Health information technologies (HIT) and electronic health information exchange (HIE) are increasingly recognized as necessary tools for a high-performing, effective health care system. State and national initiatives that use these strategies have gained momentum with the passage of the American Recovery and Reinvestment Act of 2009 (ARRA), which provides over $40 billion in associated resources to promote the adoption of HIT, including electronic health records (EHRs) and HIE. This paper, based on a review of state laws and interviews with key stakeholders, provides background information for state and federal policymakers on the policy issues and challenges related to electronically sharing a critical HIE data element: laboratory results.
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