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Integrated State Health Information Systems
Issues for the States
Presenter: Deborah Chollet, Ph.D., Associate Director, Alpha Center.
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In this session, participants had an opportunity to share their specific concerns related to the
development or use of integrated health information systems.
From an analysis of responses to a
pre-workshop questionnaire, Dr. Chollet noted that States were experiencing common problems
regardless of the stage of development of their systems and regardless of whether their system
integration efforts were within a single agency or spanned agencies.
These problems included:
- Design Issues (developing standards; linking systems; what next steps).
- Technical Issues (choosing and keeping up with rapidly changing technology).
- Data Issues (lack of standards for collection and format; multiple storage locations).
- Funding Issues (initial cost is high; stable funding for maintenance and
improvement of system once implemented).
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