Health Information Exchanges in California


HIE Counties

 

This map identifies Health Information Exchanges in California. A Health Information Exchange, or HIE, is technology that enables the electronic movement of health-related information among health care providers and others. HIEs are an increasingly popular way for hospitals, pharmacies, labs, and emergency room physicians to share patient information. Some HIEs just share information within one hospital network, some share information across many hospitals or physicians in a region, and some HIEs share information across the state. If your health information is being shared through an HIE, your lab test results, medications, medical history, or other clinical information related to your health care may be included in the sharing. HIEs come in many varieties, some may only share lab results, some may share just emergency room records. It’s important for you to know when your records are being shared, where, and what controls you have over that.

This map is phase I of WPF Health Information Exchange project. The map will be regularly updated and expanded with additional information and tools. Please check back with us for new updates. If you are part of an HIE, or have any questions, we would like to hear about your HIE experience.

How to use this map: In your local area, click on the red or green pin indicating an HIE. You can also scroll down the list below and check for HIEs in your area by county. Under each entry, locate the listing of the specific health care providers participating in the HIE. Contact any of your health care providers or the HIE to ask about what records are being exchanged and what rules are in place. Some exchanges are fully operational, others are in early stages and do not yet exchange data.

Key questions to ask include: If you learn your information is being exchanged in an HIE, request the HIE privacy policy in writing. These are some key questions to ask:

  • What kind of information is shared in the HIE? Where does the information get shared?
  • Is my information automatically shared in the HIE? If it is, do I have an option to not have my information shared?
  • If it is not automatically shared, do I have an option to have all or part of my information shared?
  • Can I decide which doctor can see the information?
  • Do all of the doctors see all of the information that is sent?

To learn more please visit our HIE FAQ page.

More resources: A Patient’s Guide to HIPAA will help you navigate medical privacy laws and questions you have about privacy policies, HIPAA, and getting copies of your health files.

 

Access El Dorado (ACCEL)
Status
Operational
Contact info
Christine Sison, Program Manager
accelqa@gmail.com
Area served
El Dorado County
Affiliates/Partners
ACCEL includes many disciplines: physicians, nurses, community health workers, mental health clinicians, and administrators. Specifically, ACCEL partners include the El Dorado County Health and Human Services Agency, including the Public Health and Mental Health divisions, Barton Health (with affiliated medical providers and rural clinic), Marshall Medical (with affiliated medical providers and rural clinic), El Dorado County Community Health Center, Shingle Springs Health and Wellness Center and the Western Sierra Medical Center.
Types of Data Exchanged
Structured demographic information and status of client’s
care pathway (no clinical information is shared at this time through ACCEL’s
web-based system.)
Means of exchanging data
iREACH – a custom web-based system, built for ACCEL’s needs. Each participating ACCEL agency has access to this system.
Patient Portal?
No
Privacy policy link
No specific links, but the privacy policy of each
participating agency states they may share information among other ACCEL
agencies for the care and coordination of patient’s services.In addition,
all ACCEL agencies share a common set of privacy and security practices
that govern data exchange or sharing.
Opt in/Opt out
Opt-in model.
HIE model
Custom-tailored to ACCEL participants.
ConnectHealthcare
Website
No website yet; not to be confused with a vendor called
Connect Healthcare.
Status
Planning
Contact info
Lyman Dennis, Executive Director
(707) 863-0130
Area served
Phase 1: Napa and Solano counties; later broadening
to include Sonoma and Yolo counties.
Affiliates/Partners
Anticipated partners:
Hospital Systems and Hospitals, Medical Societies, Departments of Health
and Human Services, including Behavioral Health/Substance Abuse, Community
and Rural Health Clinic Systems, Health Plans.
Types of Data Exchanged

Anticipated types of data exchange at the outset:
Discharge data from Emergency Departments; in-patient records; lab results
and prescriptions, plus behavioral health data.

Potential future data sharing and HIE functions:
Consent management, clinical messaging, gateways to NwHIN, public health,
etc.; physician EMR lite, ePrescribing, practice management, personal
health record, disease registries, dictation services; data warehouse
and analytics, including clinical management aids such as disease management
and clinical decision support and analytical data for insurance, regional
public health studies; patient community longitudinal care record and
financial and administrative services related to credentialing, billing,
and remittance.

Patient Portal?
No patient portal initially, but eventually there will be one.
Privacy policy link
There will be an HIE-wide privacy policy.
Opt in/Opt out
Opt-out model. Patients are opted-in unless they affirmatively
opt out. Patient may opt-out of sharing physical health data.
HIE model
Either query-response or direct clinical messaging.
Health Share Bay Area
Status
Planning;
Will decide in July 2013 whether to move forward with operational planning, toward offering a minimal level of services requested by the members by the end of 2013.
Area served
Alameda, Contra Costa, and San Francisco counties.
Patient Portal?
Planned
Inland Empire HIE (IEHIE), partner with San Joaquin Co. HIE (SJCHIE)
Status
Operational
Contact info
Rich Swafford, Executive Director
3993 Jurupa Ave
Riverside, CA 92506
(951) 686-1326
Area served
Public HIE: Riverside, San Bernardino, San Joaquin
counties. Private HIE: six other counties based on location of providers/hospitals
in those various locations.
Affiliates/Partners

Hospitals: Arrowhead Regional Medical Center (ARMC), Community Hospital
of San Bernardino, Hi-Desert Medical Center, Kaiser Hospital, Riverside
and San Bernardino, Loma Linda University MC, Pacific Alliance Medical
Center (PAMC), Parkview Community Hospital, Redlands Community Hospital,
Riverside Community Hospital, Riverside County Regional Medical Center
(RCRMC), St. Bernardine Medical Center, San Antonio Community Hospital,
San Gorgonio Memorial Hospital Southwest Healthcare, Physicians for Healthy
Hospitals (PHH)
Medical Groups, IPAs, Practices: Arrowhead Orthopedics, Beaver Medical
Group, Choice Medical Group, Community Medical Group, Riverside, Kaiser
Permanente Medical Group, Loma Linda Medical Group, McKinley Medical Group,
Physicians Health Network, PrimeCare IPA, Orthopedic Medical Group of
Riverside, Raincross Medical Group, Riverside Family Physians, Riverside
Medical Clinic, Riverside Physicians Network, Synermed Inc.

Additional IEHIE Participants: Community Health Systems, Inland Empire
Health Plan, Hospital Association of Southern CA, Riverside County Medical
Association, Riverside County Community Health Agency, San Bernardino
County Dept. of Public Health, San Bernardino County Medical Society,
Visiting Nurses Association of the Inland Counties (VNA-IC), Community
Clinic Association of San Bernardino County, San Joaquin County Health
Information Exchange.

Types of Data Exchanged
Patient records and medical histories, discharge summaries, lab and radiology results, ECG/EKG data, medication records.
Practitioners may also place lab and radiology orders, engage in case and disease management and create individualized care plans.
By August 2013, IEHIE will implement online electronic prescribing (e-prescribing)
between physicians and pharmacies, and its EMR (electronic medical records
system) will support patient registration, including demographics and
encounter information;patients’ problem lists; the ability to update
problems and allergies; physicians’ clinical notes; the ability to
upload documents to the EMR; the ability to view patient records; additional
diagnostic ordering capability.
Means of exchanging data
Clinical Data Repository (longitudinal patient record). Clinical information is extracted from participant’s EHR and populated into the repository under a master patient index (MPI).
Patient Portal?
Yes; patients may view some clinical data, may enter some of their own data, such as blood sugar, blood pressure, lifestyle information. Patients may also communicate with their doctors via secure email.
Privacy policy link
Available upon request to participants or potential participants.
Opt in/Opt out
Opt-out model. Patients are opted in unless they affirmatively
opt out. Patients are given the opportunity to opt out at every visit.
HIE model
IEHIE is a clinical data repository (CDR) model which
provides a centralized longitudinal patient record for access at the point
of care. This repository-based environment is populated in real time by
participants via HL-7 interfaces that feed a Master Patient Index (MPI)
within the HIE. This shared record environment means that providers and
hospitals can see a cumulative data set for the patient and provide better
continuity of care across the various points of delivery.
Kaiser Permanente
Status
Operational
Participating in exchanges outside Kaiser system, e.g., IEHIE, San Diego
Beacon.
Contact info
KP HealthConnect
Kaiser Plaza 19th Floor Oakland CA 94612
(510) 271-5800
Area served
Statewide, but currently operating as an HIE outside
the Kaiser system only in Southern California.
Affiliates/Partners
IEHIE, San Diego Beacon
Types of Data Exchanged
Exchanging CCDs (Continuity of Care Documents; these
is an electronic document exchange standard for exchanging patients’
summary health status information in a form that can be shared by all computer
applications, including web browsers, and EMR and EHR systems).
HIE model
Query/response, Kaiser “pushes” patient
data to HIEs it participates in.
LANES (Los Angeles Network for Enhanced Services)
Status
Planning/implementation
Contact info
Mason Matthews
(213) 974-2395
mmatthews@ceo.lacounty.gov
Area served
Los Angeles County
Affiliates/Partners
Los Angeles County Department of Health Services,
L.A. Care Health Plan, Quest Diagnostics, 14 i2i Community Clinics (list
being finalized; these are 14 community clinics connected to the LA County
Department of Health Services in order to share health data among the clinics
and DHS), 16 EHR Community Clinics (list being finalized). Other partners
planned once LANES becomes operational.
Types of Data Exchanged
ADT (admission, discharge, transfer data), discharge
summaries, lab history and physical (HandP) radiology reports.
Means of exchanging data
HL7 (Health Level 7–a standard for exchanging patient
medical records between different records systems.)
Patient Portal?
No patient portal at this time.
Opt in/Opt out
Opt-out model. Patients will be included automatically
unless they request to be excluded.
HIE model
Hybrid centralized/federated architecture; it is up
to participanting health care providers to determine how they want to connect
to LANES.
North Coast Clinics Network
Status
Operational
Contact info
P.O. Box 966
Eureka, CA 95502
Phone: (707) 444- 6226
Area served
Del Norte, Humboldt, Trinity counties; this is a safety net HIE, serving low-income and underserved communities.
Affiliates/Partners
Del Norte Community Health Center, McKinleyville
Community Health Center, McKinleyville Community Health Center Pediatrics,
NorthCountry Clinic, NorthCountry Prenatal, Humboldt Open Door Clinic, Willow
Creek Community Health Center, Six Rivers Planned Parenthood, Eureka Community
Health and Wellness Center, Burre Dental Center, Mobile Medical Office
Appointment Line, Telehealth and Visiting Specialist Center, Redwoods
Rural Health Center, Southern Trinity Health Services.
Types of Data Exchanged
Lab and radiology results, ER notification (notifying
patients’ primary care physicians when they present at an ER; currently
done by phone or fax), some specialty care referrals.
Means of exchanging data
HL7 (Health Level 7–a standard for exchanging patient
medical records between different records systems); Secure Direct email
messaging between health care providers.
Patient Portal?
Patient portals are specific to participants’ websites, not to the HIE. Currently, only the Open Door Clinic has an operating patient portal.
Privacy policy link
Privacy policies may be accessed from participants’ websites.
Opt in/Opt out
Patient participation in the HIE is based on an opt-in
model.
HIE model
The HIE currently has no MPI (Master Patient Index);
some connections between providers and patient information are made manually
and others are made electronically.
NCHIN (North Coast Health Information Network)
Status
Operational
Contact info
3100 Edgewood Road
Eureka, CA 95501
support@northcoasthin.org
(707) 443-1311
Email contact form: http://northcoasthin.org/Contact.aspx
Area served
Humboldt and Del Norte counties.
Affiliates/Partners
St Joseph Health System, Mad River Community Hospital,
Open Door Community Health Centers, United Indian Health Services, Humboldt
County Department of Health and Human Services.
Types of Data Exchanged
Currently, St Joseph Health System and Mad River Community Hospital are providing lab results.
OCPRHIO (Orange Co Partnership RHIO)
Status
Operational
Contact info
500 N State College Blvd, Ste 1100
Orange, CA 92868
714-919-4429
Area served
Orange County
Affiliates/Partners
AltaMed, Chapman Medical Center, Coastal Community
Hospital, Mission Hospital Regional Medical Center, Monarch HealthCare,
St Joseph Hospital, St Jude Med Center, UCI Healthcare, Western Medical
Center – Anaheim Western Medical Center – Santa Ana Qwest, Labcorp
and Radnet, CalOptima.
Types of Data Exchanged
ADT (admission, discharge, transfer) Information;
Continuity of Care Documents (CCD, an electronic document exchange standard
for sharing patient summary information—the most pertinent current
and past information about health status—in a form that all computer
apps, including web browsers, EMRs and EHRs can share); lab and pathology
results; public health event reporting and notifications; California Immunization
Registry updates and querying. Discharge summary, structured lab results,
radiology, and medication history.
Means of exchanging data
HL-7 and secure direct messaging.
Patient Portal?
Patient portal will be live by send of summer 2013.
Privacy policy link
Privacy policy not posted on website, but Patient
Information Fact Sheet gives a very high-level summary: http://ocprhio.org/patient/facts/
.
Opt in/Opt out
Opt-out model. Patients are informed that their records
are in the HIE at a point of care where they have the ability to exercise
their option to opt out of the system.
HIE model
Hybrid system: some participants provide data in response
to queries; other participants allow the HIE to store their data and respond
directly to queries.
Physicians Medical Group (PMG)
Status
Operational
Contact info
Bill Beighe, bbeighe@pmgscc.com
Physicians Medical Group
5200 Soquel Avenue Suite 203
Santa Cruz, CA 95062
(831) 465-7800
Area served
Santa Cruz County
Affiliates/Partners
More than 100 locations of all sizes providing care: 450 primary and multi-specialty providers, 2 hospitals, 5 radiology centers, 7 labs including Labcorp and Quest, 3 surgery centers, many ancillary providers, Behavioral Health, Detention, County Clinics, all safety net providers.
Physician directory: https://pmgappserver.pmgscc.com/PubSite/selectdoctor/pmgdoc.aspx
Types of Data Exchanged
Structured lab reports, radiology reports, transcribed
documents such as HandP (history and physical), Op Notes, Progress Notes,
Chart Notes, Referrals, Consultations, EKGs, CCD’s (continuity of
care document), Discharge Summaries.
Means of exchanging data
HL7 messaging over secure connections.
Patient Portal?
No patient portal at this time.
Privacy policy link
Each provider has a policy based on model language
provided by PMG.
Opt in/Opt out
PMG is a CHHS demonstration site for testing Opt-out(i.e.,
all permissible data is shared for treatment purposes unless the patient
opts out.) If a patient opts out, in that case the data is only available
in an emergency situation.
HIE model
Hybrid federated architecture with an MPI (Master
Patient Index), RLS (Record Locator System); the object is to create a longitudinal
health record for each patient.
Redwood MedNet
Status
Operational
Contact info
216 W Perkins St #206 Ukiah, CA 95482
(707) 462-6369
Area served
Marin, Sonoma, Mendocino counties.
Affiliates/Partners
Unknown. Redwood MedNet does not publicly disclose
its participants.
Types of Data Exchanged
Lab results, participants’ emergency rooms (ERs)
may receive patient care summaries.
Means of exchanging data
Secure direct messaging (push messaging—“pushes”
electronic data securely between HIE participants); query-response messaging—two-way
messaging services.
Patient Portal?
Patient portal is via Microsoft HealthVault PHR (personal
health record).
Opt in/Opt out
Opt-out model. Patients are opted-in unless they affirmatively
opt out.
HIE model
Point-to-point secure messaging.
San Diego Beacon HIE, also known as San Diego Regional
Healthcare Information Exchange
Status
Operational
Contact info
5575 Ruffin Road, Suite 224, San Diego, CA 92123
858-614-1554
Daniel Chavez, Executive Director
(619) 471-3697
dchavez@sandiegobeacon.org ]
Area served
San Diego and Imperial counties
Affiliates/Partners
Rady Childrens Hospital, Children’s Primary
Care Medical Group, UC San Diego Health System, VA San Diego, Kaiser, San
Diego County HHSA.
Types of Data Exchanged
CCDs (clinical care documents), ADTs (admission, discharge,
transfer data).
Means of exchanging data
query/response, HL7, and secure direct messaging.
(push messaging)
Patient Portal?
No patient portal at this time.
Opt in/Opt out
Hybrid consent model, the SDRHIE supports the consent
model of each participating health care provider.
HIE model
Hybrid federated model – including MPI (master
patient index), RLS (record locator system), supporting a query/response
transaction model.
San Joaquin County HIE (see IEHIE, above)
Virtual Clinical Network of Partnership HealthPlan of California (VCN)
Status
Operational, but very
limited.

Records exchanged have included pharmacy, lab data.
Contact info
360 Campus Lane, Suite 100, Fairfield, CA 94533, 707-863-410
Area served
Del Norte, Humboldt, Lake, Lassen, Modoc, Shasta, Siskiyou, Trinity in September 2013.
HIE model
Repository database model when in operation.

Published June 15, 2012. Complete revision and update July 1, 2013.