The National eHealth Collaborative's Health Information Exchange Learning Network has recommendations for tackling some of the most challenging HIE issues.

The tips, compiled in a series of whitepapers titled "Following the NeHC HIE Roadmap: Four Routes to Success," come after five months of collaborative work by a group of more than 450 stakeholders.

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The HIE Learning Network whitepapers document the workgroup’s process, landscape, research analysis, conclusions, recommendations and multiple case study examples, officials say, and seek to accelerate the widespread deployment of interoperable HIE and the first significant outcomes of the HIE Learning Network.

Officials say NeHC's HIE Roadmap lays out:

• A formula for achieving multi-stakeholder HIE financial sustainability, including a projection that $7.5 million in annual revenue is needed to maintain long-term financial stability
• A critique of the current interoperability standards and certification ecosystem, with a bold proposal for measuring progress
• Two comprehensive strategies for addressing community level HIE needs, including identification of multiple high value/low cost services
• Critical success factors for HIE initiatives positioning for success in a value-based environment
• Eleven extended case studies that bring the recommendations to life

“Health information exchange is difficult," said NeHC CEO Kate Berry. "Our HIE Learning Network workgroups have done a fantastic job of coming up with best practices and recommended strategies to overcome some of the toughest HIE challenges."

And there are plenty of challenges, of course. One of the biggest, of course, is the sustainability of public exchanges, which, as John Hoyt, executive vice president of HIMSS analytics/directory/analytics" target="_blank" class="directory-item-link">analytics told Healthcare IT News, are "going to have to have some sort of funding mechanism" to stay afloat. "Everybody wonders what's going to happen when the feds say, 'OK, we've given you enough money for enough years. You're on your own.'"

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Different HIE Learning Network workgroups studied specific challenges related to HIE and worked to develop recommendations to address them and accelerate progress. Each approached the issues from a different perspective, but a number of themes were heard across multiple workgroup discussions, say NeHC officials. These include:

• Realizing that consistent implementation of interoperability standards is fundamental to achieving widespread HIE;
• Leveraging lightweight and flexible technologies and readily available data sets will jumpstart exchange and build momentum on which to expand
• Achieving early value builds trust among participants and will help drive growth; this requires open, transparent governance so competitors will share information
• Implementing high value bundles of HIE services will help drive adoption and position for sustainability
• Reaching critical mass of connected providers and data sources is key to a compelling value proposition
• Understanding and responding to your customers’ needs on an ongoing basis such that you offer products and services that solve their problems will help ensure they are willing to pay for those products and service

HIE organizations that provide business intelligence and data analytics to support actionable, effective clinical decision making to improve quality and cost outcomes can play a powerful role as healthcare transitions to pay-for-value, say NeHC officials.