Health Information Exchange Scorecard

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This infographic summarizes the challenges, a snapshot of HIE current status, and components of successful HIEs. Health Information Exchanges (HIEs) provide the capability to electronically transfer clinical information between healthcare systems to facilitate a more coordinated and efficient patient care. The HITECH Act has stimulated development of HIEs through awarding incentive funding to aid healthcare providers meet meaningful use regulations of interoperative EHRs. As of 2012, eHealth Initiative (eHI) has identified over 230 HIEs spanning from multi-state, single state, counties, cities and even single health systems.

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Highest # of HIEs

Texas:

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1. State HIE Awarded:$28,810,208

California:2. State HIE Awarded:$38,752,536

Florida:3. State HIE Awarded:$20,738,582

New York:4. State HIE Awarded:$22,364,782

Washington:5. State HIE Awarded:$11,300,000

Successful HIE ComponentsHIE Challenges

SustainabilityActive participation from stakeholders,showing value and determining theright mix of services are factors thatchallenge sustainability of HIEs.

InteroperabilityMost HIEs do not interoperate today;Less than 5 HIEs are interoperative.Building a consensus on datastandards is of highest difficulty.

Positive ROIHIEs need a high participation ratefrom patients, providers, hospitals,and payers in order to generate enoughrevenue to support their organization.

Shared Vision Funding

Infrastructure

Physician Engagement

Privacy & Security

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Sources:eHealth Initiative: http://www.ehealthinitiative.org/map-of-hie-activity-in-the-us.htmlHHS Health IT: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1488&mode=2eHI & Optum Special Report: The Rise of the Private HIE and Changing Role of Public Exchanges payerfusion.com/ceos-blog

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HEALTH INFORMATION EXCHANGES C O R E C A R D

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