Case Study: State Level Governance of Health Information Exchange - Data Governance: Creating Value from Information Assets - page 196

TABLE 8.3
NHIN 2 Trial Implementation Awardees
States Participating Organizations

Virginia MedVirginia

Tennessee CareSpark

Delaware Delaware Health Information Network

Indiana Indiana University

California Long Beach Network for Health

New Mexico Lovelace Clinic Foundation

New Mexico Health Information Collaborative

N e w Yo r k New York eHealth Collaborative

North Carolina North Carolina Healthcare Information and Communications Alliance

West Virginia West Virginia Health Information Network

and participatory governance process supporting state, regional, or non-
geographic health information exchange with involvement from a broad
and representative range of healthcare-related organizations” (Office of
the National Coordinator for Health IT, 2007, pp. 22-23).
The NHIN Trial Implementation Project pushed the need for governance
much more so than the prototype project. Participants were expected to
ensure transparency in all meetings, ensure open selections for govern-
ing board members, and provide for conflict of interest requirements for
all members. Participants had to provide full descriptions of their gov-
ernance processes and had to demonstrate the extent to which they have
achieved the trust and buy-in of their members.
The technical requirements for the implementations extended the use
cases of the first prototype project and added core services that formed
the basis of technical operations. The use cases formed a critical foun-
dation for the exchange of records because they provided the context in
which record exchange would take place. Each participant had to deploy
at least one use case in its health information exchange project, as shown
in Table 8.3.
As a group, each of the participants continued to demonstrate ongoing
leadership in health information exchange and in their governance of
the data sharing. One of the important outcomes of the NHIN Trial
Implementation was the creation of a workgroup among the trial partici-
pants who developed the first draft of the NHIN Data Use and Reciprocal
Support Agreement (DURSA). “The DURSA is a legal agreement created to
promote and establish trust among the Participants. It codifies a common