You are in the executive nursing officer characteristic and like been asked by your healthcare diagram to recount the scientific institution on the board of a brand contemporary no longer-for-profit entity established by your community to form and manage the HIE within your predicament. Your predicament has been awarded a federal grant of $250,000 to form the HIE to attend the community. On the principle board meeting of various stakeholders, including payers, companies, hospitals, public health, and healthcare consumers, the neighborhood need to notify the executive govt on what form of switch the neighborhood believes is wanted. The executive govt indicates that a overall switch using the Enlighten Venture protocols for the scale of the community is liable to exceed the federal grant greenbacks, and as such, the neighborhood needs to align on a designate proposition of what the community wants. Here is hoped to handbook to the community being willing to pay for the further costs.
The community has a population of upper than 250,000, with a most distinguished indigent population that tends to make exercise of the ED as an compile admission to to cherish routine healthcare wants. Health center group furthermore suspect that they’ve drug seekers going from one ED to the next wanting for extra medications, but attain no longer like the knowledge to verify this suspicion or to trace patients from one institution to one other.
The community has two foremost healthcare systems which could perchance well be heatedly competitive and no longer liable to be willing to fragment knowledge in a central knowledge repository. Providers in the community compromise one sizable-prepare consortium and just a few independent companies. The sizable neighborhood of companies is demanding that some form of switch be established to enhance their referral substandard. Which implies that, there is heated debate as to whether the community aligns with a switch and infrastructure technique.
1. In step with the wants of the community notorious in the case see, what is your advice as to the correct infrastructure and technical switch mannequin that the community could perchance well simply silent promote?
2. What are one of the most distinguished limitations in accordance to other communities’ screw ups that could perchance well be points for your community and the plot in which attain you overcome those points?
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-DUE DATE NOVEMBER 11, 2025
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