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.