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Program Measures Dashboard

Directed Exchange Transactions

The figures contained on this page show the total number of directed exchange<sup1 transactions2, through State HIE grantee-funded or supported/enabled mechanisms such as HIOs, HISPs, etc., and by type of directed transaction–between hospitals3 and ambulatory entities4, from non-hospital clinical laboratories5, and to public health entities6 –for each state. All information contained on this page is self-reported by grantees. As the State HIE Cooperative Agreement Program period of performance has ended, the Program Measures Dashboard will not be updated after Q4 2013. This information will remain on HealthIT.gov to provide historical data on the Program.

Directed Exchange Transactions Summary Statistics

MetricQ2 2012
(Baseline)
Q3
2012
Q4
2012
Q1
2013
Q2
2013
Q3
2013
Q4
2013
Total number of directed transactions nationally 72,766,216 70,719,991 147,433,270 168,111,802 155,067,622 157,588,707 236,639,280
Total number of directed transactions between hospitals and ambulatory entities nationally 9,667,880 10,594,276 49,573,764 46,078,907 36,804,432 37,576,738 43,861,350
Total number of directed transactions from clinical laboratories nationally 11,731,475 16,775,010 53,696,755 64,226,694 48,701,190 56,415,835 123,766,929
Total number of directed transactions to public health nationally 5,506,559 5,618,668 5,797,954 5,569,155 5,453,869 7,349,305 10,391,888

Figure 9. Total Directed Transactions

The heat map below shows the total number of directed transactions, through State HIE grantee-funded or supported/enabled mechanisms such as HIOs, HISPs, etc., in each state during the quarterly reporting period.

To use this tool, place your cursor in the upper left hand corner and click the (+) or (-) icons to zoom in and out of the map. You can move the map by clicking and dragging your cursor. To download the information displayed above as well as historical data from previous reporting periods (back to Q2 2012), please click here.

Figure 9A. Total Directed Transactions

The bar chart below shows the total number of directed transactions, through State HIE grantee-funded or supported/enabled mechanisms such as HIOs, HISPs, etc., in each state during the quarterly reporting period. Transactions may fluctuate from quarter to quarter depending on many factors, some of which may be unique to the environment of each state. Data points shown as zero are a result of several possible scenarios in grantee reporting including the grantee reported zero, grantees missed reporting deadlines, measure values reported were not reliable, vendor measurement limitations, and other reporting challenges.

To download the data displayed above as well as historical data from previous reporting periods (back to Q2 2012), click here.

Acute Care Hospitals and Ambulatory Entities

Figure 9B. Care Coordination—Directed Transactions between Hospitals and Ambulatory Entities

The bar chart below shows the number of directed transactions, through State HIE grantee-funded or supported/enabled mechanisms such as HIOs, HISPs, etc., between hospitals and ambulatory entities in each state during the quarterly reporting period. Transactions may fluctuate from quarter to quarter depending on many factors, some of which may be unique to the environment of each state. The sum of directed transactions by organization type may not equal the total number of directed transactions, as (1) the categories for organization types are not exhaustive, and (2) some grantees may not be able to capture transaction data at a more granular level. If you are a State HIE grantee and wish to see examples of other organization types enabled for directed exchange that may account for this difference, please visit the Direct Use Case Repository on the HITRC. Data points shown as zero are a result of several possible scenarios in grantee reporting including the grantee reported zero, grantees missed reporting deadlines, measure values reported were not reliable, vendor measurement limitations, and other reporting challenges.

To download the data displayed above as well as historical data from previous reporting periods (back to Q2 2012), click here.

Non-Hospital Clinical Laboratories

Figure 9C. Laboratory Interoperability–Directed Transactions from Non-Hospital Clinical Laboratories

The bar chart below shows the number of directed transactions from non-hospital clinical laboratories, through State HIE grantee-funded or supported/enabled mechanisms such as HIOs, HISPs, etc., in each state during the quarterly reporting period. Transactions may fluctuate from quarter to quarter depending on many factors, some of which may be unique to the environment of each state. The sum of directed transactions by organization type may not equal the total number of directed transactions, as (1) the categories for organization types are not exhaustive, and (2) some grantees may not be able to capture transaction data at a more granular level. If you are a State HIE grantee and wish to see examples of other organization types enabled for directed exchange that may account for this difference, please visit the Direct Use Case Repository on the HITRC. Data points shown as zero are a result of several possible scenarios in grantee reporting including the grantee reported zero, grantees missed reporting deadlines, measure values reported were not reliable, vendor measurement limitations, and other reporting challenges.

To download the data displayed above as well as historical data from previous reporting periods (back to Q2 2012), click here.

Public Health Entities

Figure 9D. Public Health Interoperability–Directed Transactions to Public Health Entities

The bar chart below shows the number of directed transactions, through State HIE grantee-funded or supported/enabled mechanisms such as HIOs, HISPs, etc., to public health entities in each state during the quarterly reporting period. Transactions may fluctuate from quarter to quarter depending on many factors, some of which may be unique to the environment of each state. The sum of directed transactions by organization type may not equal the total number of directed transactions, as (1) the categories for organization types are not exhaustive, and (2) some grantees may not be able to capture transaction data at a more granular level. If you are a State HIE grantee and wish to see examples of other organization types enabled for directed exchange that may account for this difference, please visit the Direct Use Case Repository on the HITRC. Data points shown as zero are a result of several possible scenarios in grantee reporting including the grantee reported zero, grantees missed reporting deadlines, measure values reported were not reliable, vendor measurement limitations, and other reporting challenges.

To download the data displayed above as well as historical data from previous reporting periods (back to Q2 2012), click here.

Helpful Definitions

1Directed exchange: Point-to-point secure communication supported by the Direct Project specifications or other industry approaches to secure messaging.

2Directed transaction: Any secure message exchange between two distinct production (non-test) end points through State HIE grantee-funded or supported/enabled mechanisms (HIOs, HISPs, etc.).

3Acute care hospitals: Hospitals that provide inpatient medical care and other related services for surgery, acute medical conditions or injuries.

4Ambulatory entities: Entities/organizations that provide outpatient services, including community health centers, independent and group practices, cancer treatment centers, dialysis centers, etc.

5aboratories: Non-hospital clinical laboratories.

6Public health entities: State, county, and/or municipal public health agencies/departments.

Note: If you are a State HIE grantee and wish to make any changes or corrections to the data displayed above, please contact your project officer. Changes must be made through program progress reports in the CRM tool. It may take up to 2 weeks for changes to be posted.

This dashboard is intended to be an objective source of information about the State HIE Program. To learn more about program milestones and grantee accomplishments, check out the Program’s Grantee Recognition Program. To learn more about what might be driving some of the numbers and progress depicted on the dashboard, check out State HIE Bright Spots.