HIE Use Cases Help Drive Improved Quality & Reduced Costs

HIE Use Cases Help Drive Improved Quality & Reduced Costs

Health data interoperability and health information exchange are challenging prospects for the provider community.  Despite these complexities, interoperability remains the goal of the healthcare industry for some very practical reasons: enhanced data exchange brings with it the chance to improve care coordination and raise quality, while reducing costs and supporting revenue growth.

Jersey Health Connect is implementing an HIE Use Case process that will assist its members in focusing attention on identifying, developing and improving opportunities for access to community medical data.

A “Use Case” is a series of related interactions between a system user and a system that enables the user to achieve a meaningful goal. A Use Case narrative describes how the HIE will be used to accomplish a specific goal. Use Cases designed with a goal in mind are a valuable planning tool for providers, as a well-crafted Use Case communicates the functional requirements to drive the technical planning aspects. Having these details worked out first through a Use Case helps to define the scope and develop the solution – while also accelerating the technical evaluation process.

Developing Use Cases requires an understanding of the core business or clinical needs, and targeting the specific issues or opportunities to address. Defining the needs early in the process also accelerates the design effort and provides a basis to evaluate success.

By developing a process for analyzing, approving and prioritizing Use Cases that bring value to our providers and clinicians, JHC can maximize the benefits of the health information exchange for patients and communities. Several categories of Use Cases have been identified as initial priorities. These include Use Cases that support:

  • Population Health Management and Accountable Care Organizations
  • Improved Usability / Ease of Access to Health Information
  • Real-time Alerting and Proactive Data Use Models
  • Expanded Services for Payers, LTC, and Retail Participants
  • Participation in State-Wide and National Exchange
  • Analytics and Data Mining

As Use Cases are developed and reviewed, an ongoing process to evaluate and refine them will ensure that the positive outcomes are realized and improvements are built into the process. The following diagram demonstrates this iterative process.

hie-methodolgy

We are anxious for feedback about our new HIE Use Case process and dependent on input from our clinicians to initiate this endeavor. Please join us in moving the HIE Use Case model forward and helping to identify the best ways to enhance Jersey Health Connect for our members and their patients.

If you have questions about the JHC Use Case endeavor, please contact Jim Cavanagh at jim.cavanagh@jerseyhealthconnect.org.