Identifying Stakeholder Issues in HIE Development: The View from Texas

Author: David Richards

Primary Advisor:

Committee Members: Jack Smith, MD, PhD (co-author); Kim Dunn, MD, PhD (co-author); Stephen Palmer (co-author)

Masters thesis, The University of Texas School of Health Information Sciences at Houston.


On April 14-15, 2008, representatives from five categories of health information exchange (HIE) stakeholders, existing Texas HIEs, and national leaders in health information technology (HIT), presented and discussed their views on HIE implementation at the National Health Information Technology (NHIT) Summit held in Houston, TX. These groups – representing health information technologists, hospitals, payers, physicians, and public health personnel – identified and organized lists of their concerns using a common presentation template. Each group iterated its own set of issues, but all expressed common interests in the development of technology standards, education, the creation of incentives for HIE participation, and consistency in privacy and other policies on the part of local, state, and national governments. This paper outlines the process for developing a 2 statewide/national policy dialogue for HIE development and implementation.