New York Clinical Information Exchange Planning Project

描述（由申请人提供）：纽约临床信息交换规划项目将导致创建一个为期两年的IAIMS计划，以建立一个健康信息交换系统，使急诊科（艾德）临床医生能够访问在大纽约地区其他机构就诊的患者无法获得的关键临床信息。该项目的主要目标是改善艾德患者人群的患者安全性和减少不良医疗事件，这是一个以关键信息缺口和医疗紧急度而闻名的环境。另一个目标是通过减少不必要的检查和住院来提高护理效率。该计划将包括这种信息交换系统的技术、治理、财务、临床、法律的和评估方面，并将在该地区一些领先的医疗保健实体之间建立第一个合作信息交换项目。具体目标包括：目标1）制定IAIMS计划，以满足迫切需要，为艾德临床医生提供从参与医疗保健机构获得的权威临床数据，以改善临床护理和患者安全。目标2）建立一个过程，以确定和优先考虑参与组织社区内其他临床和经济上有价值的信息交换机会。这将包括在大纽约地区和整个保健连续体内增加一套临床数据要素，并扩大参与组织的范围。目的3）创建一个评估策略，以评估基于ED的信息交换的临床和经济价值。我们相信，本文所述的IAIMS计划将导致试点临床信息交换系统的实施，这将明显改善大纽约地区的紧急护理。此外，该计划将为扩大信息交流奠定基础，包括其他护理场所和组织。

DESCRIPTION (provided by applicant): The New York Clinical Information Exchange Planning Project will lead to the creation of a two-year IAIMS plan to establish a health information exchange system that will enable Emergency Department (ED) clinicians to access critical clinical information not otherwise available for patients who have been seen at other institutions within the Greater New York Region. The primary goal of this project is the improvement of patient safety and the reduction of adverse medical events in the ED patient population, an environment notable for critical information gaps and medical acuity. An additional goal is the improvement of efficiency of care through the reduction of unnecessary test and hospital admissions. The plan will include the technical, governance, financial, clinical, legal, and evaluation aspects of such an information exchange system, and will establish the first cooperative information exchange project among a number of leading healthcare entities in the region. Specific aims include: Aim 1) Develop an IAIMS plan to address a compelling need to provide ED clinicians with authoritative clinical data obtained from participating health care facilities to improve clinical care and patient safety. Aim 2) Establish a process to identify and prioritize other clinically and economically valuable information exchange opportunities within the community of participating organizations. This will include adding to the set of clinical data elements and expanding the scope of participating organizations both geographically within the Greater New York region, and across the health care continuum. Aim 3) Create an evaluation strategy to assess the clinical and economic value of ED-based information exchange. We believe that the IAIMS plan described herein will lead to the implementation of a pilot clinical information exchange system that will demonstrably improve emergent care within the Greater New York Region. In addition, this plan will lay the foundation for expanded information exchange encompassing other care venues and organizations.