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

¹ Julia Adler-Milstein is a doctoral candidate in health policy at Harvard University in Cambridge, Massachusetts.
² Andrew McAfee is an associate professor, technology and operations management, at Harvard Business School in Boston.
³ David Bates is division chief, general medicine, at Brigham and Women's Hospital in Boston.
⁴ Ashish Jha is an assistant professor at the Harvard School of Public Health in Boston.

^*Corresponding author.

Abstract

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. [Health Affairs 27, no. 1 (2008): w60-w69 (published online 11 December 2007; 10.1377/hlthaff.27.1.w60)]

Key Words: Business Of Health, Consumer Issues, Research And Technology, State/Local Issues, Health Information Technology

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