Two delivery systems in recent days have announced contracts to build proprietary health information exchanges that link hospitals, physicians and other providers to create a community health record.

Ten-hospital BayCare Health System serving the Tampa, Fla., region will use HIE platform software from Medicity Inc., Salt Lake City. The BayCare HIE, being developed in part to meet meaningful use and health care reform requirements for improved coordination of care, will include the BayCare hospitals, affiliated and unaffiliated physicians, and home care providers, among others. Medicity will integrate with a variety of electronic health records systems, starting with Allscripts, GE Centricity and McKesson Practice Partner.

Four-hospital Erlanger Health System in Chattanooga, Tenn., will use GE Healthcare's HIE platform to link emergency departments, inpatient and outpatient facilities, including 13 Erlanger ambulatory care centers. Three large group practices using the vendor's Centricity EMR software--University of Tennessee Family Practice, University Medical Associates and Academic Internal Medicine--also will join the HIE. The platform will feed data into a patient Web portal enabling patients access to lab results, medication history and clinical summaries. The HIE is part of a strategy to position Erlanger for accountable care organizations and pay-for-performance programs.

--Joseph Goedert


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