State health IT execs describe their efforts to modernize MMIS using service-oriented architecture to break down silos between agencies. But others talked about the uphill battle in getting agencies to work through cultural issues to share data.

I just returned from a great summit meeting of state government health IT leaders from around the country. The State Healthcare IT Connect Summit in Baltimore featured engaging panel discussions with CIOs and state health IT coordinators. Although I was impressed by how smart and dedicated the speakers were, I couldn’t decide whether to be encouraged or discouraged by the rate of progress they described in re-engineering systems and processes in state government to make sharing health data more of the rule than the exception.

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