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Health information exchange critical but suffers from complications

Brian Eastwood | April 2, 2013
Efforts to expedite the adoption of health information exchange in the United States face a bevy of technology, management and financial questions. There are no easy answers, since HIE organizations are as different as the regions, the populations and the healthcare providers they represent. But there are some lessons to be learned.

The next year-and-a-half should be interesting, says Kolkman, who expects a "sea change" as federal money for the state designated HIE entities comes to an end, the market consolidates as a result and organizations expand partnerships--especially when it comes to sharing HIE infrastructure. This is already happening on the plains, the NORC study says, where Nebraska is selling use of its infrastructure to Wyoming and may expand to other neighboring states.

"We are at an exciting time," says Prashila Dullabh, NORC's program area director for health IT. "EHR is being adopted, the infrastructure's there and we definitely feel we are moving forward."


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