The report noted that more public HIEs are courting third-party consultants because they need help navigating the complexity of government regulations that require data standards for the electronic exchange of clinical data among providers. KLAS researchers also found that public HIEs need assistance in a variety of areas–everything from preparing the paperwork to apply for public funds, to coordinating participating public HIE stakeholders. Private HIEs, however, did not require as much assistance because they are privately sponsored entities with less government involvement.
According to KLAS’s definition, private HIEs typically are based around one or more integrated delivery networks (IDNs) or large hospital organizations banding together to pull in community practices. The majority of their funding and governance comes from private entities.
By comparison, public HIEs encompass specific regions and involve multiple hospital-based organizations. The majority of their funding and governance comes through government entities, such as state HIEs.
“There’s a lot of complexity that comes with creating a public HIE,” Erik Westerlind, the report’s author, said in an interview with InformationWeek Healthcare. “Providers need to sort out who will have access to patient data, they want to know where the data will reside, and what security policies should be put in place.”