Status of Health Information Exchanges: 50 State Comparison
This comparative map illustrates the structure of all 50 states' Health Information Exchange (HIE) State Designated Entity (SDE). The states are identified based on which organization has been contracted to organize health information exchange activities within that state. There are four major types of SDEs in the states. The least common type is a joint partnership between a previously existing state agency and a newly created organization. The most common is a public or private entity newly created, often by legislation, to manage and operate the HIE. A third type is one where the state government contracts HIE functions and capabilities to an existing Health Information Organization (HIO). The fourth type is where the state government directly runs the HIE via an existing agency, such as a Department of Health or a Department of Human Services. There is a fifth category for states for which no current information on an HIE is available. Note that this information is provided based on publicly accessible information made available by each state. As some operational plans continue to be updated, the state-designated entity may change.
[Last Updated 12/13/2013]
Click on a state to see more information on Care Coordination/Care Management in that state
- HIE is a joint effort of a previously existing state agency and a newly created organization
- State government directly runs the HIE via an existing agency
- An organization is created to manage and operate the HIE
- State government contracts HIE capabilities to an existing HIO(s)
- No recent information on operating structure available
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| State | State Designated Entities (SDE) to Oversee Health Information Exchange (HIE) | Details |
|---|---|---|
| Alabama | State government directly runs the HIE via an existing agency | The Alabama Medicaid Agency works with the Governor-appointed Alabama Health Information Exchange Advisory Commission |
| Alaska | An organization is created to manage and operate the HIE | The Alaska eHealth Network (AeHN) |
| Arizona | HIE is a joint effort of a previously existing state agency and a newly created organization | The existing Arizona Strategic Enterprise Technology (ASET) office and the newly created Arizona Health-e Connection (AzHeC)'s HIE Marketplace program |
| Arkansas | State government directly runs the HIE via an existing agency | The Arkansas Office of Health Information Technology |
| California | State government contracts HIE capabilities to an existing HIO(s) | The California Office of Health Information Integrity (CalOHII) coordinates with the California Department of Public Health, as well as other state entities, to operate through a public-private partnership |
| Colorado | An organization is created to manage and operate the HIE | Colorado Regional Health Information Organization (CORHIO) |
| Connecticut | No recent information on operating structure available | CT uses the Rhode Island RIQI system, and subsequently does not have a dedicated system of its own |
| Delaware | An organization is created to manage and operate the HIE | Delaware Health Information Network (DHIN) |
| Florida | HIE is a joint effort of a previously existing state agency and a newly created organization | The newly created Florida Health Information Exchange and the existing Florida Agency for Health Care Administration |
| Georgia | State government contracts HIE capabilities to an existing HIO(s) | Georgia Health Information Exchange (GHIE) |
| Hawaii | An organization is created to manage and operate the HIE | Hawaii Health Information Exchange |
| Idaho | No recent information on operating structure available | |
| Illinois | State government directly runs the HIE via an existing agency | Illinois Health Information Exchange (ILHIE) |
| Indiana | State government contracts HIE capabilities to an existing HIO(s) | Indiana Health Information Technology (IHIT) |
| Iowa | State government directly runs the HIE via an existing agency | Iowa Health Information Network created by the Iowa Department of Public Health |
| Kansas | State government directly runs the HIE via an existing agency | Kansas Health Information Technology (KanHIT) housed in the Kansas Department of Health and Environment |
| Kentucky | State government directly runs the HIE via an existing agency | Kentucky Health Information Exchange (KHIE) |
| Louisiana | State government contracts HIE capabilities to an existing HIO(s) | Louisiana Health Information Exchange (LaHIE) run by the Louisiana Health Care Quality Forum (LHCQF) |
| Maine | State government contracts HIE capabilities to an existing HIO(s) | HealthInfoNet |
| Maryland | An organization is created to manage and operate the HIE | Chesapeake Regional Information System for our Patients (CRISP) |
| Massachusetts | An organization is created to manage and operate the HIE | Massachusetts eHealth Institute (MeHI) (created prior to 2009) |
| Michigan | An organization is created to manage and operate the HIE | Michigan Health Information Network (MiHIN) |
| Minnesota | An organization is created to manage and operate the HIE | Minnesota e-Health Connect |
| Mississippi | An organization is created to manage and operate the HIE | Mississippi Health Information Network (MS-HIN) |
| Missouri | An organization is created to manage and operate the HIE | Missouri Health Connection |
| Montana | State government contracts HIE capabilities to an existing HIO(s) | HealthShareMontana |
| Nebraska | No recent information on operating structure available | |
| Nevada | State government directly runs the HIE via an existing agency | Office of Health Information Technology (OHIT) in the Nevada Department of Health and Human Services (DHHS) |
| New Hampshire | An organization is created to manage and operate the HIE | New Hampshire Health Information Organization (NH-HIO) |
| New Jersey | State government contracts HIE capabilities to an existing HIO(s) | New Jersey Health Information Network (NJH) |
| New Mexico | State government contracts HIE capabilities to an existing HIO(s) | New Mexico Health Information Collaborative (NMHIC) |
| New York | An organization is created to manage and operate the HIE | New York eHealth Collaborative (NYeC) |
| North Carolina | An organization is created to manage and operate the HIE | North Carolina Health Information Exchange |
| North Dakota | State government directly runs the HIE via an existing agency | North Dakota Health Information Technology |
| Ohio | An organization is created to manage and operate the HIE | CliniSync: Ohio Health Information Partnership |
| Oklahoma | State government directly runs the HIE via an existing agency | Oklahoma Health Information Exchange through the Oklahoma Health Care Authority |
| Oregon | HIE is a joint effort of a previously existing state agency and a newly created organization | CareAccord, Oregon's Health Information Exchange |
| Pennsylvania | An organization is created to manage and operate the HIE | Pennsylvania eHealth Partnership Authority |
| Rhode Island | State government contracts HIE capabilities to an existing HIO(s) | Rhode Island Quality Institute (RIQI): Rhode Island Health Information Exchange |
| South Carolina | An organization is created to manage and operate the HIE | South Caroline Health Information Exchange (SCHIEx) |
| South Dakota | An organization is created to manage and operate the HIE | South Dakota Health Link (SDHL), formerly the South Dakota eHealth Collaborative |
| Tennessee | State government directly runs the HIE via an existing agency | Tennessee Office of e-Health Initiatives |
| Texas | State government contracts HIE capabilities to an existing HIO(s) | Texas Health Services Authority oversight |
| Utah | An organization is created to manage and operate the HIE | Utah Clinical Health Information Exchange (cHIE) |
| Vermont | An organization is created to manage and operate the HIE | Vermont Information Technology Leaders, Inc. |
| Virginia | An organization is created to manage and operate the HIE | ConnectVirginia |
| Washington | HIE is a joint effort of a previously existing state agency and a newly created organization | Health Care Authority Washington & OneHealthPort |
| West Virginia | An organization is created to manage and operate the HIE | West Virginia Health Information Network (WVHIN) |
| Wisconsin | State government contracts HIE capabilities to an existing HIO(s) | Wisconsin State Health Information Network (WISHIN) |
| Wyoming | An organization is created to manage and operate the HIE | Wyoming e-Health Partnership |
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