The forum will educate community leaders who are working on health information exchanges about other efforts, experiences, and best practices from initiatives across the country. The RHIO Wiki is an open, online, real-time tool for community leaders to collaborate on health information exchanges by: 1) searching a library of information on other local and regional efforts; 2) asking and receiving from other leaders their thoughts on specific challenges, issues, and opportunities; and 3) sharing with other leaders their own experiences, expertise, and knowledge.

Overview of RHIOs and Health Information Exchanges

What are RHIOs and Health Information Exchanges?

• Federal efforts to support RHIOs
• ONCHIT Framework
• HHS contracts
• American Health Information Community
• Current Trends

• Current Initiatives - Case Studies from Across the Country

• State Initiatives

• Why we need RHIOs and Health Information Exchanges
• Improve the quality of care
• Efficiency, automation
• Research
• Patient safety
• National security necessity
• Pay for performance and RHIOs
• Chronic care
• Transformational Change is Difficult--But Vital

Financing Overview – Contributed Versus Earned Income

• Contributed Income
• Overview
• Federal Funding Support
• Funding Provided through Federal Agencies
• Funding in Pending Legislation
• CBO Scoring Reform
• Stark/Anti-Kickback Reforms
• Philanthropy and Private Sector Support

• Earned Income
• Transaction fee models
• Subscription fee models
• Consumer fee models

Consumer Engagement

• How are consumers being engaged with RHIOs and HIEs?
• Consumer portals and personal health records

Confidentiality of Personal Health Information

• Who owns the data?
• Patient consent
• HIPAA
• National patient identifier
• Record locator services
• Federal preemption of state privacy laws
• Technical security of information

Interoperability/Technical Infrastructure

• Overview
• The Role of Standards
• The Need for Conformance Testing
• Technical Aspects to Address in Every RHIO
• Data Storage and Retrieval Architecture
• Message Transport Architecture
• Terminology (controlled vocabulary, value sets) and Coding Standards
• Security Standards
• Network Services
• Alternatives Views Related to the Technical Aspects of HIE'''
• Clinical Database Model Alternatives