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APHA Scientific Session and Event Listing

Recorded presentation

Katherine L. Cauley, PhD¹, Mary M. Crimmins, MA, CPEHR, CPHIT¹, and John Pascoe, MD, MPH². (1) Center for Healthy Communities, Wright State University, 140 E. Monument Ave., Dayton, OH 45402, 937-775-1114, katherine.cauley@wright.edu, (2) Community Health & Pediatrics, Boonshoft School of Medicine, 140 E. Monument Ave, Dayton, OH 45402

The National Health Information Network (NHIN) is, as yet a concept, that would provide accurate up-to-date health information on all citizens at the point of care. Such a network is expected to improve the quality of health care and to reduce the cost of health care. To date one of the primary solutions is the formation of Regional Health Information Organizations, RHIOs. These RHIOs are seen as the organizational vehicle for health information exchange. Dayton, Ohio through Wright State University Boonshoft School of Medicine has organized a RHIO from a previously established federally funded collaborative. Other communities have similar networks that can be expanded and re-tooled to address health information exchange. Authors will delineate specific “rules of engagement” for such networks including keeping communication open, expanding the membership, identifying and promoting enlightened self interest. Authors will provide an accounting of community wide benefits of health information exchange when seen as a “public utility”. Methods of organization of RHIOs will be discussed and strategies that promote incrementalism. Failure of such organizations is sometimes directly attributable to expectations that exceed feasible solutions. The technology to support theses organizations is critical but less important than the community will. Patient centric systems that provide information across organizational boundaries require legal agreements and solid system architecture. Such requirements will be reviewed by presenters.

Learning Objectives: At the conclusion of this session participants will be able to

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• Describe specific methods to build community based collaborative networks to exchange health information. (
• Identify benefits to the community for health information exchange (
• Articulate the role of public health in health information exchange

Keywords: Community Collaboration, Health Information Systems

Related Web page: www.med.wright.edu/healthlink

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation