The functions of a RHIO include all EXCEPT

• A. initiating collaboration of stakeholders
• B. matching the national model for RHIOs
• C. formulating associational agreements
• D. constructing security and access procedures

Answer: (B)

RHIOs operate to enable secure regional health information exchange through governance, collaboration, and security controls. The key functions involve bringing together stakeholders to establish how data will be shared, drafting the agreements that define roles and responsibilities, and building the security and access procedures that protect patient information and govern who can see what data.

Initiating collaboration of stakeholders is essential because shared data exchange can't happen without a shared intent and cooperative governance. Formulating associational agreements sets the rules for data sharing, privacy, responsibilities, and accountability among participant organizations. Constructing security and access procedures creates the technical and policy framework that safeguards data and enforces appropriate access.

Aligning with a national model, while important for standards and guidance, is not a direct operational function of a RHIO. National models provide overarching frameworks, but a RHIO’s day-to-day activities center on regional collaboration, governance, and security policies, not on mirroring a national model as an activity in itself.