5 responses

  1. Keith W. Boone
    July 23, 2011

    Carespark is a HIE in an underserved area. Financial sustainability was already going to be a challenge when they started. Given that meaningful use stage 1 doesn’t require HIE Standards to be used nor more than one exchange demonstration, it doesn’t surprise me that already struggling organizations wouldn’t see the value of an HIE. There isn’t enough certainty about what is coming in stage 2 to encourage support. It is sad though, and I hope that some miracle happens for the healthcare consumers in this region.

  2. Michael Koriwchak
    July 24, 2011

    No sympathy for the HIEs. They need to provide a cost effective product. I don’t profess to be well versed on HIEs but I wonder if they are a victim of too much “central planning” and not enough asking the providers what they want. I would not pay one thin dime for an HIE in my market unless it reliably provided most of the outside records I needed.

    It is also possible that we are pushing HIEs too hard too soon. It’s hard to make a railroad profitable when there are no cities to connect yet.

  3. John
    July 25, 2011

    Interesting story and quite frankly I’m not sure we’re going to see a successful HIE model. I don’t see where the money could come from.

    I wish the government had chosen to spend the ARRA money to stimulate exchange of patient records. Pay the doctors to participate in the exchange of patient records. By doing so, you’d be stimulating something that would provide value for which the doctors don’t currently have much financial incentive to participate in. Plus, it would have the side benefit of stimulating EHR adoption since doing the exchange without an EHR would be nearly impossible. At least if it was structured properly.

  4. John Showalter
    July 25, 2011

    Very thoughtful post. As a physician I value what HIEs have to offer clinically and as a CMIO I agree we have to find sustainable models. A recent article in CMIO Magazine discussed three successful HIEs. I thought you might find it interesting.

  5. Anne Zieger, Editor
    July 25, 2011

    Thank you for the link — great to hear from a CMIO with a direct stake in the matter.

    Do you have any thoughts about what a sustainable model would look like for your organization specifically?

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