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H H S Department of Health and Human Services
U.S. Department of Health and Human Services
Health Information Technology and Quality

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What are the barriers of a Health Center Controlled Network?

Working together, however, also has challenges. There are sometimes barriers to being in a network just like any project including:

  • delays
  • underestimation of  time needed to implement objectives and work plans
  • ambiguous roles and responsibilities
  • inappropriate governance structure
  • lack of decision-making process/capability
  • "turf" issues/overcoming individual interests
  • selecting an inappropriate governance model
  • failure to execute strategies of integration
  • balancing needs of the Network and needs of the collaborators
  • communication
  • wide geographic location/distances


  • Creating EHR Networks in the Safety Net (PDF - 656 KB) go to exit disclaimer - Developed by Manatt Health Solutions for the California HealthCare Foundation (CHCF), this issue brief discusses the value of EHR networks, the difference between a standard vendor product and an EHR network, EHR network selection, and the future of EHR networks. (2008)
  • Community Health Center Information Systems Assessment: Issues and Opportunities go to exit disclaimer - Developed by the National Opinion Research Center at the University of Chicago (NORC) for the Office of the Assistant Secretary for Planning and Evaluation (ASPE), this report assesses the experiences of certain health centers and health center networks implementing IT programs, and describes the challenges faced by both health centers and health center networks in adopting IT, achieving gains from the use of IT, and sustaining those gains over time. (2005)
Developed by the Health Resources and Services Administration as a resource for health centers and other safety net and ambulatory care providers who are seeking to implement health IT.
Health Information Technology Toolboxes help health centers, safety net providers, and ambulatory care providers with electronic and online resources and technical assistance to improve patient care.  More>
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