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The Santa Barbara County Care Data Exchange: what happened?
Robert H Miller1, Bradley S Miller
1Institute for Health and Aging, University of California, San Francisco, CA, USA. robert.miller@ucsf.edu
Health Affairs (Project Hope)
|August 3, 2007
Summary
The Santa Barbara County Care Data Exchange, a major health information exchange (HIE) initiative, failed due to a lack of compelling value in its services. Other regional health information organizations (RHIOs) face similar risks without financial support and mandates.
Area of Science:
- Health Informatics
- Health Services Research
- Public Health
Background:
- The Santa Barbara County Care Data Exchange was a prominent U.S. health information exchange (HIE) initiative.
- Despite significant development, the project ceased operations after eight years.
Purpose of the Study:
- To analyze the reasons for the failure of the Santa Barbara County Care Data Exchange.
- To identify potential challenges for other regional health information organizations (RHIOs).
Main Methods:
- Case study analysis of the Santa Barbara County Care Data Exchange.
- Examination of participant feedback regarding HIE service value.
Main Results:
- Participants did not find compelling value in the initial HIE services offered.
- The lack of a clear value proposition contributed to the project's shutdown.
Conclusions:
- Health information exchange (HIE) initiatives require more than just infrastructure; a strong value proposition is crucial for success.
- Financial incentives, grants, and mandates may be necessary to ensure the viability of regional health information organizations (RHIOs), especially for socially valuable but unprofitable services.
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