While we have made progress through new technology and federal rules toward making a national health information exchange system a reality, just about everyone who works in this space knows we have “miles to go before we sleep”. There are indeed local HIE’s that are quite successful, but few major operational state HIE’s and not a true national HIE system the likes of which we wished for when this work started. Now Niam Yaraghi writes in an article published by the Brookings Institution that
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