Retrospective: lessons learned from the Santa Barbara project and their implications for health information exchange.
Despite its closure in December 2006, the Santa Barbara County Care Data Exchange helped focus national attention on the value of health information exchange (HIE). This in turn led to the federal government's plan to establish regional health information organizations (RHIOs). During its existence, the project pioneered innovative approaches, including certification of health information technology vendors, a community-wide governance model, and deployment of a peer-to-peer technical model now in wider use. RHIO efforts will benefit from the project's lessons about the need for an incremental development approach, rigorous implementation processes, early attention to privacy and liability concerns, and planning for a sustainable business model.
Frohlich
Jonah
J
California HealthCare Foundation, Oakland, CA, USA.
Karp
Sam
S
Smith
Mark D
MD
Sujansky
Walter
W
D002140:California; D019058:Community Networks / Q000458:organization & administration*; D003219:Confidentiality; D035082:Federal Government; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D016365:Liability, Legal; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D017146:Models, Organizational; D010865:Pilot Projects; D016730:Program Development; D015397:Program Evaluation; D040442:Public Health Informatics; D012040:Regional Health Planning; D014481:United States