HIMSSCast: California’s Work Toward Statewide Health Data Exchange


California is a very large state and has some of the largest and most advanced healthcare systems in the world. Due to its size, however, the Golden State’s health information exchange ecosystem is often fragmented and siled, with many regional HIEs serving providers in their nearby footprint.

In July 2021, California Governor Gavin Newsom signed into law Bill AB 133. This requires healthcare organizations across the state to link their data sharing capabilities. The legislation calls on health actors to determine the shape and policies of what this might look like, but mandates the real-time exchange of information on treatments, payments and health operations from 2024.

Since then, healthcare leaders across California have been working in earnest to make this happen – starting with a data-sharing agreement that will help govern the exchange of information between hospitals, medical practices, health plans, skilled nursing facilities, psychiatric treatment centers and more.

It is, in other words, a big and important project.

Joining us to discuss the policy and technology challenges of to the statewide exchange and highlighted the tremendous benefits it could bring to patients and public health preparedness.

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Talking points:

  • What does the existing HIE landscape look like in California

  • Why is it so fragmented and how can these networks be linked

  • What Connecting for Better Health has accomplished so far

  • What challenges await us on the road to the 2024 compliance date

  • What the pandemic has shown us about the need for a comprehensive HIE

  • Why HIEs are also crucial in emergencies such as wildfires and earthquakes

  • How the effort is inspired by HIE initiatives from other states

Learn more about this episode:

HIMSSCast: Monitoring the current and future state of HIEs

California relies on numerous HIEs to connect the state

California HIE in overhaul mode

Connecting Los Angeles: LANES Drives Interoperability Across LA County

Santa Cruz Health Information Organization will integrate SDOH data

Project Sequoia releases final QHIN application as it moves into operational phase

Indiana Health Information Exchange Stays on the Cutting Edge

The key role HEIs can play in value-based care

Twitter: @MikeMilliardHITN
Email the author: [email protected]

Healthcare IT News is a HIMSS publication.


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