There's been considerable debate about what’s the best network architecture for RHIOs (regional health information organizations), including whether it should be centralized or decentralized (federated)?
We argue the best approach is a federated “node-to-node mesh” architecture because it can incorporate all other architectures and meets these RHIO business needs:
- Has maximum reliability
- Is the least expensive to deploy
- Is the most robust since there is no single point of failure
Has unlimited scalability
- Promotes shared governance, while it supports rapid decision making at the level of the individual
- Provides early detection and correction of healthcare errors when and where they occur
- Enables patient profile data to be linked with RFID, thereby supporting information exchange in both IT-competent organizations and paper-based ones.
We discuss this issue on a new page in our wellness wiki at http://wellness.wikispaces.com/Network+Architectures