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| − | Regional health information networks and organizations (RHINs and RHIOs) represent connecting communities striving to adopt and implement standards-based solutions that eventually will link into the envisioned National Health Information Network (NHIN). As these collaboratives and networks of stakeholders mature, they often find the need for a formal independent organizational and governance structure with systems to ensure accountability and sustainability for the benefit of all stakeholders.
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| − | Models for these connected communities include:
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| − | Federation – multiple independent / strong enterprises in same region
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| − | Co-op – multiple enterprises agree to share resources and create central utility
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| − | Hybrid – region containing both Federation and Co-op organizations
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