Toolkit Highlights


Welcome to the State Health Information Exchange Toolkit. The Toolkit is a compilation of resources provided under the auspices of the State HIE Program sponsored by the Office of the National Coordinator for Health IT (ONC). The Toolkit is designed to support recipients of State HIE Program Cooperative Agreements, State HIT Coordinators, and leaders of state designated entities with practical “how to” guidance on developing and implementing plans for achieving statewide interoperability that align with State HIE Program milestones.  As a dynamic resource, the Toolkit is updated regularly to reflect the ongoing experiences and needs of states as well as the growing body of lessons learned and promising practices for statewide HIE.  Examples from the field of state HIE development are sprinkled throughout the Toolkit and information and examples from ONC-approved strategic and operational plans and the latest updates on ONC Program guidance are integrated into the Toolkit as they become available.  Learn More

Toolkit Modules

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General Planning

This module serves as a resource for states in their development of Strategic and Operational Plans. Valuable checklists are provided as helpful guides for states in various stages of effort.


53_64x64Governance

As a critical component of planning, states must establish HIE governance and oversight roles and functions. These are key to facilitating successful statewide HIE implementation to meet key milestones for interoperability and for managing ongoing compliance with prevailing data sharing policies and laws.


46_64x64Technical Infrastructure

This section offers information on the development and implementation of a statewide technical infrastructure to support interoperability and the priorities outlined as part of the State HIE Program.


49_64x64Finance

This financing module provides background information and guidance to assist State HIE Cooperative Agreement recipients and their stakeholders.


36_64x64Nationwide Health Information Network

The Nationwide Health Information Network (NHIN) is a collection of standards, protocols, legal
agreements, specifications, and services that enables the secure exchange of health information
over the internet.


54_64x64Grants Management

This module describes grants management requirements for recipients, as outlined in the Funding Opportunity Announcement (FOA) and HHS Grants Policy Statement (GPS).