If I were the health information manager in Manchester health access program, I would choose the centralized model of health information exchange. It would be easy to have one central place and management that would make it more efficient to transfer data and exchange patient information between different hospitals in Manchester County.
The Model Type
The centralized model is a health information exchange system where a different organization is served with only one information control center known as a clinical data warehouse, for the case of hospital or health centers in a given region (Shapiro et al., 2016). The centralized system is managed by a single board of management that includes information managers from different member organization. With this model, all patient data will be stored and exchanged from a central place. The member hospital will be sending the patient information from time to time for the record-keeping, and also updating the registry through an interface that connects individual hospitals electronic health records.
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The centralized or consolidated system has its own weakness (Mikel, 2017). It is costly to establish a centralized health information exchange system. The system is also prone to information duplication. Some of the member hospitals may not have the full trust in the system hence may fail to submit the required information. Despite the limitations of the consolidated health information exchange. I will choose this system since it saves more time and also more efficient when it comes to the exchange of patient information. Having one centralized management, makes it easier and less complicated to make necessary improvement or changes in the system than the federal system. I prefer saving patient life, which is the main goal of a health system, that considering the cost.
The Type of Exchange
The type of health information exchange that will be used will be the direct exchange model (Vest & Cash, 2016). In this type of health information exchange, the health care provider has the ability to send and receive information from the centralized clinical data warehouse. The information sends or received can be patient medication history, laboratory information concerning the patient, medication history or patient referrals and discharge summary. The information sending and receiving will be done through the internet via a secure encrypted data using security software such as VPN. The direct exchange will also be blended with the requested exchange. The clinician interested with certain type of patient information will send a request to the central data warehouse. Before the patient information is sent to the clinician, there will be a check on the authenticity and the origin of the request. This data will be saved for the security and references purposes in the future.
Reason for Choosing the Model
As mentioned earlier, this model is the best for regional health information services. It is more efficient since it will be easier to get information from a centralized warehouse rather than looking for information from different places. Though it is prone to duplications, this problem can be managed with ease by implementing a centralized system rather than duplication that may arise from the federated system. Other issues on quality and security standards are guaranteed since the different hospitals, via their health information management will contribute resources and ideas to continuously raise the quality and security standards. The bottom line is that although the centralized model may present the cost issue, it is cheaper in the long run, compared to the federated system, which may be cheaper as a single unit but more expensive as collective unit.
References
Bhansali, N. (Ed.). (2013). Data governance: Creating value from information assets . CRC Press.
Mikkel, E. (2017). Patterns of party formation in Estonia: consolidation unaccomplished. In Post-Communist EU Member States (pp. 37-64). Routledge.
Shapiro, J. S., Crowley, D., Hoxhaj, S., Langabeer II, J., Panik, B., Taylor, T. B., & Nielson, J. A. (2016). Health information exchange in emergency medicine. Annals of emergency medicine , 67 (2), 216-226.
Vest, J. R., & Kash, B. A. (2016). Differing strategies to meet information‐sharing needs: publicly supported community health information exchanges versus health systems’ enterprise health information exchanges. The Milbank Quarterly , 94 (1), 77-108.
