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HIT Planning Intro Page
Health information exchange requires more than just an investment in technology. An investment must also be made in the information exchange (HIE) function, according to the Agency for Healthcare Research and Quality. Ultimately, the significance of HIE lies in its potential to transform medical practice as individuals not only view or read incoming data from another entity, but are able to use it, incorporate it, and send it on - all elements of interoperability. Here are a few descriptions of HIE and its key elements, according to some of the states and other entities that are acting to promote exchange:
Indiana HIE: Creating a common, secure, electronic infrastructure that expands communication and information-sharing among participating providers, hospitals, public health organizations, and other health care entities.
Wisconsin HIE: A system where diverse stakeholders collaborate to enable secure, confidential exchange of health information between authorized users.
Cal RHIO: Creation of useful and comprehensive patient- and population- specific clinical data repositories.
eHealth Initiative: The mobilization of healthcare information electronically across organizations within a region or community.
Consensus Conference on Development of State-level HIE: An initiative (which could include the exchange of clinical data, administrative data, or both) or organization that is statewide in scope and involves some form of public-private collaboration, partnership, or governance.
HIE in State Legislation, 2007
In response to a request on behalf of the State Alliance, NCSL HITCh identified and analyzed pending state legislation related to health information exchange (HIE) in mid-March, 2007. We found almost 100 bills introduced in the current legislative session that directly referred to health information or data exchanges, interchanges, or information organizations. This material provides a snapshot of the latest thinking by state policymakers about state roles in HIE and how legislation may be crafted to support state action. It reflects the rapid pace of learning going on across the country as states incorporate lessons derived from previous enactments and models into current legislative proposals.
The material has been organized and summarized in three documents that illustrate state roles, component features and legislative language, respectively:
- Critical Roles for State Legislatures in Health IT Activities Related to Health Information Exchanges (3 pages)
Highlights ways that states are acting to promote HIE with illustrative examples of some of the variations we found.
- Major Health Information Exchange Legislation, 2007: Comparison of Five State Proposals-- Florida, Illinois, Indiana, Texas, Vermont (7 pages)
Provides side-by-side comparisons of five highly detailed and developed legislative proposals. Each of these would create an operating HIE. The summary compares them in terms of state role, governance, lead agency, roles of various stakeholders, areas of regulation including standards, privacy and security and public health, and funding.
- 2007 State Legislation on Health Information Exchanges and Networks (17 pages)
Compilation of pending state legislation referring to HIE. For selected bills, gives State, bill number, status, summary of legislation, and excerpts of HIE-related legislative language.
 HITCh main page
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