From Santa Barbara to Washington: A person's and a nation's journey toward portable health information

The Santa Barbara County Care Data Exchange recently decided to disband. Because I founded the Santa Barbara Project and went on to lead U.S. health information technology (IT) efforts, it has been suggested that federal health IT policy relied too heavily on the approach used in Santa Barbara. Concerns have been expressed that the U.S. health IT effort rests upon a weak foundation and may be unsustainable. Conversely, the lessons of Santa Barbara were evident to investigators, including myself, long before its termination. These lessons, not the original assumptions and methods used in Santa Barbara, were applied to federal policy.