Another lesson from Santa Barbara.

In this commentary, Don Holmquest, speaking from the perspective of a statewide regional health information organization (RHIO), responds to papers by Robert Miller and Bradley Miller and by David Brailer on lessons learned from the Santa Barbara County Care Data Exchange project and its subsequent demise. He posits that one of the critical lessons learned through the Santa Barbara experience is the need for a careful analysis of who benefits from health information exchange as part of creating a sustainable business model for health information exchange projects.