Answer to Question 1
hybrid infrastructure
Rationale : A hybrid infrastructure model enables the access and exchange of data stored in existing provider networks and also through a central data repository maintained for smaller providers who would not be able to maintain 24x7 services for HIE access. The infrastructure for data storage may be consolidated with a centralized co-operative central data repository to push and pull data. The infrastructure may be decentralized or federated with access to information through multiple health systems. The HIE may be a hybrid infrastructure which is a combination of the consolidated and federated models.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Answer to Question 2
1,2,3,4,5
Rationale: Even successful HIEs have endured a variety of obstacles with policy, organizational structure, financial sustainability, legal procedures, technical designs and equipment, and operational processes.