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The U.S. Health Information Exchange Market

and Terms 2-11
List of Acronyms and Terms 2-11
Health Information Exchange Basics 2-14
What Is Health Information Exchange? 2-14
Definition—The Basics 2-14
Is Health Information Exchange a Verb or Noun? 2-15
The Key Purpose and Function of Health Information Exchange 2-16
Key Participants in Health Information Exchange 2-16
Use Cases for Health Information Exchange 2-18
Core and Value-added Services for Health Information Exchange 2-19
Benefits 2-21
Health Information Exchange Technical Overview 2-22
Technology Components 2-22
Data Transmission Types 2-22
Data Exchange Models 2-23
Centralized HIE 2-23
Federated HIE 2-24
Hybrid HIE 2-26
Standards 2-27
C h a p t e r 3
Government Efforts to Drive Health Information Exchange
Health Information Exchange in the United States 3-1
History and Background 3-1
Recent Federal Initiatives Driving Health Information Technology 3-4
Overview of HITECH Programs and Initiatives 3-4
Meaningful Use of Electronic Health Records 3-11
Moving from Stage 1 to Stage 2—Greater Focus on Health Information Exchange 3-13
The Nationwide Health Information Network 3-16
The DIRECT Project—Enabling Point-to-Point Data Exchange 3-19
C h a p t e r 4
Market Segmentation and Adoption
Health Information Exchange Market Segments 4-1
Introduction to Health Information Exchange Market Segmentation 4-1
Introduction to Health Information Exchange Market Segmentation 4-1
Health Information Exchange Maturity and Adoption 4-4
Development Phases, Maturity Models, and Adoption Trends for Health
Information Exchange 4-4
Health Information Exchange Development Phases 4-4
Model for Achieving Health Information Exchange Maturity 4-5
Adoption Trends in Health Information Exchange 4-6
Public HIEs/HIOs 4-8
Hospital HIE 4-8
Physician HIE 4-9
C h a p t e r 5'/>"/>
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