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Regional exchanges slow to get going

Quick View. Jan. 7, 2008.

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Status of all 83 RHIOs surveyed, as of January 2007
Facilitating clinical data exchange across independent entities 38%
Facilitating data exchange between same-network facilities 4%
Still in the planning stages 54%
Temporarily stalled because of a lack of funding but had not stopped pursuing data exchange 4%
Types of data exchanged by the 20 modest- to larger-size RHIOs
Test results 17
Inpatient data and medication history 14
Outpatient care data 12
At least four types of data 11
Financing for the 20 modest- to larger-size RHIOs, after startup
Subscription or transaction fees 13
Time or in-kind contributions 9
Grants 8
One-time financial contributions 7
Both substantial grants and other forms of financial support 6
No grants 9

Most regional health information organizations are struggling to get up and running.

In a new survey, Harvard University researchers call into question the current approach to financing what many see as the building blocks of an evolving national health information network -- an approach the researchers say relies mostly on small grants and a wait-and-see attitude. The Harvard study states that one in four RHIOs identified in June 2006 were considered defunct by the start of 2007 -- or 36 of the 138 RHIOs in the initial sample. Of the remaining 102 RHIOs, 83 participated in the survey. Just 20 were judged to be functioning on a "modest" scale (defined as exchanging clinical data for least 5,000 patients), and only 15 did so for a broad subset of patients.


Note: RHIOs could choose more than one answer.

Source: "The State of Regional Health Information Organizations: Current Activities and Financing," Health Affairs online, Dec. 11, 2007

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