Nationwide Health Information Network (NHIN) Workforce Study: Final Report. B. Site Visits


1. Indianapolis, Indiana

The Indiana Health Information Exchange (IHIE) is a well-known and highly regarded community health information system. In a half-day session, the Chief Executive Officer of IHIE reviewed the presentation about the study and provided useful feedback. He also was able to provide data regarding the Regenstrief Institute's experience with installations of standardized physician EHR systems over many years.

2. Portland, Oregon

The Oregon Community Health Information Network (OCHIN) is a collaborative effort providing EHR services to multiple safety net clinics. It is funded primarily by the clinics based on the benefit they receive from the economies of scale. OCHIN provided two sets of helpful EHR workforce data as well as other useful information.

3. Bellingham, Washington

Bellingham has perhaps the most experience with the deployment of personal health records (PHRs), with nearly 1,000 patients using them. They are populated with data from the hospital information system (since there is only one hospital, this is much easier to do than in larger communities). They provided workforce data for their widely recognized community health information infrastructure known as the Whatcom Health Information Network (HInet).

4. Bolivar, Missouri

Citizens Memorial Healthcare operates a 74-bed hospital and five long-term care facilities and has installed about 15 office EHR systems. They shared useful data about their office EHR workforce requirements and detailed overall workforce data related to all their installation activities.

5. Fairfax, VA

This group practice has 10 sites with 70 physicians and about 350 total employees. They are running two separate EHR systems, one at a single three-physician site, and the other larger system at most of the other locations. They shared their experience with EHR workforce requirements.

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"NHINReport.pdf" (pdf, 161.46Kb)

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