Abisa Michael
University of Kentucky, Lexington, Kentucky, USA.
Online J Public Health Inform. 2017 Dec 31;9(3):e196. doi: 10.5210/ojphi.v9i3.7491. eCollection 2017.
To explore the challenges Health Information Technology (HIT) vendors face to satisfy the requirements for Meaningful Use (MU) and Electronic Laboratory Reporting (ELR) of reportable diseases to the public health departments in Kentucky.
A survey was conducted of Health Information Exchange (HIE) vendors in Kentucky through the Kentucky Health Information Exchange (KHIE). The survey was cross-sectional. Data were collected between February and March 2014. Participants were recruited from KHIE vendors. Participants received online survey link and by email and asked to submit their responses. Vendors' feedback were summarized and analyzed to identify their challenges. Out of the 55 vendors who received the survey, 35(63.64%) responded.
Of the seven transport protocol options for ELR, vendors selected virtual private network (VPN) as the most difficult to implement (31.7%). Secure File Transfer Protocol (SFTP) was selected as preferred ELR transport protocol (31.4%). Most of the respondents, 80% responded that they do not have any challenge with the Health Level 7 (HL7) standard implementation guide required by MU for 2014 ELR certification.
The study found that the most difficult transport protocol to implement for ELR is VPN and if vendors have preference, they would use SFTP for ELR over KHIE choice of VPN and Simple Object Access Protocol (SOAP). KHIE vendors do not see any variability in what is reportable by different jurisdiction and also it is not difficult for them to detect what is reportable from one jurisdiction verse the other.
探讨健康信息技术（HIT）供应商在满足肯塔基州公共卫生部门对可报告疾病的有意义使用（MU）和电子实验室报告（ELR）要求方面所面临的挑战。
通过肯塔基州健康信息交换（KHIE）对肯塔基州的健康信息交换（HIE）供应商进行了一项调查。该调查为横断面调查。数据于2014年2月至3月收集。参与者从KHIE供应商中招募。参与者通过电子邮件收到在线调查链接，并被要求提交他们的回复。对供应商的反馈进行了总结和分析，以确定他们面临的挑战。在收到调查的55家供应商中，35家（63.64%）做出了回应。
在ELR的七种传输协议选项中，供应商选择虚拟专用网络（VPN）作为最难实施的选项（31.7%）。安全文件传输协议（SFTP）被选为首选的ELR传输协议（31.4%）。大多数受访者（80%）表示，他们在2014年ELR认证所需的健康级别7（HL7）标准实施指南方面没有任何挑战。
研究发现，ELR最难实施的传输协议是VPN，如果供应商有偏好，他们会在ELR中使用SFTP，而不是KHIE选择的VPN和简单对象访问协议（SOAP）。KHIE供应商没有看到不同司法管辖区可报告内容的任何差异，而且对他们来说，检测一个司法管辖区与另一个司法管辖区的可报告内容也并不困难。
