The Santa Barbara County Care Data Exchange: What happened?

Robert H. Miller, Bradley S. Miller

Research output: Contribution to journalArticlepeer-review

65 Scopus citations


The Santa Barbara County Care Data Exchange was once one of the most ambitious and publicized U.S. health information exchange (HIE) efforts. Eight years after its inception, and several months after providing some data, the Santa Barbara Project shut down operations. Despite its developed HIE infrastructure, participants found no compelling value proposition in initial HIE services. Even with fewer technology delays and more community leadership, other regional health information organizations (RHIOs) may also stumble over HIE service-value propositions without some combination of grants, incentives, and mandates that develop initial RHIO infrastructure and services and ensure provision of unprofitable yet socially valuable services.

Original languageEnglish (US)
Pages (from-to)w568-w580
JournalHealth Affairs
Issue number5
StatePublished - Sep 2007
Externally publishedYes


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