The biggest information-exchange bridge built to date between public and private health entities, the eHealth Exchange, is operating on its own as a non-federal, non-profit entity.[See also: NwHIN prepares for broad rollout in October]
The project formerly known as NwHIN-Exchange created enough buzz throughout the year, in certain circles at least, that the news might be taken as almost anticlimactic. In terms of demonstrable progress that the healthcare industry is advancing information interoperability while furthering the business case for exchange, however, the fact that the Office of the National Coordinator for Health IT (ONC) delivered eHealth Exchange is anything but.
Today, 28 partners share health information across eHealth Exchange, a mix of private and public organizations that includes the Centers for Medicare & Medicaid Service, the Department of Defense (DoD), the Social Security Administration and Veterans Affairs (VA), as well as industry heavyweights Kaiser Permanente, Marshfield Clinic, MedVirginia. The Idaho Health Data Exchange, in late September, became the newest member.
Shortly after ONC rechristened NwHIN-Exchange as eHealth Exchange, health IT evangelist and prominent blogger Brian Ahier wrote of the already-evident benefits.[See also: Information exchange requirements emphasized in 2014 EHR plans]
“The VA is sharing patient records among not only numerous VA hospitals but also non-military and private providers. There is also work under way to use Exchange to enable smoother transitions of care between the DoD, VA and the private counterparts that provide more than 50 percent of a military veteran’s care,” Ahier wrote in Nationwide Health Information Network Comes of Age. "At the SSA, sharing data via NwHIN-Exchange has dramatically cut disability determination with 10 percent of claims filled in one to two days.”
Indeed, as Government Health IT reported in the middle of March, those two use cases – the VA and SSA – have not only resulted in smoother transitions of care but also in cost savings. One participant, in fact, eliminated $2 million annually in uncompensated care by being able to recognize dual-eligibles who qualify for both Medicare and Medicaid but did not previously understand that.
“I think that more people need to recognize just how big this is,” John Moehrke, principal engineer specializing in standards architecture and interoperability at GE, put it simply on his Healthcare Security/Privacy blog at the time.“Ultimately the value of this infrastructure is huge for all patients,” Ahier wrote. “We are truly entering a new era.”