State Health Information Exchange

State Health Information Exchange Cooperative Agreement Program

In March 2010, ONC completed the announcement of State Health Information (State HIE) Exchange Cooperative Agreement Program awardees.  In total, 56 states, eligible territories, and qualified State Designated Entities (SDE) received awards.

The State HIE Cooperative Agreement Program funds states’ efforts to rapidly build capacity for exchanging health information across the health care system both within and across states. Awardees are responsible for increasing connectivity and enabling patient-centric information flow to improve the quality and efficiency of care. Key to this is the continual evolution and advancement of necessary governance, policies, technical services, business operations, and financing mechanisms for HIE over each state, territory, and SDE’s four-year performance period. This program is building on existing efforts to advance regional and state-level health information exchange while moving toward nationwide interoperability.

On January 27, 2011, an additional $16 million was made available to states through ONC’s new Challenge Grants program. This program will provide funding to states to encourage breakthrough innovations for health information exchange that can be leveraged widely to support nationwide health information exchange and interoperability. The HIE Challenge Grant Program is providing 10 awards between $1 and $2 million to State HIE Cooperative Agreement Program grantees to develop innovative and scalable solutions in five key areas, including:

  • Create and implement up-to-date privacy and security requirements for HIE
  • Coordinate with Medicaid and state public health programs to establish an integrated approach
  • Monitor and track meaningful use HIE capabilities in their state
  • Set strategy to meet gaps in HIE capabilities
  • Ensure consistency with national standards

Visit the HIE Challenge Grant Program web page to learn more about this important program.

State/SDE Award
Alabama Medicaid Agency $10,564,789
State of Alaska $4,963,063
Arizona Governor's Office of Economic Recovery $9,377,000
Arkansas Dept of Finance and Administration $7,909,401
California Health and Human Services Agency $38,752,536
Colorado Regional Health Information Organization * $9,175,777
Department of Public Health, State of CT $7,297,930
Delaware Health Information Network $4,680,284
Government of the District of Columbia $5,189,709
Agency of Health Care Administration (FL) $20,738,582
Georgia Department of Community Health * $13,003,003
The Hawaii Health Information Exchange $5,602,318
Idaho Health Data Exchange $5,940,500
Illinois Department of Health care and Family Services $18,837,639
Indiana Health Information Technology, Inc. * $10,300,000
Iowa Department of Public Health $8,375,000
Kansas Health Information Exchange Project $9,010,066
Cabinet for Health and Family Services (Kentucky) $9,750,000
Louisiana Health Care Quality Forum $10,583,000
Maine Department of Health and Human Services $6,599,401
The Maryland Department of Health and Mental Hygiene * $9,313,924
Massachusetts Technology Park Corporation * $10,599,719
Michigan Department of Health $14,993,085
Minnesota Department of Health $9,622,000
State of Mississippi $10,387,000
Missouri Depart of Social Services $13,765,040
HealthShare Montana * $5,767,926
Nebraska Department of Administrative Services $6,837,180
Nevada Department of Health and Human Services $6,133,426
New Hampshire Department of Health and Human Services $5,457,856
New Jersey Health Care Facilities Financing Authority $11,408,594
LCF Research, New Mexico $7,070,441
New York eHealth Collaborative Inc. $22,364,782
North Carolina Health Information Exchange * $12,950,860
State of North Dakota, Information Technology Department $5,343,733
Ohio Health Information Partnership LLC $14,872,199
Oklahoma Health Care Authority * $8,883,741
State of Oregon $8,579,992
Governor's Office of Health Care Reform Commonwealth of Pennsylvania $17,140,446
Rhode Island Quality Institute $5,280,000
South Carolina Department of Health & Human Services $9,576,408
South Dakota Department of Health $6,081,750
State of Tennessee $11,664,580
Texas Health and Human Services Commission $28,810,208
Utah Department of Health $6,296,705
Vermont Department of Human Services $5,034,328
Virginia Department of Health $11,613,537
Health Care Authority (Washington) $11,300,000
West Virginia Department of Health and Human Resources $7,819,000
Wisconsin Department of Health and Family Services $9,441,000
Office of the Governor (Wyoming) $4,873,000
Pacific Ecommerce Development Corporation (American Samoa) $600,000
Office of the Governor (Guam) $1,600,000
Commonwealth of the NMI, Department of Public Health $800,000
Oticina del Gobernador La Fortaeza (Puerto Rico) $7,770,980
Virgin Islands Department of Health $1,000,000
Total $547,703,438

* Existing State HIEs that received new funding through the HIE Challenge Grant Program on January 27, 2011.

HIE is fundamental to realizing the full potential of meaningful use of electronic health records and health information technology that can lead to improved coordination, quality, and efficiency of health care.

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