A recent article in the Journal of the American Medical Informatics Association explores changes in development of the Nationwide Health Information Network.

The authors question whether a shift away from regional health information organizations to the use of point-to-point information exchange (such as the Direct Project) and private HIEs is wise. “We write this article to prompt a pause for reflection on the wisdom of this approach. We describe the history of RHIOs, the value of RHIOs to patients and communities, the changes in the policies of the Office of the National Coordinator, and likely the consequences of these changes. Based on this analysis we call for an open debate and the development of scientific consensus before irrevocable commitment to one model or another for the NwHIN is made.”

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