Health Information Exchanges in California
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.
- 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.
care pathway (no clinical information is shared at this time through ACCEL’s
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.
to include Sonoma and Yolo counties.
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.
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,
opt out. Patient may opt-out of sharing physical health data.
3993 Jurupa Ave
Riverside, CA 92506
counties. Private HIE: six other counties based on location of providers/hospitals
in those various locations.
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
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
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.
opt out. Patients are given the opportunity to opt out at every visit.
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.
Participating in exchanges outside Kaiser system, e.g., IEHIE, San Diego
Kaiser Plaza 19th Floor Oakland CA 94612
the Kaiser system only in Southern California.
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).
data to HIEs it participates in.
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.
summaries, lab history and physical (HandP) radiology reports.
medical records between different records systems.)
unless they request to be excluded.
to participanting health care providers to determine how they want to connect
Eureka, CA 95502
Phone: (707) 444- 6226
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.
patients’ primary care physicians when they present at an ER; currently
done by phone or fax), some specialty care referrals.
medical records between different records systems); Secure Direct email
messaging between health care providers.
some connections between providers and patient information are made manually
and others are made electronically.
Open Door Community Health Centers, United Indian Health Services, Humboldt
County Department of Health and Human Services.
Orange, CA 92868
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.
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.
Information Fact Sheet gives a very high-level summary: http://ocprhio.org/patient/facts/
are in the HIE at a point of care where they have the ability to exercise
their option to opt out of the system.
to queries; other participants allow the HIE to store their data and respond
directly to queries.
Physicians Medical Group
5200 Soquel Avenue Suite 203
Santa Cruz, CA 95062
Physician directory: https://pmgappserver.pmgscc.com/PubSite/selectdoctor/pmgdoc.aspx
documents such as HandP (history and physical), Op Notes, Progress Notes,
Chart Notes, Referrals, Consultations, EKGs, CCD’s (continuity of
care document), Discharge Summaries.
provided by PMG.
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.
Patient Index), RLS (Record Locator System); the object is to create a longitudinal
health record for each patient.
may receive patient care summaries.
electronic data securely between HIE participants); query-response messaging—two-way
Healthcare Information Exchange
Daniel Chavez, Executive Director
Care Medical Group, UC San Diego Health System, VA San Diego, Kaiser, San
Diego County HHSA.
model of each participating health care provider.
patient index), RLS (record locator system), supporting a query/response
Records exchanged have included pharmacy, lab data.
Published June 15, 2012. Complete revision and update July 1, 2013.