Health Affairs

Health Affairs, 24, no. 5 (2005): 1170-1179 doi: 10.1377/hlthaff.24.5.1170 © 2005 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Implementation

Exchanging Health Information: Local Distribution, National Coordination

John Halamka, J. Marc Overhage, Lygeia Ricciardi, Wes Rishel, Clay Shirky and Carol Diamond

The fragmentation of our health care system, our need to accommodate the diversity of existing health information exchanges, the lack of consistent implementation of clinical information standards, and the need to protect patients’ privacy and maintain trust are all challenges to overcome in achieving broad-scale interoperable health information exchange. We propose several steps to coordinate information sharing among regional and other networks through universal adherence to a basic framework of policies and standards. The critical policy action is the identification of a "common framework" of standards and policies, maintained by a new Standards and Policy Entity that reflects both public- and private-sector participation.

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