Unlike most industrialized nations, the United States has a highly fragmented healthcare system in which patient information is not typically shared across diferent providers. In recent years, however, the federal government has attempted to foster the development of health information exchanges (HIEs) by making funds available to states and local governments. As this paper seeks to demonstrate, what is most critical is not the economic business model chosen, but the degree to which system designers are able to generate value for the main actors involved. This paper will analyze the characteristics of the successfully implemented Indiana Health Information Exchange through alignment theory and enactment frameworks, highlighting its ability to meet the expectations of its most important users, embedded within the speciic historical, organizational, and cultural environment, and how this interaction of factors has augmented its prospects of long-term sustainability.
How to Cite:
Morizio, P., 2014. Path to Sustainability for Health Information Exchanges in the US: A Case Study of the Indiana HIE through Alignment and Enactment Frameworks. iSCHANNEL, 9(1), pp.25–31.