HIEs are Becoming More Self Sustaining; Interoperability Problems Remain

This coming year, 2015, will be critical in the success of health information exchanges (HIEs), according to the report “Post HITECH: The Landscape of Health Information Exchange,” from the eHealth Initiative (eHI).

The report notes that while federal funding and grants for state-run HIEs is coming to an end, a number of HIEs have increased the number of services they are providing and are operating successfully, according to an eHI survey of 106 HIEs.

The survey detected a steady increase of core data exchange services such as Direct (HIPAA-compliant email), transitions of care, care summary exchange and immunization registries. Compared to last year, transitions of care reports increased 25 percent; care summary exchange increased 23 percent; and reporting to immunization registries increased 18 percent, according to the survey.

Even as federal funding is tapering off, 33 percent of respondents are receiving enough revenue from dues and fees to completely cover operational expenses, while thirty percent reported dues or fees are their greatest revenue source.

Key findings in the report include:

  • Cost and technical challenges are key barriers to interoperability
  • Regulatory policies appear to have prompted increased use of core HIE services such as Direct, care summary exchange, and transitions of care
  • Advanced initiatives are supporting new payment and advanced care delivery models.
  • Sustainable organizations have replaced federal funding with revenue from fees and membership dues.


Click here to download the key findings in full.


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