Free The Data: APIs Boost Health Information Exchange
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Mark Braunstein
Mark Braunstein,
User Rank: Moderator
2/12/2014 | 3:00:09 PM
This Just In 2 ...
Data just made available seems to show (if I'm reading the diagram correctly) that 40% of all current HIE transactions in the US are being done via Direct!

Looks like the simple approach is rapidly gaining traction.

Mark Braunstein
Mark Braunstein,
User Rank: Moderator
1/28/2014 | 12:44:01 PM
Just in ...
An article posted on the Health Data Management site ( says that "Black Book polled 1,550 providers and 794 payers using HIE, and the results are sobering. Ninety-five percent of payers, 83 percent of hospitals and 70 percent of physicians responded that publicly-funded HIEs are struggling with flawed business models and are not providing meaningful connectivity."  As a result "Seventy-two percent of respondents believe that by 2017, there could be as little as 10 of the currently functioning public HIEs supported by federal grants that are ending, unless they find better business models, improve their processes and create ways to encourage participation."

To me this doesn't suggest that the concept of public HIE is fundamently flawed but it does reinforce the argument that the technologic approach may be wrong.  API-based exchange, by using existing standards and the Internet, means the healthcare industry doesn't bear the cost of a "built-to-purpose" infrastructure (e.g. HIE, the noun, as we've known it).  This may well turn out to be a key strategy (but probably not the only one needed) that will make HIE (the verb) happen more broadly and sustainably.

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