Home > Key Steps for States

Step 4: Select Strategies

Once the core team has determined its primary challenges related to exchange of health information, it must select specific strategies the state can implement to address those challenges.

In many cases, a state may need to employ multiple strategies to maximize effectiveness. For instance, a state may fully align its laws with HIPAA, but if the provider community is unaware of this change or misconceptions about HIPAA remain, this strategy will not improve exchange of health information. Similarly, a state may create economic incentives for information exchange through Medicaid payment and quality mechanisms, but if many providers in the state do not have the resources to acquire technology or the infrastructure needed to support such exchange, those incentives may not be effective.

The strategies and key considerations presented in this section are meant to help states think through the optimal approach in their unique environment. Strategic decision making about legal and market issues should occur in tandem to ensure the development of a comprehensive approach. Any strategic approach must include an outreach and education component to raise awareness of existing opportunities for improving the flow of information, as well as new opportunities afforded through policy and programmatic changes.

Each strategy presented in this section includes key considerations for states as they think through value and ease of implementation. It also includes a high-level assessment of the effectiveness of each strategy. Effectiveness is ranked according to the following scale:

= Very Effective
= Somewhat Effective
= Minimally Effective