title: Shifting away from silos. The interoperability challenges that hospitals face pale in comparison to the headaches plaguing state departments.
authors.forename: David
authors.initials: D
authors.lastname: Raths
mesh_terms: D002140:California; D004059:Diffusion of Innovation; D006751:Hospital Information Systems; D033181:Information Dissemination; D008498:Medical Record Linkage; D009922:Oregon; D011634:Public Health; D013219:State Government; D018511:Systems Integration; D014481:United States; D014483:United States Dept. of Health and Human Services