What are the challenges for the NHII initiative?
• Health care is a large sector of the economy that involves multiple provider associations, health systems, payer organizations, consumers, and local, state, and federal agencies. It is highly fragmented and largely delivered by the private sector. Medical information is complex and there are few incentives in place for information sharing. Organizational and change management issues are also difficult to manage in a clinical environment. The nature of Information Technology in health care: • Information Technology is expensive and it has been difficult to generate the capital needed for IT investment. It is often regarded as an add-on cost. • Connectivity -electronic connections must exist among all providers and institutions. Currently there is fragmented use of technology with minimal interoperability, legacy systems, etc • Standards for content (how the meaning of medical terms are represented) are not yet agreed upon nor are the standards for how messages are to be sent and recei
