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 Which HIE/RHIO should a physician join?
Hi

Many physicians in large metropolitan areas, or in areas that border two or more states, have a choice of a number of HIEs/RHIOs to join (and perhaps pay some membership/participation fee).  In some cases, they do not need to join all of them to access their patient’s data across the continuum and all hospitals in the area since many RHIOs/HIEs are linking to neighboring ones. 



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ASKED: May 13, 2011  6:35 PM
UPDATED: May 23, 2011  7:30 pm

Answer Wiki:
There are certainly a lot of options. Under the HITECH Act, <a href="http://searchhealthit.techtarget.com/tip/State-HIE-list-from-the-HITECH-Act">each state has its own HIE</a>, though some have made a lot more progress than others. If you are part of a physician group, or you are affiliated with a hospital, then that organization may be part of a private HIE. If you are not affiliated, then you should ask your peers if they are part of an HIE and find out what their experience with the organization has been. As you noted, some HIEs do have participation fees, while others do not. It's also worth finding out how the HIE operates, as there are different "models" of health information exchange. In a centralized HIE, data is stored on a central repository, like the iTunes store. A federated HIE, on the other hand, operates like a peer-to-peer network. Both models have their advantages and pitfalls. Finally, find out which EHR systems the HIE members are using -- if your particular system is not represented, integration may be difficult and expensive.
Last Wiki Answer Submitted:  May 23, 2011  7:30 pm  by  Beastwood   490 pts.
All Answer Wiki Contributors:  Beastwood   490 pts.
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