While health information exchange organizations are growing in maturity, they continue to face cost and technical challenges that remain key barriers to interoperability, according to the eHealth Initiative’s 2014 health data exchange survey.

The annual survey, which the eHealth Initiative has been conducting for the past 11 years, tracks the growth and progress of electronic health data exchange efforts across the United States. Of 267 identified HIEs, 125 respondents fully completed the survey—74 community-based HIOs, 25 statewide efforts, 26 healthcare delivery organizations—and an additional 10 gave partial responses.

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