I just got lost in thought. It was unfamiliar territory.
Apparently there’s an entire sub-community of RHIOs popping up around the country. From what I can tell these pseudo organizations are self-defined and originate out of their members; schools, rural providers, community health centers, and ambulatory EMRs. Some can be defined as virtual; some such as the VA, Kaiser, and even Wal-Mart have built what could be called RHIO equivalents.
Have you come across one of these? How will they be incorporated into the national network? Under what set of standards?
Pale Rhino Consulting 
Take a look around Memphis, TN. Everyone is connected through the MidSouth RHIO. Do they share toys? OK, with members they share. They promise an “Outside your 4 walls view”, a comprehensive look at labs, discharge summaries, meds, etc. May even include disease management profiles, and problem lists…oh, and I think they all ePrescribe. But how valuable are they for the patient if he/she ventures out of the safe network and goes to say a physician group not associated? Well…..
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I will stick with your initial comment.
“Never try to sell a meteor to a dinosaur…”
P-E-R-F-E-C-T
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