Case Study: State Level Governance of Health Information Exchange - Data Governance: Creating Value from Information Assets - page 176

ONC Nationwide Health Information Network Awards .....................194
NHIN Prototype Architecture Project, 2005-2007 ..........................194
NHIN Trial Implementations Project, 2007-2009 ...........................195
American Recovery and Reinvestment Act of 2009: Leveraging
State-Level HIE Governance ....................................................................197
Health Information Exchange Technical Infrastructure .................197
Governance of the Nationwide Health Information Network ........198
Federal Health Information Technology Strategic Plan ................. 200
Policy Drivers for Healthcare Transformation Using Health
Information Technology ......................................................................201
Development of State-Level Health Information Exchange
Governance Models .................................................................................. 202
Development of Governance among State-Level Health
Information Exchanges ............................................................................ 203
Centralized Model ............................................................................... 207
Decentralized Model ........................................................................... 208
Hybrid Model ....................................................................................... 208
Variations of Value from Governance of State-Level HIE .............. 208
Conclusions .................................................................................................... 209
References ........................................................................................................211
INTRODUCTION
One of the major revolutions taking place in healthcare in the United
States is the move from paper to electronic records in physicians' offices
and hospitals across the country. This is a transformation that is more
than just adopting the use of a computer and electronic health record soft-
ware to replace the paper prescription pad and handwritten notes. It is
a fundamental change from inaccessible, office-bound paper documents
to electronic records in a database that can be queried, summarized, and
used to track patient care. The electronic record increases accessibility to
a patient's health information by office staff and physicians, benefitting
administrative efficiency. Having the data in electronic format means
that it can be sent electronically to another physician any time a patient
is referred or transferred for care, bypassing the paper-based facsimile
machine for the electronic exchange of records. This ability to exchange
records electronically is the key to the transformation of patient care.