Health Information Exchange - Overview
Health Information Exchange (HIE) enables health care providers to transfer data through electronic networks among disparate health information systems. Information available through an HIE typically includes laboratory results, radiology reports, discharge summaries, consultation notes, history and physical notes, operative notes, and secure clinical messaging and referrals. Providers may access information through an HIE via an online portal, secure messaging, or through their electronic health record system or other system. The goal of HIE is to deliver electronically the right health information to the right place at the right time.
The State Designated Health Information Exchange
In 2009, the Maryland Health Care Commission (MHCC) and the Health Services Cost Review Commission (HSCRC) designated the Chesapeake Regional Information System for our Patients (CRISP or State-Designated HIE) to build and maintain the technical infrastructure to support a statewide HIE. The long-term goal of the State-Designated HIE is to build the fundamental foundation for interoperability to communicate health data among Maryland physicians, hospitals, and other health care organizations and providers. The State-Designated HIE will also enable communities with regional HIEs to connect to other communities around the State and, in the future, with providers in other states.
Planning for the Statewide HIE
For more information about the planning efforts for establishing a statewide HIE, click here.
Statewide HIE Implementation Progress
For more information about the status of the Statewide HIE click here.
Statewide HIE Evaluation Report
The MHCC compiled this report for Maryland under the State HIE Cooperative Agreement Program to meet the requirements in the program information notice issued by the Office of the National Coordinator (ONC) for Health Information Technology; the plan was approved by ONC. The report describes the approaches and strategies used by the State Designated HIE to facilitate and expand HIE in priority areas; identifies conditions influencing implementation of program strategies; assesses how HIE performance has progressed in key program priority areas; and assesses how key approaches and strategies implemented by the State Designated HIE contributed to progress, click here.
HIE Privacy and Security Regulations and HIE Registration
The MHCC was given the authority under Maryland law on May 19, 2011, to adopt regulations for the privacy and security of protected health information (PHI) obtained or released through a HIE. COMAR 10.25.18.09, Health Information Exchanges: Privacy and Security of Protected Health Information, effective March 17, 2014, aims to ensure the privacy and security of PHI accessed, used, or disclosed through a HIE; improve access to clinical records by providers; and support public health goals. Among other things, the regulation also requires HIEs operating in Maryland to register with MHCC.
HIE Registration and Renewal
For more information regarding registration and renewal click here.
HIE Policy Board Workgroup
HIMSS Ambulatory HIE Toolkit
HRSA Rural Health IT Adoption Toolbox
Informal public comments received to second draft HIE regulations
Links to National Health Information Exchange Information