Advocates of health record banks are moving the industry away from distributed HIE models.

Most health information exchange efforts employ a distributed model, with data passed between providers' systems. But a few regions are experimenting with a different approach: the creation of centralized health record banks (HRBs).

Health authorities in Oregon and Washington have received grant funding to establish HRB pilot projects, and Louisville, Ky., is establishing a regional HRB.

Some state health IT officials in Washington state are skeptical the distributed model of building interfaces between provider data silos will work. "To be frank, we don't think that's sustainable or feasible," says ...

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