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Despite the availability of fhir apis and advanced technology, interoperability progress has been hindered by mistrust and competitive dynamics between stakeholders. The oregon health authority has contracted with harris healthcare solutions to implement a statewide health information exchange (hie). Corhio is designated by the state of colorado to facilitate hie.

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Their aim is to collaborate with hospitals, physicians, community health centers, long term care providers, home care providers and other clinicians involved in healthcare delivery Careaccord facilitates the secure exchange of health information between oregon’s health care organizations and providers, enabling the coordination of care for better health, better care and lower cost With the rise of electronic health record usage, the need for a standardized way to exchange comprehensive clinical documents between providers — beyond individual results and reports — became clear

Continuity of care documents (ccds) were developed to meet this need and their usage is being bolstered by meaningful use.

Facilitate safe and secure clinical data sharing and exchange support revenue cycle integrity integrate and optimize ehrs protect patient privacy, including new rules for reproductive health information hi professionals sit at the forefront of pairing new ai technologies with deep patient information knowledge and expertise. Arkansas share the arkansas state health alliance for records exchange or better know as share, is the statewide health information exchange that allows the participating members to access and securely share medical health records between its members. Kentucky khie the kentucky health information exchange, also known as khie, is a health information system that is providing interoperability between physicians, hospitals, imaging centers, and laboratories throughout the state. The exchange of health information through the ohr system will support patient‐centered health care and continuous improvements in access, quality, outcomes and efficiency of care.

On the other hand, the nationwide health information network exchange, which was formerly known as the nhin cooperative, is a group of stakeholders and integrated delivery networks that are collaborating to securely exchange health information electronically.

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