the healthcare economy. Currently, Cerner HIE can access datasets from Healthcare Gateway’s MIG, directly from EMIS, directly from Servelec RiO, directly from AzeusCare and will shortly release a direct link with TPP SystmOne. This list is not exhaustive and other direct links will become progressively available.
Cerner works with its supplier partners to provide access to the Cerner HIE as a contextual link within the application rather than through a secondary login to encourage clinical adoption. The contextual link is available from: EMIS Web, INPS, Servelec RiO, AzeusCare and TPP SystmOne. This is not an exhaustive list and new suppliers and their solutions will become progressively available.
Yes, Cerner HIE is vendor agnostic, 80 percent of our Cerner HIE connections are to non-Cerner EHRs. Our Cerner HIE technology does not rely on our Cerner Millennium® EHR technology and is a separate technology stack and solution. As an example, Cerner has implemented our HIE for Tanner Health and Northeast Georgia Health System. Neither of these clients have implemented our EHR.
The Cerner HIE has a flexible data model. Three permanent models for data governance exist today and are fully supported by our HIE: centralised, federated and hybrid. In all three governance models, health care organisations’ internal policies for data sharing and enterprise security are taken into account during implementation to ensure the data gets stored, secured, exchanged and managed appropriately.
Aggregate and normalise data across the health and care economy to improve performance and outcomes.
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Take a high-level view of your populations to help you proactively focus on particular areas.