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Still No Sustainable Funding Model for HIE

Posted on February 28, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today, I attended a forum at HIMSS 10 where I heard a representative from a small state talk about their plans for an HIE. They’ve already introduced some legislation that will allow people in their state to opt out of having their information stored in an HIE. She referred to it as a framework for HIE. Unfortunately, a framework doesn’t deal with issues like how you’d actually allow people to opt out of an HIE. Would you just discard the person’s data that’s sent from their doctor’s EMR? Not to mention, would the patient have the option to opt out at the doctors office or would they have to know they need to go to the government page to opt out?

These items aside, I was even more interested in trying to dive into the funding for an HIE in that state. I asked the representative whether the state would be able to fund a state HIE or if they would need federal money or some sort of private partnership.

Her answer was simple. Basically, her state (which might be different in other states) didn’t have the money to be able to fund an HIE. She thought that the most likely option would be some sort of private partnership which would make an HIE in her state a reality.

The HIMSS representative then talked about how the HITECH act has provided what amounts to seed money for states to be able to establish HIE. Unfortunately, this is just seed money and not a sustainable way to run an HIE. It’s like they’re just throwing some seed money out there and hoping that someone will figure out some creative way to have a sustainable revenue model for an HIE. Without this type of sustainable revenue model, then the HIE will start to disappear the way RHIO have basically disappeared.

EMR, RHIO and Nationalized Healthcare

Posted on December 16, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today I started discussions with someone about an RHIO and EMR project in China. I’ve always been fascinated with China. Maybe it’s the mystery of 1.2 billion people for which we know very little. I don’t know, but I’ve always found China intriguing.

Turns out that I’m just as intrigued with China when it comes to healthcare technology as well.

Let’s talk about some of the challenges of an RHIO in the US. Now think about how many of them are solved by having a nationalized healthcare system and how many of those challenges just don’t exist. I’m not saying that China won’t have its own challenges associated with implementing an RHIO, but it seems that they would be more manageable. Espescially if you get the right people on board. Plus, it would likely mean getting less people on board than we have to deal with in the US.

Another question is how China deals with issues like privacy and ownership of healthcare data. I’m sure they have some privacy laws, but they don’t have fears of insurance companies using their healthcare info against them. Also, the government ownd the healthcare data and likely can transfer it as they please between clinics (since they run them all, no?).

Plus, unlike the US there is tremendous advantage for them to not do duplicate tests. The US is the opposite. This makes a nice case for creating a solid infrastructure for exchanging data in an RHIO to lower costs.

Lots more to think about. If you know more about healthcare and/or EMR/RHIO in China I’d love to hear more about it. Plus, I’m interested in connecting with healthcare professionals I China as well.