ArticleJournal of the American Medical Informatics Association : JAMIA
Shifts in the architecture of the Nationwide Health Information Network.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Status of health information exchange: a comparison of six countries.Journal of global health · 2019Article
- The Impacts of the Perceived Transparency of Privacy Policies and Trust in Providers for Building Trust in Health Information Exchange: Empirical Study.JMIR medical informatics · 2019Article
- The associations between query-based and directed health information exchange with potentially avoidable use of health care services.Health services research · 2019Article
- The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients' Perspectives.Journal of medical Internet research · 2019Article
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- Diverging views on health information exchange organizations.Learning health systems · 2017Article
- Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Differing Strategies to Meet Information-Sharing Needs: Publicly Supported Community Health Information Exchanges Versus Health Systems' Enterprise Health Information Exchanges.The Milbank quarterly · 2016Article
- A security framework for nationwide health information exchange based on telehealth strategy.Journal of medical systems · 2015Article
- Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED.Applied clinical informatics · 2014Article
- Adoption of clinical data exchange in community settings: a comparison of two approaches.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014Article
- Challenges, alternatives, and paths to sustainability for health information exchange efforts.Journal of medical systems · 2013Article
- Recent trends in biomedical informatics: a study based on JAMIA articles.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Meaningful use: a roadmap for the advancement of health information exchange.Israel journal of health policy research · 2013Article
- Sustainable health information exchanges: the role of institutional factors.Israel journal of health policy research · 2013Article
- Patient encounters and care transitions in one community supported by automated query-based health information exchange.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- Push and pull: physician usage of and satisfaction with health information exchange.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN).Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the midst of a US $30 billion USD investment in the Nationwide Health Information Network (NwHIN) and electronic health records systems, a significant change in the architecture of the NwHIN is taking place. Prior to 2010, the focus of information exchange in the NwHIN was the Regional Health Information Organization (RHIO). Since 2010, the Office of the National Coordinator (ONC) has been sponsoring policies that promote an internet-like architecture that encourages point to-point information exchange and private health information exchange networks. The net effect of these activities is to undercut the limited business model for RHIOs, decreasing the likelihood of their success, while making the NwHIN dependent on nascent technologies for community level functions such as record locator services. These changes may impact the health of patients and communities. Independent, scientifically focused debate is needed on the wisdom of ONC's proposed changes in its strategy for the NwHIN.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.