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Jeff Livesay
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Hi Alan - this is a great post - could we possibly have a phone discussion about some of the items you identify some time?  I'm with Michigan's State Designated Entity for HIE, the Michigan Health Information Network - livesay@mihin.org is the best way to reach me.  You are onto some great ideas - we've been exploring some of them for 2 1/2 years and would love to compare notes.   Jeff
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