HEAL NY: Promoting interoperable health information technology in New York State
ABSTRACT Through a novel, ambitious program called HEAL NY, New York State plans to invest $250 million in health information technology (IT) that can be linked electronically to other health IT systems. In contrast to high rates of closure by other organizations attempting health information exchange (HIE), 100 percent of HEAL NY Phase 1 grantees still existed two years after awards were announced, 85 percent were still pursuing HIE, and 35 percent had actual users. The number of grantees meeting basic criteria for regional health information organizations (RHIOs) increased. Although it is early, lessons learned can inform state-based initiatives nationwide.
Full-textDOI: · Available from: Vaishali Patel, May 20, 2014
- SourceAvailable from: Michael F Furukawa
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- "The Beacon Community program funded 17 communities to demonstrate the benefits of health IT, including building and strengthening HIE. These HITECH programs may be a catalyst for local change and further investment, and some states have expanded upon HITECH with further investments in infrastructure including HIE support . "
ABSTRACT: Frankel and colleagues have compared Israel and the U.S.’s experiences with health information exchange (HIE). They highlight the importance of institutional factors in fostering HIE development, notably the influence of local structures, experience and incentives. Historically, information infrastructure in the U.S. has been limited due to lack of standards, fragmented institutions and competition. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 authorized billions of dollars for the adoption and “Meaningful Use” of electronic health records. HITECH programs and Meaningful Use incentives target the advancement of HIE through 1) building blocks, 2) local support and 3) payment incentives. Meaningful Use requirements create a roadmap to broader electronic exchange of health information among providers and with patients. Ultimately, successful HIE in the U.S. will depend on whether Meaningful Use can address institutional needs within local markets. This is a commentary on http://www.ijhpr.org/content/2/1/722Israel Journal of Health Policy Research 07/2013; 2(1):26. DOI:10.1186/2045-4015-2-26
- "No single reason dominated the analyses of failure. On the other hand, analysis of a successful HIE project in New York state attributes the success primarily to substantial state funding and extensive stakeholder participation in the implementation process [Kern et al., 2009]. "