Paper Info
Title
Implementation Of A City-Wide Health Information Exchange Solution In The Largest Metropolitan Region In China
Abstract
Objective: Health Information Exchange (HIE) enables providers to share healthcare information electronically across different organizations to promote safer, more efficient, and less costly patient-centered care. This paper describes the development and implementation of a city-wide HIE system in Shanghai, China. Methods: In 2006, as a product of the Chinese healthcare reform, the Health Information Exchange and Sharing Platform was proposed as a means to facilitate HIE within Shanghai. In collaboration with the Shanghai Hospital Development Center, a state-run nonprofit corporate, the HIE project was implemented across multiple levels within the city. The HIE system is based on the Service-oriented Architecture and complies with industry standards. Results: On September 2010, the first and largest Chinese HIE system was established. As of 2016 the system includes all of Shanghai's 38 tertiary hospitals (highest level hospitals in China), plus 6 district hospitals, and 40 community health centers, with coverage for 39 million patients. The system currently provides a rich source of patient information including encounter history, medication history, laboratory results, radiology images and reports, and clinical notes. Initial outcomes indicate a significant reduction in medication errors and duplication of tests, saving at least 48 million RMB a year, with overall improvement in the quality of care following implementation. Conclusion: The adoption of HIE in Shanghai resulted in improved access to accurate, complete, and relevant clinical information in real time, thus facilitating delivery of highquality, cost-effective, and efficient care.
Year
Venue
Keywords
2016
2016 IEEE INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOMEDICINE (BIBM)
Health Information Exchange, Interoperability, Regional Health Information Exchange Organizations, Longitudinal Health Records
Field
DocType
ISSN
Environmental resource management,Renminbi,Interoperability,Computer science,China,Community health,Artificial intelligence,Health information exchange,Metropolitan area,Operations management,Health care,Information exchange,Machine learning
Conference
2156-1125
Citations 
PageRank 
References 
0
0.34
0
Authors
6
Name
Order
Citations
PageRank
Guang-Jun Yu111.03
Wenbin Cui200.68
Li Zhou310414.65
David W. Bates41333246.75
Jianlei Gu500.34
Hui Lu6496.27