As an HIE, Reliance eHealth Collaborative works diligently toward facilitating the seamless, near real-time exchange and aggregation of patient health data through our existing robust network of connectivity across a diverse range of healthcare data systems and settings.   As patient health information is exchanged and aggregated across the Reliance network the HIE identifies data that is possibly more appropriately actionable in a CIE environment than in the HIE environment.   Reliance is working to make this data available to authorized users through the HIE Community Health Record and expects that when CIE platforms are capable of consuming this data we will establish integration that allows appropriate cross sector exchange of data regardless of the EHR or CIE platform is being used by a healthcare provider or community based organization. 

Among the services provided to HIE participants is an eReferral platform that enables closed loop referral management between participating healthcare organizations.   Our eReferral capabilities are able to provide some basic community referral capabilities when healthcare systems are involved in the referral activity and coordination of care and services.   However, Reliance does not plan to engage in the building of community networks that are so critical to the success of Community Information Exchange and thus are not a replacement or competition for CIE solutions being explored in community across the Northwest.   

Reliance eHealth Collaborative looks forward to the implementation of Community Information Exchange functionality across the communities we serve as a regional health information exchange in Oregon and Washington!