The Delaware Health Information Network was the first statewide HIE to go live in 2007 and now it is pushing the bounds of HIE with new business models, such as providing data services to insurers. DHIN's CFO thinks the HIE is on the cusp of financial sustainability, with little or no government funding.
Health Level 7 is taking initial steps to make its brainchild available under a free-to-use license. The move is being hailed by one HIT guru as "the most significant standards development in the past decade."
The transcendent nature of cloud services could help break down existing boundaries between currently disparate data sources, open them to information exchange and, ultimately, provide the connectivity and integration necessary for accountable care.