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In this Issue: Continuity of Care – The International Perspective
This month's issue of is the first of a two-part series that focuses on continuity of care across the globe. Features provide insights on how the continuity of care is defined and realized by clinicians in Hong Kong, Middle East and England. Be sure to check out the September 2013 issue, which will dive into the continuity of care from clinicians' views in the United States.

State of the Industry

IT Interoperability for Continuity of Care
by John P. Hoyt, FACHE, FHIMSS


The historically predominant US model of independent, entrepreneurial physicians is changing quickly because we have learned coordinated care is safer, more efficient and certainly more satisfying to patients and their families. That is the goal of the Patient Centered Medical Home (PCMH) model being promulgated and incented by Medicare. As a result, Integrated Delivery Systems (IDNs) are acquiring medical practices—both primary care and specialty care — in order to have the foundation in place to deliver coordinated care.

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Meet an Informaticist

Nurses Get Mobile to Serve the Hong Kong Community
By Eric Chan, Dalton Chong, K K Mak


In Hong Kong, continuity of care connects services between hospitals and community with appropriate information support. Today, healthcare service and technology are inseparable. With the use of technology, healthcare services break the boundary between the hospital and the community, across sectors and countries. The key is working with the users and selecting technology that holds its ground a little longer than the next model.

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Continuity of Care in the Middle East
By Samir Sawli, CPHIMS, RN, PhD, and Ali Awada, RN


There are two factors that drive the continuity of care in the Middle East (ME), the culture and the geographic distribution of citizens. Governments in the ME have invested and made efforts to provide continuity of care to patients at their home within the radius of care at large hospitals and for patients living in remote areas. However, the initiatives and companies providing continuity of care are very limited. It exists more where the payer is the patient and not the government. Technology has contributed to the efficiency of care in remote areas evidenced by hundreds of comments provided by patients who received care without having to travel or come to the healthcare facility.

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Providing the Right Information at the Right Time to the Right Patient in England
By Anne Cooper


I am the lead for nursing informatics in NHS England, which is the organization in the English National Health Service responsible for the commissioning of health services with the aim of a health system that provides high-quality care for all, now and for future generations. Nursing informatics in the UK has not had the profile it has in the United States and has been seen as a highly specialist role which few people have occupied. The Royal College of Nursing has supported nursing informatics as a specialty for years. It has an e-Health advisor as part of its organization but nursing informatics has not permeated throughout the system.

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Call for Proposals to the NCPDP Conference
NCPDP (National Council for Prescription Drug Programs) invites pharmacy and healthcare industry leaders to respond to a Call for Presentations for the NCPDP 2014 Annual Technology & Business Conference. Seeking proposals on: state health exchanges, EPCS implementation challenges, CMS regulations, medication therapy management, the future of PDMP's, ICD-10 Implementation Impact, risk evaluation and mitigation strategies, the future of pharmacy and much more. Submit Call for Presentations form to Wendy Feldbauer by Friday, August 30, 2013.

Clinician Events During Next Month's Policy Summit
Join HIMSS during the 12th Annual Policy Summit on Sept. 18-19, 2013 at the Hyatt Regency in Washington, D.C. HIMSS is hosting two exclusive clinician events:

  • Clinician Education Breakout Session: On Wednesday, Sept. 18, at 1:30 pm - 4:00 pm, presenters will discuss how we can engage the patient through meaningful use and the road to safety regulations.
  • Tell Your Story on the Hill: During Congressional visits on Thursday, Sept. 19, at 1:00 pm - 4:00 pm: share your value of health IT story with leading members of congress, their staff, the Nursing Congressional Caucus, and other leaders who are developing health policy.

Learn more about the HIMSS 12th Annual Policy Summit—the culmination of National Health IT Week.

Take the 2013 HIMSS Compensation Survey
The biennial HIMSS Compensation Survey is the definitive resource for health IT professionals to compare compensation packages. The survey, conducted by HIMSS, provides overall statistics for trends in the industry, while offering demographic information by facility budget, facility type, geographic region, gender, length of service and professional level. Check out the 2010 Compensation Survey results.

UK – US Study Trip Highlights Nursing Informatics Across the Pond
The HIMSS Blog features a series that shares insights on the 2013 United Kingdom (UK) Nursing Informatics (NI) Leadership US Immersion Study. The Study trip was a joint effort between HIMSS, HIMSS Europe and Cerner. The three partners launched a year-long initiative aimed at promoting the role of UK nurses in implementing and using information technology. Culminating the year-long initiative was a hosted nursing leadership delegation trip to Chicago in June 2013. A 10-person delegation of nursing informatics leaders was selected from across the UK to meet with US nursing informatics leaders.

Tool Box Picks

Compiled by Cheryl D. Parker, RN, MSN, PhD, FHIMSS

Primary Healthcare: How Wide Is the Gap Between Its Agenda and Implementation in 12 High-Income Health Systems?
In this 2008 report, the World Health Organization set forth four policy reforms needed to elevate the role of primary care in health systems around the world. Among these were universal insurance coverage, healthcare delivery organized around primary care, the integration of public health initiatives with primary care delivery, and leadership for promoting dialogue with stakeholders

International Perspectives on Patient Engagement: Results from the 2011 Commonwealth Fund Survey
An international survey of adults with complex healthcare needs found wide variations in the degree to which patients are engaged in their own care—from self-managing a health condition to actively participating in treatment decisions. Across countries, engaged patients reported fewer medical errors, higher care ratings, and more positive views of the health system as a whole.

Continuity of Care Record – ASTM International Standard
The Continuity of Care Record is an ASTM International standard that will change how healthcare professionals communicate and transfer healthcare information about their patients. The ASTM specification for Continuity of Care Record was developed by Subcommittee E31.28 on Electronic Health Records, which is under the jurisdiction of ASTM Committee E3 on Healthcare Informatics.

HL7/ASTM Implementation Guide for CDA Release 2 - Continuity of Care Document (CCD®) Release 1
The Continuity of Care Document (CCD) fosters interoperability of clinical data by allowing providers to send electronic medical information to other providers without loss of meaning and enabling improvement of patient care. CCD is an implementation guide for sharing Continuity of Care Record (CCR) patient summary data using the HL7 Version 3 Clinical Document Architecture (CDA), Release 2.

HIMSS Analytics EMR Adoption Model (EMRAM)
The EMRAM is an eight-step process that allows providers to analyze their organization's level of EMR adoption, and track their progress against other healthcare organizations across the country. View the Asia-Pacific EMRAM, European EMRAM and US EMRAMs.

Cheryl D. Parker, RN, MSN, PhD, FHIMSS, is chief nursing informatics officer at Rubbermaid Medical Solutions.

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Join the Discussion

Coordinated care—how can we start putting all the pieces together?
One of my favorite quotes from HIMSS13 was from Ochsner Health CEO Warner Thomas. He said "You never hear a patient say, ‘I want coordinated and organized care.' They just expect it." So, how can we start putting all the pieces together to realize coordinated care?

Connect with HIMSS
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Upcoming Events

National Health IT Week
Sept. 16-20, 2013

12th Annual HIMSS Policy Summit
Sept. 18-19, 2013
Washington, DC

Privacy & Security Forum
Sept. 23-24, 2013
Boston, Mass.

2013 Midwest Fall Technology Conference
Nov. 10-12, 2013
Milwaukee, Wisc.

mHealth Summit
Dec. 9-11, 2013
Washington, DC Area

HIMSS Chapter Events

Webinars and Audio Conferences
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Clinical Informatics Insights is a monthly e-newsletter published by the Healthcare Information and Management Systems Society (HIMSS) that provides timely and comprehensive coverage on the effective integration of informatics across the continuum of care.

Editor's Note: The inclusion of an organization name, product, resource or service in this e-newsletter should not be construed as a HIMSS endorsement of such organization, product or service, nor is the failure to include an organization name, product or service to be construed as disapproval.
Copyright© 2013 by the Healthcare Information and Management Systems Society.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission.
Contact HIMSS Clinical Informatics Insights at cmclean@himss.org.

Members of HIMSS Informatics Team
Joyce Sensmeier, RN–BC, MS, CPHIMS, FAAN, FHIMSS, Vice President, Informatics
Christel Anderson, Director, Clinical Informatics
Jennifer Roniger, Program Manager, Informatics

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