Look inside some of the most established HIEs and how they help U.S. health organizations share data, in the name of lower costs and better patient care.
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CORHIO is the nonprofit, state-designated entity for health information exchange in Colorado. This HIE focuses on improving provider productivity through the exchange of clinical information through connected EHRs. CORHIO also offers HIE services to paper-based provider offices through Web-based programs. Using CORHIO's secure, Web-based "community health record" application on a desktop, laptop, or tablet computer, an authorized clinician or caregiver can search for a patient and access a longitudinal view of that patient's medical history.
The exchange aggregates patient information in the community health record from all of the HIE's participating providers. That's especially helpful in emergency situations, or when providers see a new patient for the first time. The image above shows the search box on the left side, along with some sample search results on the right. Patient information is neatly organized by tabs at the top of the page, including patient demographics, fact sheets, reports, and tests.
CORHIO has received two grants focused on building capacity for statewide health information exchange and launching HIE by community. Those include a grant from the Colorado Health Foundation and nearly $10.9 million in HITECH funding. CORHIO used these funds to alleviate a portion of its one-time set-up cost, as well as the cost of linking CORHIO to Quality Health Network (QHN), a fully functioning regional HIE in the Western Slope of Colorado. However, CORHIO says its long-term sustainability will depend on a fee-based subscription model.