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Successful Demonstration of Health Information Exchange Opens ARRA Stimulus Options for California
Date:6/28/2009

chitecture gateway is a breakthrough for the many regions in California which are already exchanging or are planning to exchange clinical data," notes Will Ross, Project Manager for Redwood MedNet, a health information exchange in Mendocino which delivers more than 5,000 laboratory results a month from safety net hospitals to small physician practices. "The NHIN Connect gateway, released just two months ago, is a game changer. With this new software published by the federal government at no cost, local HIEs do not have to wait for a large vendor to build a costly, monolithic statewide utility service because local HIEs can network health data now using a secure public framework."

"Interoperability requires policies, standards, and architecture. The NHIN Connect software provides a standards-based transport mechanism that connects organizations in support of meaningful use," said John Halamka, MD, Co-Chair of the National Health IT Standards Committee, upon learning of the California eHealth NHIN Gateway demonstration. "The California eHealth Collaborative participants have been early adopters of NHIN Connect and I applaud their efforts."

A key feature of the California eHealth Collaborative demonstration included the appropriate privacy and security measures necessary in any health information exchange. While the demonstration used test data rather than live patient data, the participants signed a test Data Use and Reciprocal Support Agreement (DURSA), which was modeled after the DURSA developed for the federal NHIN demonstration in December 2008.

The HIEs participating in the California eHealth demonstration were Kaiser Permanente, Long Beach Network for Health, ER Connect- Orange County, Redwood MedNet and Santa Cruz HIE. The participants exchanged electronic a clinical summary of each patient's care, sending the type of referral document that might be faxed between a referring primary care
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