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...RHIO usually forms as a community collaborative first and then transforms to a more formal structure as the number of its partners increases, as technology and clinical plans are brought into focus, and as the collaborative looks toward providing oversight and guiding implementation.
The process of pulling community-wide collaborations together and creating a sustainable organizational structure is complicated. Partners in the collaborative cannot take this process lightly, because it usually involves bringing competitors together to establish a shared vision and common goals. The 2006 survey by the Healthcare Information Management Systems Society found that the biggest barrier to implementing an RHIO was the cost of development (at 46 percent), followed by lack of organizational leadership (at 25 percent); see Figure 1. As many in the healthcare industry often point out, the technology is the easy part.
The most successful RHIOs focus on delivering the following:
* relevant information to clinicians at the point and time of care...
NOTE: All illustrations and photos
have been removed from this article.

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