A new health information exchange framework from a team at the University of Maryland aims to offer a system for evaluating the performance of regional health information exchange organizations across the country.
Md. team creates framework to analyze info exchanges
The framework, developed by the Center for Health Information and Decision Systems, or CHIDS, at the University of Maryland's Robert H. Smith School of Business analyzes information exchange organizations based on their organizational structure and decision-making processes, the sustainability of their business model, their technology use, their community engagement and the level of trust in their system.
Health information exchange organizations "are complex organizational forms that engage many stakeholders, sometimes with conflicting goals," CHIDS director and framework co-author Ritu Agarwal said in a news release from the business school. "The framework is designed such that it can address the multiple dimensions along which (a health-information exchange organization) needs to exhibit superior performance."
Of the approximately 200 health information exchange initiatives that exist nationwide, only 18 have revenues and cash flow from operations that exceed expenses, according to the release.
Testing its performance-analysis tool on a fully operational exchange, CHIDS evaluated the D.C. Regional Health Information Exchange Organization, which serves as the primary such organization for Washington. Although the exchange is successfully transmitting data among six community health centers and two hospitals, with additional health centers and hospitals in the process of adopting real-time access to electronic health records, it has much work to do to reach financial sustainability, CHIDS found.
Among its other suggestions, the center recommended that the organization build a hybrid revenue model based on subscriptions and fees for additional services.
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