Study: Competition Thwarting E-Data Exchange | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Study: Competition Thwarting E-Data Exchange

February 25, 2008
by root
| Reprints

Barriers to sharing clinical data electronically among rival hospitals, doctors and health plans remain high as concerns about loss of competitive advantage and data misuse hamper participation in local health information exchanges, according to a study by the Center for Studying Health System Change (HSC) and the National Institute for Health Care Management (NIHCM) Foundation.

According to the study, the more mature exchanges — Cincinnati-based HealthBridge and the Indiana Health Information Exchange (IHIE) based in Indianapolis — have achieved “some viability” by meeting a specific business need for more efficient delivery of hospital test results to physicians. The newer exchanges — CareSpark, serving northeast Tennessee and southwest Virginia, and the Tampa Bay Regional Health Information Organization (RHIO) — have struggled to identify and finance initial services without a similar critical mass of hospital participation, according to the study.

The study’s findings are detailed in a new HSC-NIHCM Research Brief, “Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation Be Overcome?” available online at http://www.hschange.org/CONTENT/970/

The study found that provider organizations still face substantial disincentives to share data with unaffiliated organizations. Beyond the hospital systems in Cincinnati and Indianapolis, stakeholders were unwilling to pay enough collectively for the same set of services to sustain HIEs. Generally, neither health plans nor employers were willing to fund core clinical data exchange as a benefit for patients. Employers typically also did not see themselves funding HIEs to support quality initiatives, and health plans had few incentives to deviate from company-wide pay-for-performance strategies to participate in local efforts, the study found.

Topics

Comments

Sounds like Ammo for the DEMS to a launch a SINGLE PAYOR system and leave these GREEDY players holding the bag and woudn't THAT be a Nice!

This is a battle between fragmented healthcare institutions. The U.S. needs to reinforce the first front-line of preventative medicine with their selected primary care physician in the clinic environment.

The real problem before overcoming the barriers to legitimately sharing the patients electronic medical record, is the efficient compiling of a complete patient EMR itself. The patient's medical record belongs to the patient and with their ed primary care physician(s) in the clinic where the patient encounter routinely occurs. This includes all private practice clinic facilities however large or small wherever the patient and their clinic resides. Diagnostic procedure reports (lab test, imaging, consulting specialists, etc.) outside the primary care clinic needs to be compiled back to the patient's primary care clinic as the patient's primary data repository.

News

Community Data Sharing: Eight Recommendations From San Diego

A learning guide focuses on San Diego’s experience in building a community health information exchange and the realities of embarking on a broad community collaboration to achieve better data sharing.

HealthlinkNY’s Galanis to Step Down as CEO

Christina Galanis, who has served as president and CEO of HealthlinkNY for the past 13 years, will leave her position at the end of the year.

Email-Related Cyber Attacks a Top Concern for Providers

U.S. healthcare providers overwhelmingly rank email as the top source of a potential data breach, according to new research from email and data security company Mimecast and conducted by HIMSS Analytics.

Former Health IT Head in San Diego County Charged with Defrauding Provider out of $800K

The ex-health IT director at North County Health Services, a San Diego County-based healthcare service provider, has been charged with spearheading fraudulent operations that cost the organization $800,000.

Allscripts Touts 1 Billion API Shares in 2017

Officials from Chicago-based health IT vendor Allscripts have attested that the company has reached a new milestone— one billion application programming interface (API) data exchange transactions in 2017.

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.