Recent comments made by a number of leaders throughout the industry show clear discontentment with the state of health information exchanges. As William Yasnoff, MD, PhD, president of the Health Record Banking Alliance, recently pointed out, the current nationwide network of health information exchanges is an "unmitigated disaster," due primarily to obstacles in privacy, stakeholder cooperation and financial stability. Four experts sat down to discuss current data exchange trends and best practices at the eHealth Initiative Annual Conference.