Query-Based Exchange: Key Factors Influencing Success and Failure

The United States is still in an early chapter of the history of health information exchange. For HIOs that
are in midstream implementing initial technology and spending HITECH dollars, the lessons of earlier
successes and failures are instructive and ought not to be ignored. For many, there is an opportunity to
take a fresh look at business models, timeframes, and funding commitments before grant funding is fully

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