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are encrypted for security and privacy, as well.


Physicians were eligible for a $400


voucher paid to the HISP they select to offset their initial connectivity costs, but the voucher program supporting Direct messaging within the white space region ended last year. “While we are pleased with the vouch-


er program’s success, there is clearly more work to do to ensure connectivity in rural Texas,” Mr. Gilman said. HHSC, in partnership with THSA,


has contracted with the West Texas HIT Regional Extension Center to plan for the implementation and development of HIE options in the Texas white space. Last year, the West Texas HIT Regional Extension Center held stakeholder meet- ings in Wichita Falls, Abilene, and San Angelo to discuss HIE needs in the re- gion and preferences for creating and maintaining connectivity. At press time, the West Texas HIT Regional Extension Center planned to appoint members of the West Texas HIE Advisory Committee to identify options for supporting the technical infrastructure needed to en- able HIE in the Texas white space. More information about the Texas


white space strategy and the counties that make up the region is available on- line, http://hietexas.org/white-space/ overview. THSA and HHSC are also working


to address Texas physicians’ concerns regarding HIE privacy, security, and ac- countability. THSA is developing an HIE accreditation program and a privacy and security certification program. Mr. Gil- man explains that currently, local HIEs must meet certain operations standards under their contracts with HHSC. But when the local grant program ends in March, those standards will no longer be applicable or enforced. “We at THSA believe in providing a method to improve HIE standards and trust within the field without stifling in- novation in this new, growing, and excit- ing area,” he said. THSA is partnering with the Elec-


tronic Healthcare Network Accredita- tion Commission to establish the Texas HIE accreditation program, which will encompass criteria relating to privacy


February 2014 TEXAS MEDICINE 43


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