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May-June 2012

ONC seeks comment on state-to-state HIEs

As more states are beginning to launch their health information exchanges new discussions are underway regarding how state to state health information exchange will take place. The Office of the National Coordinator for Health Information Technology released a Request for Information on Governance of the Nationwide Health Information Network on May 15.

The key components of the proposed governance approach include:

  1. A set of conditions for trusted exchange (CTEs) in three areas: safeguards, interoperability, and business practices;
  2. A voluntary validation process for entities to demonstrate conformance to the CTEs and to increase provider confidence that the exchange entities meet these requirements;
  3. Processes to regularly update and improve CTEs;
  4. A process to classify the readiness of technical standards and implementation specifications to support interoperability CTEs; and
  5. Approaches for monitoring and transparent oversight

In order to receive the best input from all stakeholders on governance issues the RFI includes many questions about these proposals. The public comment period closes at 5pm on June 29; click here for more information.

KHIN implements DIRECT

Direct Project_logoIn June the KHIN health information exchange software will be updated to include DIRECT. KHIN has always offered secure clinical messaging that allows providers the ability to securely exchange information with other Kansas providers. The addition of DIRECT will now allow the exchange of information with providers all across the nation.

The first connection that KHIN will make is with the Lewis and Clark Information Exchange (LACIE) so providers can share information across the Kansas–Missouri state line. This connection will be available in third quarter 2012.

Providers will also be able to use DIRECT messages to share information securely with their patients. Each provider or his or her organization will have a Direct Address that he or she can use to send and receive messages. Direct Project messages are secure, which means that unlike email DIRECT can be used to send patient information to other providers who need it to care for patients or directly to patients.

For more information on DIRECT please visit THE DIRECT PROJECT website.

Launch of HIE in Kansas announced

Moser announces_HIE_2012On May 23, officials in charge of regulating health information exchange in Kansas briefed the media on what they think it will mean for patients and for the Kansas health care system. (Read more)

"In the long run, this will reduce duplication of services, costs and decrease the risk of providing inappropriate medical care at the wrong time or to the wrong patient," said Dr. Robert Moser, secretary of the Kansas Department of Health and Environment.

Kansas Health Information Network and LACIE, the two health information exchange organizations in Kansas that have received a temporary Certificate of Authority, will begin sharing patient information in July 2012. This will include demographics, medications, allergies, lab results and medical history including problems, diagnoses, procedures, surgeries and immunizations. Substance abuse data will not be available on the network unless explicitly authorized by a patient.

State develops HIE consumer education materials

Consumer HIE_poster_imageRecently, the KHIE Board of Directors reviewed the consumer materials that would be available for health care providers to share with their patients. The consumer materials include a brochure, three posters and a fact sheet which can be printed off.

The materials are designed to be used by health care providers when they are ready to begin sharing their facilities health care data with the exchange. The posters should be posted 30 days before a facility goes live on the exchange and the brochures and fact sheets should be made available to patients at the same time. KHIN staff will assist providers in making sure they have all the materials they need in a timely manner.

From the Executive Director

McCrary_Laura_webLaura McCrary Ed.D

On May 9, 2012 the Kansas Health Information Network (KHIN) received its temporary Certificate of Authority to conduct health information exchange business in Kansas. The Certificate was awarded to KHIN by the Kansas Health Information Exchange (KHIE) which is a regulatory organization that oversees the delivery of health information exchange in Kansas. The temporary Certificate is good from July 1, 2012 to July 1, 2013. A formal review committee will begin meeting in June 2012 under the leadership of Dr. Jen Brull to make recommendations regarding a full Certificate of Authority.

I wish to thank everyone who has worked so hard to help Kansas get to this point. It is a very exciting time. If you would like more information, please contact Laura McCrary Ed.D at

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