Health care reform is driving accountable care organizations that compel patients to be more active in managing their care and for providers to offer tools to aid patients. But few health information exchanges have yet gotten the message, according to an annual status survey of HIEs.

Advocacy organization eHealth Initiative, in its 10th survey, identified 315 HIEs--compared with about 300 last year--and 199 responded to the 2013 survey. About half are regional HIEs with the rest almost split between state-operated entities and private HIEs for delivery systems. Only 31 of the HIEs enable patients to access their information, 24 enable patients to make appointments, 26 offer them educational materials and 25 support medication refill requests. While 102 HIEs plan to offer patient access to their own data, 56 others do not.

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