The State Of Regional Health Information Organizations: Current Activities And Financing

Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish data exchange. Nearly one in f...

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Bibliographic Details
Published in:Health Affairs 2008-01, Vol.27 (1), p.w60-W69
Main Authors: Adler-Milstein, Julia, McAfee, Andrew P, Bates, David W, Jha, Ashish K
Format: Article
Language:English
Subjects:
Data
Data exchange
Funding
Grants
Health care policy
Health information
Information sharing
Infrastructure
Organizations
Polls & surveys
Regions
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Summary:Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish data exchange. Nearly one in four was likely defunct. Only twenty efforts were of at least modest size and exchanging clinical data. Most early successes involved the exchange of test results. To support themselves, thirteen RHIOs received regular fees from participating organizations, and eight were heavily dependent on grants. Our findings raise concerns about the ability of the current approach to achieve widespread electronic clinical data exchange.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.27.1.w60