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Re: Editorial: RHIO's and the Illusion of Health I by David Szabo on Thursday December 15, @07:00PM While not all RHIOs will succeed, I think you are shortchanging many of the efforts going on around the United States. The New England Healthcare EDI Network (NEHEN) uses the HIPAA transaction standards to link payors and providers to lower the cost of confirming eligibility, authorizing referrals and paying claims. NEHEN started several years ago with five dues paying members (inlcuding both providers and health plans), and now has more than 25 large healthcare organizations as members, with more growth to come. NEHEN has lowered the administrative costs incurred by its members significantly. MA-SHARE, LLC is developing a record locator service and gateway that will facilitate e-prescribing, medication history lookup and the exchange of data among disparate EMR systems. It recently completed a proof of concept pilot to deliver medication history from PBMs to hospital emergency departments and is now developing a more functional replacement system designed to improve physicians' access to their patients medication histories. Eventually, it plans to develop the infrastructure that will allow physicians to locate their patient's health records from a variety of sources, all in compliance with privacy laws and security standards. RHIOS can't be based on the idea that all particpants will use the same software. They need to use tools that will locate information and link disparate systems using common standards. HHS is working hard to encourage the development and adoption of standards. Laws such as HIPAA admin. simp. and the Medicare Modernization Act are putting standards into action. These laws can create a framework for local cooperation, if communities find the will to act. This work is far from completed. There are many barriers to be identified and overcome. Don't predict failure --- work for success! Post Reply Name Email Notify Notify me via email of responses to this message Title Comment (Check those URLs! Don't forget the http://!) Encoding HTML Structured Text Plain Text If none of the above mean anything to you, select 'Plain'! Attachment (You can attach a file to your reply which can then be retrieved by other readers. Try to keep the file sizes below 500Kb in order to conserve network and server resources.) Enter the above code (*Required) Allowed HTML <B> <I> <P> <A> <LI> <OL> <UL> <EM> <BR> <TT> <HR> <STRONG> <BLOCKQUOTE> <DIV .*> <DIV> <P .*> Important Stuff: Note: Fields with bold titles are required. Please try to keep posts on topic. Try to reply to other people comments instead of starting new threads, Read other people's messages before posting your own to avoid simply duplicating what has already been said. Use a clear subject that describes what your message is about. Please do not post offtopic, inflammatory, inappropriate, illegal, or offensive comments. Repeat offenders will be sanctioned.

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