Health information exchange
||The examples and perspective in this article deal primarily with the United States and do not represent a worldwide view of the subject. (March 2014)|
Health information exchange (HIE) is the mobilization of healthcare information electronically across organizations within a region, community or hospital system. In practice the term HIE may also refer to the organization that facilitates the exchange.
HIE provides the capability to electronically move clinical information among different health care information systems. The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer and more timely, efficient, effective, and equitable patient-centered care. HIE is also useful to public health authorities to assist in analyses of the health of the population.
HIE systems facilitate the efforts of physicians and clinicians to meet high standards of patient care through electronic participation in a patient's continuity of care with multiple providers. Secondary health care provider benefits include reduced expenses associated with:
- the manual printing, scanning and faxing of documents, including paper and ink costs, as well as the maintenance of associated office machinery
- the physical mailing of patient charts and records, and phone communication to verify delivery of traditional communications, referrals, and test results
- the time and effort involved in recovering missing patient information, including any duplicate tests required to recover such information
According to an internal study at Sushoo Health Information Exchange, the current method of exchanging patients' health information accounts for approximately $17,160 of expenses annually for a single-clinician practice.
Formal organizations are now emerging to provide both form and function for health information exchange efforts, both on independent and governmental/regional levels. These organizations are, in many cases, enabled and supported financially by statewide health information exchange grants from the Office of the National Coordinator for Health Information Technology. These grants were legislated into the HITECH components of the American Reinvestment and Recovery Act in 2009. The latter organizations (often called Regional Health Information Organizations, or RHIOs) are ordinarily geographically defined entities which develop and manage a set of contractual conventions and terms, arrange for the means of electronic exchange of information, and develop and maintain HIE standards.
In the United States, federal and state regulations regarding HIEs and HIT (health information technology) are still being defined. Federal regulations and incentive programs such as "Meaningful Use", which is formally known as the EHR Incentive Program,  are rapidly changing the face of this relatively new industry. In addition to changes driven by federal activities the lessons learned in the ongoing implementation of some state-sponsored HIEs (such as the North Carolina HIE) and the fluctuating nature of health care regulations at the level of the state governments themselves is leading to additional refinement. However, HIEs and RHIOs continue to struggle to achieve self-sustainability and the vast majority remain tied to Federal, State, or Independent grant funding in order to remain operational. Some exceptions exist, such as the Indiana HIE.
Storage and Gathering of Information in HIEs
Data Architecture Models for HIEs
There are two main models for the data architecture of Health Information Exchanges. One is a federated, or decentralized model, and the second is a centralized one. There is also a hybrid model that contains elements of both. In a centralized HIE there is a central (or master) database which holds a complete copy of all of the records of every patient contained in the HIE. In a federated HIE there is no master database.
In a federated model each health care provider is responsible for maintaining the records of their individual patients. In this model the main function of the HIE is to facilitate providers with exchanging patient records among themselves as the need arises. For example, if a physician in a federated HIE requests the records of Patient Y a query is sent to each server in the system asking to return any records that they have pertaining to Patient Y. Each federated HIE may accomplish this in a slightly different way, but the salient distinction is that in a federated model there is no central database from which a previously compiled comprehensive medical record is stored and can be downloaded.
In short, in a federated HIE records are exchanged electronically among providers when they need them. In a centralized model all patient information is uploaded to a single database from which any provider in the HIE can download a patients full medical record.
Health Information Exchanges must operate with patient consent to comply with not only the Health Insurance Portability and Accountability Act (HIPAA), but a variety of state and federal laws and regulations. This was clarified by the Office of Civil Rights in the January 2013 Final Omnibus Rule Update to HIPAA.
There are two methods for gaining patient consent. One is explicit consent and is termed Opt-In. With this method a patient is not automatically enrolled into the HIE by default and generally must submit a written request to join the Health Information Exchange.
The other method is implicit patient consent and is termed Opt-Out. In this method patients give implicit consent to join an HIE when they agree to use the services of a health care provider who is submitting data into an HIE and sign the provider's Notice Of Privacy Practices. In this model patients can request to Opt-Out of the HIE, generally with a written form.
List of Health Information Exchanges
|State||HIE Name||Oversight Agency||Web Address|
|Alabama||Alabama Medicaid HIE||Alabama Medicaid Agency||http://www.medicaid.alabama.gov|
|Florida Health Information Exchange||Florida Agency for Healthcare Administration||http://www.florida-hie.net|
|Georgia Health Information Network||Georgia Department of Community Health||http://www.gahin.org|
|One Health Record Alabama||Alabama Medicaid Agency||http://www.onehealthrecord.alabama.gov|
|Alaska||Alaska eHealth Network||State of Alaska Department of Health and Social Services||http://www.ak-ehealth.org|
|American Samoa||American Samoa Health Information Exchange||American Samoa Dept of Health||http://www.ashie.org|
|Arizona||Arizona Health E Connection||Arizona Governor’s Office of Health information Exchange||http://www.azhec.org|
|Behavioral Health HIE||Arizona Governor’s Office of Health information Exchange||http://www.bhinaz.com|
|Arkansas||SHARE||Arkansas Office of Health Information Technology||http://www.sharearkansas.com|
|California||Brown & Toland Medical Group||California Office of Health Information Integrity||http://www.brownandtoland.com/|
|CAReHIN||State of California Office of Health Information Integrity||http://www.carehin.org/|
|Cal Index||State of California Office of Health Information Integrity||http://www.calindex.org|
|Central Coast Health Connect||State of California Office of Health Information Integrity||http://www.centralcoasthealthconnect.org|
|Connect Healthcare||State of California Office of Health Information Integrity||http://www.connecthealthcare.com|
|Dignity Health||State of California Office of Health Information Integrity||http://www.dignityhealth.org|
|E Health California||State of California Office of Health Information Integrity||http://www.ehealth.ca.gov|
|Healthcare Partners||State of California Office of Health Information Integrity||http://www.healthcarepartners.com|
|Hill Physicians||State of California Office of Health Information Integrity||http://www.hillphysicians.com|
|HOAG HIE||State of California Office of Health Information Integrity||http://www.hie.ehoag.org|
|Huntington Hospital||State of California Office of Health Information Integrity||http://www.huntingtonhospital.com|
|Inland Empire HIE||State of California Office of Health Information Integrity||http://www.iehie.org|
|John Muir Health||State of California Office of Health Information Integrity||http://www.johnmuirhealth.com|
|Kaiser Permanente||State of California Office of Health Information Integrity||https://healthy.kaiserpermanente.org|
|LANES LA||State of California Office of Health Information Integrity||http://www.lanesla.org|
|Memorial Healthcare System||State of California Office of Health Information Integrity||http://www.memorialcare.org|
|North Coast Health Information Network||State of California Office of Health Information Integrity||http://www.northcoasthin.org|
|Orange County Partnership Regional Health Information Organization||State of California Office of Health Information Integrity||http://www.ocprhio.org|
|Palo Alto Medical Foundation||State of California Office of Health Information Integrity||http://www.pamf.org|
|RAIN-Live Oak||State of California Office of Health Information Integrity||http://www.direct.liveoaktech.net|
|Redwood Mednet||State of California Office of Health Information Integrity||http://www.redwoodmednet.org|
|Sac Valley Medshare||State of California Office of Health Information Integrity||http://www.sacvalleyms.org|
|St. Joeseph Health System||State of California Office of Health Information Integrity||http://www.stjhs.org|
|San Diego Health Connect||State of California Office of Health Information Integrity||http://www.sdhealthconnect.org|
|San Joaquin Community HIE||State of California Office of Health Information Integrity||http://www.sjchie.org|
|San Francisco General Hospital||State of California Office of Health Information Integrity||http://www.sfgh.ucsf.edu|
|San Mateo Medical Center||State of California Office of Health Information Integrity||http://www.sanmateomedicalcenter.org|
|Santa Cruz HIE||State of California Office of Health Information Integrity||http://www.santacruzhie.org|
|Sharp Healthcare||State of California Office of Health Information Integrity||http://www.sharp.com|
|Sutter Health||State of California Office of Health Information Integrity||http://www.sutterhealth.org|
|Tulare Kings Foundation for Medical Care||State of California Office of Health Information Integrity||http://www.tkfmc.org|
|Vigilance Health||State of California Office of Health Information Integrity||http://www.vigilancehealth.com|
|Colorado||CORHIO||Colorado Regional Health Information Organization||http://www.corhio.org|
|Quality Health Network||Colorado Regional Health Information Organization||http://www.qualityhealthnetwork.org|
|Connecticut||Western Connecticut Health Network||State of Connecticut Department of Public Health||http://www.westernconnecticuthealthnetwork.org|
|ERICCA||State of Connecticut Department of Public Health||http://www.nutmeg.med.yale.edu/ericca|
|Delaware||DHIN||Delaware Health Information Network||http://www.dhin.org|
|District of Columbia||CRISP||District of Columbia Department of Health||http://www.crisphealth.org|
|Florida||Atlantic Coast HIE||Florida Agency for Health Care Administration||http://www.atlanticcoasthie.com|
|Florida HIE||Florida Agency for Health Care Administration||http://www.florida-hie.net|
|Florida Health Information Network||Florida Agency for Health Care Administration||http://www.fhin.net/|
|University of Florida Health||Florida Agency for Health Care Administration||http://www.ufhealth.org|
|Georgia||ArcHIE||Georgia Department of Community Health||http://www.archbold.org|
|Chatham County Safety Net Planning Council||Georgia Department of Community Health||http://www.chathamsafetynet.org|
|GA Telehealth||Georgia Department of Community Health||http://www.gatelehealth.org|
|Georgia Health Information Network||Georgia Department of Community Health||http://www.gahin.org|
|GracHIE||Georgia Department of Community Health||http://www.grachie.org|
|HealtheConnection||Georgia Department of Community Health||http://www.healtheconnection.org|
|West Georgia Health System||Georgia Department of Community Health||http://www.wghealth.org|
|Guam||Guam HIE||Guam Departmentof Health||http://www.hie.guam.gov|
|Hawaii||HHIE||Hawaii Health Information Exchange||http://www.hawaiihie.org|
|Idaho||IHDE||Idaho Health Data Exchange||http://www.idahohde.org|
|Illinois||Illinois Health Information Exchange (ILHIE)||Illinois Department of Healthcare and Family Services||http://www.ilhie.org|
|Indiana||HealthBridge Inc.||Indiana Health Information Technology||http://www.healthbridge.org|
|HealthLINC Inc.||Indiana Health Information Technology||http://www.healthlinc.org|
|Indiana Health Information Exchange Inc.||Indiana Health Information Technology||http://www.ihie.org|
|Michiana Health Information Network, LLC||Indiana Health Information Technology||http://www.mhin.com|
|Iowa||Iowa Health Information Network (IHIN)||Iowa Department of Public Health||http://www.iowaehealth.org|
|Kansas||Kansas Health Information Network||Kansas Department of Health and Environment||http://www.khinonline.org|
|Lewis & Clark Information Exchange (LACIE)||Kansas Department of Health and Environment||http://www.lacie-hie.com|
|Kentucky||Kentucky Health Information Exchange||Cabinet for Health and Family Services||http://www.khie.ky.gov|
|Louisiana||LaHIE||Louisiana Health Care Quality Forum||http://www.lhcqf.org|
|Maine||HealthInfoNet||Maine Office of Health and Policy Finance||http://www.hinfonet.org|
|Maryland||CRISP||The Maryland Department of Health and Mental Hygiene||http://www.crisphealth.org|
|Massachusetts||Mass HIway||Massachusetts eHealth Institute (MeHI)/Massachusetts eHealth Collaborative (MAEHC)||http://www.masshiway.net|
|Michigan||Great Lakes Health Connect||Michigan Department of Health||http://www.gl-hc.org|
|Ingenium||Michigan Department of Health||http://www.ingenium-llc.com|
|Jackson Community Medical Record (JCMR)||Michigan Department of Health||http://www.jcmr.org|
|Michigan Health Information Network (MiHIN)||Michigan Department of Health||http://www.mihin.org|
|Southeast health Information Exchange (SEMHIE)||Michigan Department of Health||http://www.semhie.org|
|Upper Penninusla Health Information Exchange (UPHIE)||Michigan Department of Health||http://www.uphie.org|
|Minnesota||Emdeon||Minnesota Department of Health||http://www.emdeon.com/hie|
|Mississippi||Mississippi Health Information Network||Mississippi Department of Health||http://www.ms-hin.ms.gov|
|Missouri||Lewis & Clark Information Exchange (LACIE)||Missouri Department of Social Services||http://www.lacie-hie.com|
|Missouri Health Connection||Missouri Department of Social Services||http://www.missourihealthconnection.org|
|Tiger Institute Health Alliance||Missouri Department of Social Services||http://www.tiger-institute.org|
|Montana||HealthShare Montana||Montana Designated Health Information Exchange Organization||http://www.healthsharemontana.org|
|Nebraska||Nebraska Health Information Initiative||Nebraska Department of Administrative Services||https://connectnebraska.net/|
|Nevada||Health HIE Nevada||Nevada Department of Health and Human Services||http://www.healthienevada.org|
|New Hampshire||NHHIO||New Hampshire Health Information Organization||http://nhhio.org|
|New Jersey||Camden Coalition||New Jersey Health Care Facilities Financing Authority||http://www.camdenhealth.org|
|Health-e-cITi||New Jersey Health Care Facilities Financing Authority||https://www.healtheciti.com|
|Jersey Health Connect||New Jersey Health Care Facilities Financing Authority||http://www.jerseyhealthconnect.org|
|New Jersey HiTec||New Jersey Health Care Facilities Financing Authority||http://www.njhitec.org/services/hie|
|New Mexico||New Mexico Health Information Connection (NMHIC)||LCF Research, New Mexico||http://www.lcfresearch.org|
|New York||Health e Connections||New York eHealth Collaborative||http://www.healtheconnections.org|
|Health Information New York||New York eHealth Collaborative||http://www.hixny.org|
|Healthix||New York eHealth Collaborative||http://www.healthix.org|
|HEALTH e LINK||New York eHealth Collaborative||http://www.wnyhealthelink.com|
|Healthlink NY||New York eHealth Collaborative||http://www.healthlinkny.com|
|Rochester NY RHIO||New York eHealth Collaborative||http://www.grrhio.org|
|Southern Tier Health Link||New York eHealth Collaborative||http://www.sthlny.com|
|North Carolina||Coastal Connect Health Information Exchange||North Carolina Department of State Treasurer||http://www.coastalconnect.org|
|North Carolina HIE||North Carolina Department of State Treasurer||http://www.nchie.org|
|Western North Carolina Data Link||North Carolina Department of State Treasurer||http://www.wnchn.org|
|North Dakota||North Dakota Health Information Network||State of North Dakota, Dept. of Information Technology||http://www.ndhin.org|
|Northern Mariana Islands||N/A||Commonwealth of the Mariana Islands||N/A|
|Ohio||CliniSync||Ohio Health Information Partnership||http://www.clinisync.org|
|Greater Dayton Area HIN||Ohio Health Information Partnership||http://www.gdaha.org|
|HealthBridge||Ohio Health Information Partnership||http://www.healthbridge.org|
|Oklahoma||Coordinated Care Oklahoma (CCO)||Oklahoma Health Care Authority||http://www.coordinatedcareok.com|
|My Health Access Network||Oklahoma Health Care Authority||http://www.myhealthaccess.net|
|Oregon||Care Accord Oregon's State Information Exchange||State of Oregon Health Authority||http://www.careaccord.org|
|Pennsylvania||HealthShare Exchange of SE Pennsylvania Inc||Pennsylvania e Health Authority||http://www.hsxsepa.org|
|Keystone Health Information Exchange (KeyHIE)||Pennsylvania eHealth Authority||http://www.keyhie.org|
|Puerto Rico||Puerto Rico Health Information Network||La Fortaleza Oficina del Gobernador||http://www.prhin.net|
|Rhode Island||Current Care||Rhode Iland Dept. of Health||http://www.currentcareri.com|
|South Carolina||South Carolina Health Information Exchange (SCHIEx)||South Carolina Department of Health & Human Services||http://www.schiex.org|
|South Dakota||Sount Dakota Health Link||South Dakota Department of Health||http://www.sdhealthlink.org|
|Tennessee||East TN Health Information Network||State of TennesseeOffice of eHealth Initiatives||http://www.ethin.org|
|MidSouth eHealth Alliance||State of TennesseeOffice of eHealth Initiatives||http://www.midsoutheha.org|
|Texas||First Net||Texas Health and Human Services Commission||http://www.firstnetexchange.com|
|Greater Houston Healthconnect||Texas Health and Human Services Commission||http://www.www.ghhconnect.org|
|Healthcare Access San Antonio||Texas Health and Human Services Commission||http://www.hasatx.org|
|Health Informationm of South Texas||Texas Health and Human Services Commission||http://www.hinstx.org|
|HIE Texas||Texas Health and Human Services Commission||http://www.hietexas.org|
|Pasa Del Norte Health Information Exchange||Texas Health and Human Services Commission||http://www.pdnhie.org|
|Rio Grand HIE||Texas Health and Human Services Commission||http://www.rgvhie.org|
|Rio One HIE||Texas Health and Human Services Commission||http://www.rioonehie.com|
|SETHS Operated Provider HIE||Texas Health and Human Services Commission||http://www.yourhie.com|
|U.S. Virgin Islands||N/A||Virgin Islands Department of Health||http://www.healthvi.com/index.html|
|Utah||Utah Health Information Network (UHIN)||Utah Department of Health||http://www.uhin.org|
|Vermont||Vermont Information Technology Leaders Inc. (VITL)||Vermont Department of Human Services||http://www.vitl.net|
|Virginia||Connect Virginia||Virginia Department of Health||http://www.connectvirginia.org|
|Washington||OneHealthPort HIE||Washington Healthcare Authority||http://www.onehealthport.com|
|North Shore Medical Group||Washington Healthcare Authority||http://www.northshore-medical.com|
|Skyline Hospital||Washington Healthcare Authority||http://www.skylinehospital.com|
|West Virginia||West Virginia Health Information Network (WVHIN)||West Virginia Department of Health and Human Services||http://www.wvhin.org|
|Wisconsin||WISHIN Pulse||Wisconsin Department of Health Services||http://www.wishin.org|
|Wyoming||Wyoming e-Health Partnership||State of Wyoming Office of the Governor||http://wyomingincentive.wyo.gov|
- Chesapeake Regional Information System for our Patients
- CRISP is a non-profit corporation that is implementing health information exchange in the state of Maryland. The organization also serves as the Health IT Extension Center for Maryland. CRISP was created by Johns Hopkins Medicine, MedStar Health, the University of Maryland Medical System and Erickson Retirement Communities. Audacious Inquiry, a health information system consulting firm, serves as the technical architect and strategic partner for the health information exchange while Dynamed Solutions provides operational, project management and organizational support under CRISP.
- CORHIO - the Colorado Regional Health Information Organization 
- CORHIO is one of the United States' largest public health information exchange networks and the state designated entity for HIE in Colorado. As of November 1, 2014, 38 Colorado hospitals and more than 2,200 doctors, and 130 long-term and post-acute care centers were connected to the CORHIO HIE.
- Delaware Health Information Network ()
- DHIN is a non-profit public-private partnership enacted by the Delaware General Assembly in 1997, for the benefit of all citizens of Delaware to advance the creation of a statewide health information network and to address Delaware's needs for timely, reliable and relevant health care information. DHIN has adopted regulations to govern its operations and has policies and procedures in place to support privacy and security of patient information. DHIN enhances a health care information exchange started in May 2007. In February 2012, The Delaware Health Information Network announced full participation of all acute care hospitals and skilled nursing facilities in the state, along with the vast majority of Delaware providers, in the first statewide community health record. As of June 2013, DHIN has attracted the participation of 97 percent of Delaware providers, tracks nearly 88 percent of Delaware's population, and delivers more than 10 million clinical results and reports to participating providers annually.
- Frysian Health Information Exchange ()
- The Friesland Regional Cardiology Network speeds up the referral process, improves both diagnosis and the clinical decision process, and on average reduces by one or two days the length-of-stay for patients in hospitals. From their office workstations, cardiologists are able to consult the advanced clinical images provided by any hospital linked to the network. The distributed storage of records eliminates the duplication of records across multiple sites. Once uploaded to the cardiology network, records remain available for consultation at any time so that previous episodes of a patient’s care can be consulted in detail no matter where the care was provided in the region.
- Harvard Pilgrim Health Care
- HPHC is a non-profit insurance provider which serves members throughout Massachusetts, New Hampshire, and Maine. The provider offers variety health insurance options for companies, families and individuals. Customers health insurance expectations are met through a tailored options from preferred provider organization (PPO), point-of-sale (POS), and health maintenance organization (HMO). HPHC implements CRM, Master Data Management and is now implementing Oracle Policy Automation to support integrated call center and online self-service for plan purchase and management across their various customer groups additionally, HPHC is using their platform to support recruitment and to better analyze and improve service levels in a heavily competitive market.
- HealthShare Exchange of Southeastern Pennsylvania, Inc. ()
- HealthShare Exchange of Southeastern Pennsylvania, Inc. is a non-profit health information exchange organization serving the Delaware valley. Founded in 2009, HealthShare Exchange of Southeastern PA, (or HSX) facilitates the exchange of patient data between hospitals, insurers and physicians within the region.
- Idaho Health Data Exchange 
- The Idaho Health Data Exchange (IHDE) is the state designated Health Information Exchange (HIE) for Idaho. Health Information Exchange enables doctors, nurses, labs, and other medical providers to securely access their patient’s electronic health information quickly, 24/7/365, to improve the speed, quality, safety, and cost of patient care. IHDE is a non-profit 501(c)(6) company. The IHDE is Idaho created, based, and managed. Located in Boise, ID, the staff consists of an Executive Director, Executive Assistant, Sr. Marketing Coordinator, Business Analysts (Implementations), Training/Support Specialists, and IT systems support. The IHDE’s mission is to create, and maintain a collaborative effort to improve the coordination and quality of healthcare through the use of Health Information Exchange and Health Information Technology. The IHDE is governed by a voluntary Board of Directors and voluntary Privacy and Security Committee which provides oversight of compliance and best practices. Members of the Board of Directors and Privacy and Security Committee represent the private and public sectors, and health care delivery systems, with a passionate interest in Health Information Exchange.
- Indiana Health Information Exchange ()
- The Indiana Health Information Exchange (IHIE) operates the U.S.'s largest HIE and one of the oldest with data on more than 7 million patients, connecting hospitals, rehabilitation centers, long term care facilities, laboratories, imaging centers, clinics, community health centers and other healthcare organizations. Created by the Regenstrief Institute, a medical informatics think tank, the Indiana Network for Patient Care (INPC) is a secure network that provides a patient records to participating doctors. The IHIE provides current data about admissions, discharges, and transfers to help health plans and accountable care organizations reduce nonurgent emergency department visits. This HIE grew over time from 12 hospitals in the center of the state with approximately 5,000 physicians, to 106 hospitals out of 126 in the state and more than 14,000 physicians in Indiana.
- Keystone Health Information Exchange ()
- KeyHIE was founded by Geisinger Health System in April 2005, via a memorandum of understanding signed by 8 hospitals throughout Central Pennsylvania. One of the nation’s largest and most advanced health information exchanges, KeyHIE connects 18 hospitals, 251 physician practices, 95 long-term care facilities, 30 home health agencies and other healthcare organizations such as EMS agencies, pharmacies, and federally qualified health centers (FQHCs). It serves 4.3 million patients over a 53-county presence in Pennsylvania to ensure health information follows patients, regardless of where they receive care. KeyHIE offers a wide range of services to doctor’s offices, hospitals, nursing homes and other healthcare organizations in Pennsylvania and surrounding areas.
- Michiana Health Information Network ()
- MHIN is one of the first HIEs in the United States and offers unprecedented levels of integration and connectivity to healthcare professionals and providers. In 1998, MHIN was incorporated, and the team went right to work improving, securing, and facilitating communication among providers. Today, MHIN continues to assist communities throughout the Midwest to establish a regionally based HIE. Organizations across the healthcare spectrum - from hospitals to specialty groups to medical labs and diagnostic centers - find solutions in MHIN's diverse service platform. MHIN's core applications provide an efficient, secure way for providers to exchange information and facilitate high-quality, coordinated care.
- Michigan Health Connect ()
- Michigan Health Connect (MHC) is a Regional Health Information Organization (RHIO) that facilitates and manages Health Information Exchange (HIE) services in the State of Michigan. MHC was founded in 2009 when 3 independent health systems in West Michigan (Spectrum Health, Trinity Health, and Metro Health) realized they had licensed the same vendor’s clinical messaging technology and had plans to deploy that technology to many of the same community provider organizations. Agreeing to collaborate and not compete on clinical data exchange, the health systems began meeting to determine what they could do together in conjunction with their vendor, Medicity. In the subsequent weeks, both Lakeland Health System and Northern Michigan Regional Health System were added to the collaborative discussions, each also independently licensing Medicity’s clinical messaging platform. After collaborating for many months and with good progress and momentum developed related to common robust health information exchange in their respective communities, in March of 2010 MHC was formally launched as a charitable [509(a)2] non-profit corporation in Michigan.
- Missouri Health Connection
- Missouri Health Connection(MHC) is a nonprofit organization that operates Missouri's statewide health information network. Established in 2009, MHC's mission is to enable Missouri healthcare providers-from small, rural clinics to large hospital systems-to securely share a patient's medical data. With our wide network of hospitals, clinics, and community health centers, MHC's network will connect inpatient and outpatient care in Missouri. MHC's network covers two-thirds of the inpatient care in Missouri and enables physicians to access more complete patient records.
- MHC provides the technological infrastructure for health care providers to coordinate care for their patients through a secure health information network.The services provided by MHC are designed to support all health care provider organizations, from the largest multi-hospital health system to a solo physician practice. Coordinating care, reducing preventable errors, and avoiding treatment duplication are among MHC’s primary goals. MHC’s network will improve patient care and help save lives in emergencies by securely delivering more complete and accurate information at the point of care, or wherever it is needed. MHC is a non-profit 501(c)(3) organization and is governed by a board of directors that includes representatives from both public and private organizations such as hospital systems, health care providers, state agencies and consumer groups.
- Ohio Health Information Partnership
- CliniSync HIE ()
- The Ohio Health Information Partnership, a nonprofit, public/private partnership initially funded with $14.8 million in federal HITECH funds under the Office of the National Coordinator for HIT, is the state-designated statewide health information exchange founded by the Ohio State Medical Association, the Ohio Osteopathic Association,the Ohio Hospital Association, BioOhio and the Ohio Department of Health.
- Federal funds paid for the creation of the technological infrastructure, powered by Medicity, as well as discounted implementation fees for hospitals in Ohio. The CliniSync Health Information Exchange covers 77 of Ohio's 88 counties and as of May 2014 has 141 hospitals contracted to join the network. CliniSync now has 49 hospitals "live" on the network with thousands of physicians receiving results and reports directly from live hospitals or waiting to do so when hospitals go live.
- The CliniSync HIE continues to grow each day, with more and more physicians connecting. In its second phase in 2014, CliniSync will not only deliver results and reports, it will enable a physician or authorized user to look up and find (query and retrieve) a longitudinal Community Health Record on a patient that will give that clinician a full picture of a patients health, including recent visits to doctors or the hospital, current medications, tests and reports, care summaries and other useful information. Ohio is an opt-in state, meaning that patients who visit doctors or hospitals on the CliniSync network will need to give one-time consent for their medical records to be shared electronically.
- In addition, the Ohio Health Information Partnership is also a Regional Extension Center, which continues to help physicians and specialists adopt electronic health records and achieve requirements of Meaningful Use. A white paper describing Ohio's success, Consulting in Cyberspace: Health Information Exchange in Ohio can be found at:http://www.clinisync.org/images/stories/Clinisync/CliniSyncWhitePaper2014_.pdf
- Pennsylvania eHealth Partnership Authority ()
- Taking over the work of the PA eHealth Collaborative, the Pennsylvania eHealth Partnership Authority (PAeHealth) provides leadership and strategic direction for public and private, federally funded and state-funded investments in health information technology initiatives, including health information exchange capabilities and other related health information technology efforts. The Authority’s direction has considered the stakeholder community's needs and will complement commonwealth agency operations. It also will ensure ongoing interagency cooperation.
- Utah Health Information Network ()
- The Utah Health Information Network (UHIN) is a broad-based coalition of Utah healthcare insurers, providers, and other interested parties, including the Utah State government. Since 1993, UHIN members have come together for the common goal of reducing healthcare costs and improving the quality of care through the use of electronic data interchange (EDI) for healthcare transactions. Exchanging information electronically rather than by phone, fax or surface mail means that data can get to those who need it securely, economically and efficiently. UHIN currently serves nearly all the hospitals, ambulatory surgery centers, national laboratories, insurers, and approximately 90% of the medical providers in Utah as well as the Utah State government. As a community organization the focus is on creating data exchange solutions that work for the entire healthcare community, from large integrated networks to single-provider offices. The Clinical Health Information Exchange (cHIE) is a secure electronic way for medical professionals to share and view patient information that is needed at the point of care. The cHIE makes this information accessible, with patient consent, to authorized users while maintaining the highest standards of patient privacy.
- DICOM (Digital Imaging and Communications in Medicine)
- LOINC (Logical Observation Identifiers Names and Codes)
- Health informatics
- Health Level 7 (HL7)
- Integrating the Healthcare Enterprise (IHE)
- Medical imaging
- Regional Health Information Organization (RHIO)
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- McGee, Marianne. "8 Health Information Exchanges Lead The Way". Information Week. Retrieved 10 June 2012.
- Sentementes, Gus G. (2009). "Md. takes lead in electronic medical records". Retrieved 2009-11-26
- "CORHIO: Home - Colorado Regional Health Information Organization". Retrieved 2013-01-03.
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