Health Affairs, doi: 10.1377/hlthaff.27.1.w60 (Published online December 11, 2007) © 2007 by Project HOPE	New Online Disparities in Health:   Obama aide on legislation   Smedley call to action   Shrink regulations first   A Real Policy Debate   Top 10 HA Articles Of '07

This Article Reprint (PDF) Technical Appendix Submit a response to this article View responses Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Google Scholar Articles by Adler-Milstein, J. Articles by Jha, A. K. PubMed PubMed Citation Articles by Adler-Milstein, J. Articles by Jha, A. K.

Web Exclusives

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

                      What's this?

This article has been cited by other articles:

				K. D. Mandl and I. S. Kohane Tectonic Shifts in the Health Information Economy N. Engl. J. Med., April 17, 2008; 358(16): 1732 - 1737. [Full Text] [PDF]

eLetters: