title: A regional health information exchange: architecture and implementation.
abstract: The MidSouth eHealth Alliances health information exchange in Memphis, Tennessee provides access to data on almost 1 million individuals. The effort is the product of a comprehensive, integrated approach to technology and policy that emphasizes patient-centered use, low-cost, flexibility, and rigorous privacy and confidentiality policies and practices It is used in emergency departments and other major clinical settings. This paper provides a high-level overview of the system and its use. The early anecdotal success of this effort and preliminary formal clinical and financial evaluation suggest that health information exchanges can improve care at relatively low cost.
authors.affiliation: Vanderbilt University Medical Center, TN , USA.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Frisse
authors.forename: Janet K
authors.initials: JK
authors.lastname: King
authors.forename: Will B
authors.initials: WB
authors.lastname: Rice
authors.forename: Lianhong
authors.initials: L
authors.lastname: Tang
authors.forename: Jameson P
authors.initials: JP
authors.lastname: Porter
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Coffman
authors.forename: Michael
authors.initials: M
authors.lastname: Assink
authors.forename: Kevin
authors.initials: K
authors.lastname: Yang
authors.forename: Monroe
authors.initials: M
authors.lastname: Wesley
authors.forename: Rodney L
authors.initials: RL
authors.lastname: Holmes
authors.forename: Cynthia
authors.initials: C
authors.lastname: Gadd
authors.forename: Kevin B
authors.initials: KB
authors.lastname: Johnson
authors.forename: Vicki Y
authors.initials: VY
authors.lastname: Estrin
mesh_terms: D033181:Information Dissemination / Q000379:methods*; D008498:Medical Record Linkage / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D012040:Regional Health Planning / Q000379:methods* / Q000458:organization & administration*; D013714:Tennessee; D014481:United States