Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites.

Tópicos

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Resumo

RPOSE: We describe the Department of Veterans Affairs' (VA) Virtual Lifetime Health Electronic Record (VLER) pilot phase in 12 communities to exchange health information with private sector health care organizations and the Department of Defense (DoD), key findings, lessons, and implications for advancing Health Information Exchanges (HIE), nationally.METHODS: A mixed methods approach was used to monitor and evaluate the status of VLER Health Exchange pilot phase implementation from December 2009 through October 2012. Selected accomplishments, contributions, challenges, and early lessons that are relevant to the growth of nationwide HIE are discussed.RESULTS: Veteran patient and provider acceptance, trust, and perceived value of VLER Health Exchange are found to be high, and usage by providers is steadily growing. Challenges and opportunities to improve provider use are identified, such as better data quality and integration with workflow. Key findings and lessons for advancing HIE are identified.CONCLUSIONS: VLER Health Exchange has made great strides in advancing HIE nationally by addressing important technical and policy issues that have impeded scalability, and by increasing trust and confidence in the value and accuracy of HIE among users. VLER Health Exchange has advanced HIE interoperability standards and patient consent policies nationally. Policy, programmatic, technology, and health Information Technology (IT) standards implications to advance HIE for improved delivery and coordination of health care are discussed. The pilot phase success led to VA-wide deployment of this data sharing capability in 2013.

Resumo Limpo

rpose describ depart veteran affair va virtual lifetim health electron record vler pilot phase communiti exchang health inform privat sector health care organ depart defens dod key find lesson implic advanc health inform exchang hie nationallymethod mix method approach use monitor evalu status vler health exchang pilot phase implement decemb octob select accomplish contribut challeng earli lesson relev growth nationwid hie discussedresult veteran patient provid accept trust perceiv valu vler health exchang found high usag provid steadili grow challeng opportun improv provid use identifi better data qualiti integr workflow key find lesson advanc hie identifiedconclus vler health exchang made great stride advanc hie nation address import technic polici issu imped scalabl increas trust confid valu accuraci hie among user vler health exchang advanc hie interoper standard patient consent polici nation polici programmat technolog health inform technolog standard implic advanc hie improv deliveri coordin health care discuss pilot phase success led vawid deploy data share capabl

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