Resources for Health Insurance Portability and Accountability Act (HIPAA)

Successful health information exchange will occur when barriers formed by competing interests are mitigated through federal mandate and funding

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We should applaud the State of Washington for taking initiative in this important area, but we must acknowledge that the health record bank is just the flip side of the coin regarding the question of centralized or federated models for HIE. Beginning with the CHINs of the early 90's until now, we see that all stakeholders in the system consider stewardship of health data to be an asset, and they do not readily see a sustainable ROI for investing in any methodology for exchange of the data with others. Success of Washington's efforts and those of the many other State and regional efforts depends, not on the efficacy of the model, but on the successful demonstration of HIE infrastruction via the NHIN projects and subsequent mandate and funding at the federal level.

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