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With financial, clinical and regulatory pressures increasing steadily, and the new and confounding acronyms appearing daily, many hospitals and health systems today are wondering where they should first put their focus — building a robust Health Information Exchange (HIE), or preparing for an Accountable Care Organization (ACO) or other payment reform model?
Each variety of HIE — statewide, regional or private/IDN — has different goals. Privately held HIEs are rooted in the desire to achieve clinical and operational excellence among physicians within a health system, while regional or statewide systems are focused on sharing patient information across providers in a geographic area. We all know that trying to connect these disparate systems can be challenging, and that linking into a larger network requires additional infrastructure investment. But rather than implementing a less robust system that will need to be replaced in two years, the inevitability of some kind of payment reform and shared risk model coming to a town near you means that health care organizations need to invest in an HIE that both enables meaningful use now and has the power to support collaborative care models later.


