Exchanging health information: Local distribution, national coordination

John Halamka, J. Marc Overhage, Lygeia Ricciardi, Wes Rishel, Clay Shirky, Carol Diamond

    Research output: Contribution to journalReview articlepeer-review


    The fragmentation of our health care system, our need to accommodate the diversity of existing health information exchanges, the lack of consistent implementation of clinical information standards, and the need to protect patients' privacy and maintain trust are all challenges to overcome in achieving broad-scale interoperable health information exchange. We propose several steps to coordinate information sharing among regional and other networks through universal adherence to a basic framework of policies and standards. The critical policy action is the identification of a "common framework" of standards and policies, maintained by a new Standards and Policy Entity that reflects both public- and private-sector participation.

    Original languageEnglish (US)
    Pages (from-to)1170-1179
    Number of pages10
    JournalHealth Affairs
    Issue number5
    StatePublished - Sep 2005

    ASJC Scopus subject areas

    • Health Policy


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