title: CALINX (California Information Exchange): a multi-stakeholder statewide initiative to improve healthcare information flows.
abstract: Given the diffusion of responsibilities for gathering and reporting healthcare information in a managed care environment, California stakeholders are taking concrete steps to break the deadlock on data and information flows that has characterized the industry for some time. The California Information Exchange (CALINX) was established to facilitate the implementation of the Health Insurance Portability and Accountability Act (HIPAA) standards in California and to create trust for data exchange between trading partners, without which data exchange still will not occur. Strategic directions are set by the chief executives of key associations and organizations representing purchasers, plans, providers, and consumers. Multi-stakeholder workgroups have produced detailed data guidelines for the HIPAA standards along with rules for exchange of key data sets between trading partners. These rules address frequency, timeliness, and accuracy of data submission. Both the data guidelines and the rules have been tested in live demonstration projects, and the results of these projects have been reported to substantiate the business case for implementation. Further incentives are being built into contracts between purchasers and plans, and between plans and providers. CALINX is currently promoting widespread adoption of the data guidelines and rules for exchange with all members of the industry.
authors.affiliation: California Association of Health Plans, USA.
authors.forename: D S
authors.initials: DS
authors.lastname: Hopkins
authors.forename: N
authors.initials: N
authors.lastname: Oswald
authors.forename: K
authors.initials: K
authors.lastname: McCaffrey
authors.forename: S
authors.initials: S
authors.lastname: Bressler
authors.forename: N
authors.initials: N
authors.lastname: Davidson
authors.forename: L
authors.initials: L
authors.lastname: Vela
mesh_terms: D002140:California; D019058:Community Networks / Q000458:organization & administration*; D016494:Computer Security / Q000592:standards*; D017408:Guidelines as Topic; D020408:Health Insurance Portability and Accountability Act / Q000592:standards*; D019451:Information Management / Q000458:organization & administration / Q000592:standards*; D007449:Investments / Q000458:organization & administration; D009937:Organizational Objectives; D014481:United States