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Glossary

Health information exchange

The movement of clinical information between organizations electronically, and the name for a regional or state body that runs such a service. National exchange runs over Carequality, CommonWell and TEFCA; a state HIE is one more source a query may reach, often the only one holding a small practice's records.

Also HIE, state HIE, regional HIE

“HIE” is used two ways and the difference matters when an agency is deciding how to get records. As an activity, health information exchange is any electronic transfer of clinical data between organizations: a query across the networks, a Direct secure message, an admission notification. As an organization, an HIE is a regional or statewide body that connects the hospitals and practices in its area, aggregates their data, and offers its members a shared record, event notifications and a portal.

The organizations came first. Most states stood one up with federal money after 2009, and the survivors run on member fees and state contracts. Georgia’s is GaHIN; Indiana has IHIE; many states have one and some have several. Their value for outside records is specific:

  • They hold the small practices. A rural clinic or a solo specialist that is on no national network is often connected to the state HIE, because the state or its Medicaid program arranged it.
  • They are often on the national networks. Many state HIEs are Carequality implementers or TEFCA participants, so a network query reaches their members’ records through them without a separate membership.
  • They send notifications. Admission, discharge and transfer alerts, which tell a home health or PACE organization that a patient is in the hospital before the family calls, generally come from the state HIE rather than the national networks.

For an agency the practical question is whether a given source is reachable, and through what. The national frameworks (Carequality, CommonWell, TEFCA) reach the large systems and the vendors’ customers; the state HIE reaches the rest of its state; and a query service worth having asks all of them.

Where it is defined

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Send your details and the calendar opens right here. Book thirty minutes and we will walk a record through the view you would actually use, or skip the call and we will come back in writing.

  1. Send your detailsTwo minutes. Your organization, name, email and phone, and the time records cost you; the rest is optional and helps us reply with something specific.
  2. Pick a timeThirty minutes, live, over synthetic records in the shape your team works in. No slides, and no discovery call before the demo.

Who this is for, and who it is not

  • Coverage comes firstVivlio retrieves from providers, hospitals and health systems it can reach through national exchange networks and direct connections. Name the facilities your patients come from on the form and we check coverage before anyone spends thirty minutes on a demo.
  • You can say what the chasing costsThe form asks how many hours a week your team loses to chasing records. If nobody can put a number near it, the case for Vivlio is not there yet, and we would rather say so than sell you a demo.
  • Patients and files at volumeThis is built for intake that runs every day. For one record, once, your patient can request it from the provider directly, and that will be faster than going through us.
  • Treatment, with the paperwork doneProduction access needs an NPI, a declared purpose of use and a signed BAA. Nobody swipes a card onto live PHI.

If none of those describe you, say so in the last field and we will come back in writing instead of booking a call.

Or call sales directly at 404-777-5772

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