RHIO Governance Models

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Models for connected communities:

Federations tend to include large, “self-sufficient” enterprises agreeing to network, share, allow access to information they maintain on peer-to-peer basis. They may develop a system of indexing and/or locating data (e.g., state or region-wide MPI).

Co-ops tend to includes mostly smaller enterprises agreeing to pool resources and create a combined, common data repository. They may share technology and administrative overhead.

Hybrids are a combination of Federations and Co-ops and tend to agree to network, share, allow access to information they maintain on peer-to-peer basis; allowing for aggregation across large areas (statewide or regional). Hybrids may be required for statewide initiatives.

The two primary roles of the connected community’s organizational structure are Utility or Neutral/Convener/Facilitator. The Utility RHIN/RHIO provides functions such as:  Centralized database  Patient information exchange  Clearinghouse  Patient information locator service

The Neutral/Convener/Facilitator RHIN/RHIO  Builds consensus policies  Brings together competitive enterprises  Bridges multiple RHIN/RHIOs in geographic location  Seeks an open-standards approach – non vendor specific

From Chritina's Considerations Based on the writings of Holt Anderson