Health information exchange (HIE) is a central component to the meaningful use criteria associated with the Medicare/Medicaid EHR incentive funding created through the American Recovery and Reinvestment Act (ARRA). Cost savings are anticipated to be found through the exchange of health information and the efficiency this will create in our health care system.

Few of California’s CCHCs have been actively participating in HIE due to cost, limitations in technology, and other factors. ARRA has stimulated a new level of engagement and commitment to HIE, and California’s CCHCs will be central players to the success of HIE in the state.

The state designated Cal eConnect to be the state designated entity to oversee HIE activity in the state. There is a seat for a community clinic/health center representative on the 22-member board.

To learn more about the state’s efforts and Cal eConnect, visit http://www.ehealth.ca.gov/Governance/tabid/84/Default.aspx.


Quality Improvement & Technology Summit

CPCA's 2015 QI & Technology Summit (formerly known as the PCHH/HIT Conference) is designed to disseminate best practices and share innovative projects that directly support health information technology implementation and practice transformation efforts. This event will feature separate sessions for Quality Improvement and Technology attendees, as well as general keynote speakers, covering important topics including PCMH recognition, Quality Assurance and Quality Improvement, data collection and analytics, and strategic use of technology to support overall practice effectiveness.

February 18-19, 2015Click here for more Information!




The Open Library of HIE (OLHIE) is an ONC and CHHS-sponsored registry and interactive digital repository for health information exchange (HIE) related assets, and an online collaborative space designed to support the rapid development of HIEs.

OLHIE is being developed to accelerate the rate and decrease the cost of connecting with HIEs by facilitating the widespread re-use of HIE interfaces, documentation, and other assets, especially those developed with federal or state funding.  Please click here to access the OLHIE website.

ONC released new online tools to help providers and Health Information Exchange organizations (HIEs) educate patients about the electronic sharing of their health information.

Meaningful consent occurs when the patient makes an informed decision and the choice is properly recorded and maintained. ONC’s new Meaningful Consent resources provide strategies and tools that can be used by health care providers to engage and educate patients so they can make an informed decision.

As part of the resources, users will find background information about Meaningful Consent, practical implementation tips, videos, and customizable tools from ONC's eConsent Trial Project. The educational materials and tools are now available for download and customization at

eConsent Toolkit.

Fostering trust in new technologies is integral to the successful adoption of health information exchange. Effectively informing patients and providing them with options for how they would like to participate are important means of fostering this trust. Read more on the new Health Affairs blog.



Health care providers in California and Oregon are now querying each other’s provider directories and sending interstate Direct messages as a result of the Western States Consortium project.

The Consortium’s final report details how the Office of the National Coordinator for Health Information Technology (ONC) collaborated with 13 states to successfully test ways to break down technical and policy barriers to interstate exchange.

This is one example of how the Department of Health & Human Services is encouraging interoperability across states’ electronic information infrastructures, as described in the recently released Principles and Strategy for Accelerating Health Information Exchange.

Click here to read more.

CalOHII has awarded contracts to three organizations to participate in an electronic personal health record (PHR) demonstration project. Nothing currently exists to aid health information service providers (HISPs)/health information organizations (HIOs) or providers in evaluating the suitability of PHRs for inclusion in their delivery of care. The pilot will help establish policies and procedures for identifying use cases and the specific conditions for trusted exchange that includes PHRs.  Click here for more information.

The California Association of HIEs is working to establish "light-weight self-governance" for trusted exchange in California based on a single multiparty agreement that enables all organizations to exchange information with each other and builds on Healtheway and the national eHealth Exchange.

Four voluntary workgroups are working on a range of issues, according to Dave Minch, CAHIE co-chair. A joint pilot project by CHeQ and CAHIE is underway to develop the technical and policy on-boarding and governance documents and processes. Seven organizations have signed up for the pilot. 

"The DURSA parsing workgroup is about to complete its work on the DURSA decomposition which we are planning on sending to HealtheWay to help them with their development process," Minch said. "The DURSA parsing group's current task is surveying existing bilateral agreements in the state to find common terms and elements which along with the DURSA decomp will form the body of the CA DURSA."


Current Advocacy

HIT Task Force

If you have any questions about the comments or CPCA’s policy work on EHR and meaningful use, please contact Ben Avey, Associate Director of Policy, at bavey@cpca.org.


HIT Newsletter

CPCA issues an HIT Newsletter on a weekly and sometimes monthly basis depending upon the level of activity occurring at the regional, state, and federal level. Click here to view newsletters.





CPCA Materials






CPCA Staff Contact

If you have any questions, or need more information, please contact Ben Avey at bavey@cpca.org.

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