Scarboro wouldn’t go as far as others in saying that HIE is currently too difficult, however. “HIE is still very adolescent virtually everywhere, and while we’re early in the game, it’s inevitable that we will have a connected health system,” he says. “A good number of exchanges were born through the federal and state funding that was put in place through the meaningful use incentive program, but the funding was just falling off as the value was just coming to be realized. And that puts a lot of exchanges in a difficult position.”
Scarboro advises HIE organizations to look towards the successful models that are mature, that have been around for some time, and that have good relationships with their provider and hospital communities. “The successful organizations have been able to figure out a way to connect those communities efficiently, and in a timely and cost-effective manner,” he says. "They usually have working relationships with their state agencies. Through those components of value and partnering with their states, they have been able to create a sustainability model moving forward that everyone is relatively comfortable with.”
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