Table 1.

Description of the six Health Information Exchanges part of the Electronic Networks of Care Initiative

Site	Collaborating Institutions	Users	Goals and Scope of the HIE	Description of Information Exchanged
Bronx-Lebanon Hospital Center	- Hospital based HIV specialty clinic	- Clinical providers	Clinic-based system to improve coordination of care and health outcomes	· Bi-directional limited in real-time information exchange
				· Medical providers have access to reminders on clinical tasks/priorities and patient clinical indicators are exchanged with case management and medical support service agencies.
	- Support services	- Support services (case managers, medical social workers, nurses)
City of Paterson*	- Primary care clinics	- Clinical providers	Localized area newtwork of care to exchange information and quality tools to enhance efficiency, continuity, and quality of HIV care	· Patient information is exchanged through a Web-based system in real time among administrators, medical providers and staff in primary care clinics, support service agencies, and HIV testing sites for quality assurance and to improve quality of care and patient satisfaction.
	- Support services	- Clinic staff
	-Testing sites	-Administrators
Duke University*	- Hospital based primary care clinic	- Clinical providers	Localized area newtwork of care to enhance efficiency, continuity, quality and delivery of HIV care among partner agencies within a RHIO	· Information uploaded and shared through a regional server
				· Patient clinical indicators are exchanged among a medical setting and case management support service agencies.
	- Support services	- Support services (case managers and social workers
		Administrators
LSU Health Care Services Division	- Emergency departments, - Outpatient and inpatient clinics in 7 public hospitals	- Clinical providers	Public health exchange to improve HIV case reporting, identify and link to care HIV + individuals out of care or lost to care	· Real-time, bidirectional information exchange between a public health jurisdiction and a health care delivery system
	- Office of Public Health	- Surveillance and public health personnel
				· Alerts are exchanged to identify out of care HIV infected individuals who seek treatment for other conditions and link them to HIV care.
	- Louisiana Public Health Institute	-Administrators
New York- Presbyterian Hospital*	- HIV care providers - Support services - Health Insurer	- Patients - Clinical providers - Support services Administrators	Localized area newtwork of care to improve coordination and increase quality of care	· Web-based system
				· Provider and patient portals allow patients access to their own information, and allow medical providers, administrators, and social workers, case managers, and outreach workers from support service agencies to exchange patient information.
St. Mary Medical Center Foundation	- Primary care clinic	- Clinical providers	Clinic-based to improve patient quality and efficiency of care	· EMR’s interoperable, bidirectional exchange
	- Laboratory	- Clinic staff		· Patient laboratory requisitions and results as well as medication prescriptions and refills are exchanged among clinic, laboratory, and pharmacy staff to avoid duplication of services and facilitate communication
	- Pharmacy	- Pharmacies
		- Laboratories

* Involved in fiduciary relationship among partners.