Even with the infusion of nearly $600 million via the HITECH Act to help states offer statewide health information exchange between providers, payers and other stakeholders, financial sustainability remains the biggest challenge of state and regional HIEs, authors of a new report published on July 8 conclude.

Concerns with HIE is one of several health information technology issues examined in the 2013 edition of an annual status report, “Health Information Technology in the United States,” from the Robert Wood Johnson Foundation. Other chapters cover progress on electronic health records adoption, mitigating disparities in EHR adoption, improving patient education with EHRs and comparing U.S. HIT adoption with other nations. The foundation sponsored the report with research done by Harvard School of Public Health and Mathematica Policy Research.

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