Understanding the hie landscape the health information exchange hie landscape has changed dramatically since hie and the nationwide health information network nwhin was first conceptualized in 2001 consent models for health information exchange are often referred to as either opt in or opt out represent the csa in the development . Health information exchange hie is the electronic transmission of healthcare related data among medical facilities health information organizations companies that oversee and govern the exchange of this data and government agencies according to national standards. Part one of this series described a few factors that are motivating health organizations to join or create an hie factors that include meaningful use aco preparation and cost savings this post will provide an overview of the three common public hie architecture types centralized federated and hybrid models ill also discuss a diagram of the architecture. The demand for electronic health information exchange among care professionals is growing along with nationwide efforts to improve the quality safety and efficiency of health care delivery meaningful use requirements new payment approaches that stress care coordination and federal financial incentives are all driving the interest and demand for health information exchange. Health information exchange persistent challenges and new strategies embracing a phr model of hie also comes at a cost to society and the overall healthcare system this assessment suggests the following strategies for continued hie development fitting the mixed economy of the us health service and public health system and supporting
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