Billions of dollars are being granted, gifted, and invested in Health Information Exchanges (HIEs) across the country.  A previous Commonwealth Study that appeared in the Annals of Internal Medicine estimated $178 billion will be needed to create regional and national networks.
With all that said, very few Health Information Exchanges (HIEs) have achieved a business/operating model that is sustainable without significant ongoing grants and subsidies.
In my opinion there are three keys to creating a sustainable HIE:
- Understand perceived value in the minds of likely participants
- Focus on achieving critical mass
- Live operational excellence.
