A Harvard study appearing in Health Affairs confirms what this Linux Medical News editorial entitled “RHIO’s and the Illusion of Health IT Success” predicted in 2005: “…Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish data exchange. Nearly one in four was likely defunct. Only twenty efforts were of at least modest size and exchanging clinical data…” The 2005 Linux Medical News editorial gives hints as to why this might be. Kudos to the Harvard researchers for doing the heavy lifting.