Why is my information being shared in the Lewis And Clark Information Exchange (LACIE)?

There are several factors that led to the idea of sharing health care information. Historically, most patients saw only one care provider, but over the last several decades people are relying more on multiple care providers instead. Advances in specialty care, for example, have made specialists appealing as they may offer better care for a specific illness or condition than what a general or family practice provider may offer. While specialty care providers are unique from our primary care providers, they still often rely on much of the same information, including lab results, radiology results, allergy information, and patient medication lists.

In order to receive the best care and to be treated safely, patients are strongly urged to share their health records and information with all of their care providers. This means patients who see multiple providers are having to maintain their own medication lists and take the list with them at all times. And it doesn’t stop there, some patients have to request copies of results and procedures to store, keep track of, and safeguard themselves.

But now, as our physicians and hospitals dive further and further into the digital era, we are finding that this information is being stored electronically in an Electronic Medical Records(EMR) system. Many providers and hospitals are using different EMR’s, each separately storing your health information. LACIE simply marries together your data from each different EMR so that providers get a broader view of your health record when it is needed. From this broader view, our hope is that providers and patients will both benefit through better, more efficient, and safer care.


What kind of information is being shared within the Lewis And Clark Information Exchange?

Organizations participating in data exchange with LACIE each determine what data they wish to share through LACIE with other providers in the community. Organizations often first look at what their Certified Electronic Health Record systems are capable of sharing, and may choose to further limit the data shared. This is often determined by their compliance and legal teams who review the laws and limitations that apply to them and their ability to share protected health information. Commonly shared information includes:
  • Basic demographic and visit-encounter information
  • Problems list and Diagnosis
  • Allergies List
  • Medications List
  • Immunization List
  • Results, such as laboratory results and radiology exams
  • Physician reports, such as discharge summaries and visit notes
  • Clinical events such as vital signs, body mass index, and others.

How does my information get into LACIE?

LACIE enables providers and hospitals to exchange data in multiple ways, but minimal requirements must be met to ensure data is secured and protected at all times. Hospital and providers participating must use Certified Electronic Health Record systems that are capable of meeting federal and local standards for electronic health information exchange.

Will all of my information be shared in LACIE?

No. Data from non-participating care providers will not be shared or stored in LACIE. And not all health information is needed by all providers, nor is it the goal of LACIE to store every health detail from every participants EMR. Please see the list above for the types of information being shared in LACIE.

How do I know if my care provider is a participating member of LACIE?

A list of participants is available on our Participants page. If you are still unsure if your provider is a participating member or not, you may need to call your provider’s office.

Who can see my information?

Only participants who have a need for this will have access to log into LACIE and view information. LACIE log-in access is not given to every staff member of participants. Typically, only providers and their nurses are given access to view information within LACIE. This view is further filtered down by security features, so that every patient’s information is not simply ready for anyone to view. Participants should only see the information in LACIE for the patients that they care for.

What are the benefits of sharing my information in LACIE?

Care providers will benefit by having electronic access to information about their patients and the care they are receiving from other providers. This can help them to better coordinate care through:
  • better diagnose an illness
  • reduce the number of duplicate tests
  • allow them to spend more time with their patients and less time tracking down the information they need.
  • Meet federal requirements

Patients may benefit by:

  • having a lifetime health record
  • earlier prevention
  • better connection with care providers
  • improved coordination of care and quality
  • improved treatment of chronic conditions
  • decrease in delays across care venues
  • increased efficiency of services
  • decrease in errors and variance in care
  • overall improved communication between healthcare providers
  • and possibly even see a decrease in their overall costs for care.

What if I don’t want my information shared in LACIE?

Hopefully, you have had a chance to review the benefits that can be received by sharing your information. If you have any questions, please email us at info@lacie-hie.com. If you are still not convinced, please visit your care providers who are participating with LACIE to share your concerns and get their assistance in opting you out.

Patients who receive care at a facility located in Kansas and residents of Kansas may opt out of Health Information Exchange by contacting the Kansas Health Information Technology (KanHIT) at: http://khie.org/for-consumers/opt-out.


Will I be able to view my information in LACIE?

One of our future goals is to enable Personal Health Record access for patients to access their own information. At this time, however, the Personal Health Record is still in the early stages of development and is not yet available.

How secure is my information?

Safeguarding your data in LACIE is one of our top priorities. Through our partnership with Cerner® Corporation, we are able to have an industry leading company on our side to protect the health information that is in LACIE.

Where is the information stored?

Cerner® Corporation supports and maintains the database that is used by LACIE.

Who are the participants who are sharing information through LACIE?

A list of participants is available on our Participants page.

How can I find out who has looked at my information in LACIE?

We are working to ensure this is a feature of the Personal Health Record, which is still in the early stages of development and not yet available. This will allow you to see who has authentically logged into LACIE and looked at your information. For now, please ask your LACIE-participating care provider to review this information with you, or send us an email at info@lacie-hie.com.

What if my care provider discovers incorrect information about me in LACIE?

There are several factors to consider when incorrect information is discovered within LACIE. LACIE is a “view-only” information exchange, meaning information feeds into LACIE, but information cannot be edited or corrected directly within LACIE by simply logging into LACIE. So, if information is incorrect in LACIE, it is probably also incorrect within a participating member’s own Electronic Medical Record (EMR) system. For the information to be corrected in LACIE, it must first be corrected in the participating member’s EMR that sent the incorrect data to LACIE. This correction should feed into and update within LACIE. The staff at LACIE and Cerner may be required to assist in the correction process.