In July 2015, the federal Office of the National Coordinator for Health Information Technology (ONC) awarded a grant to the Oregon Health Authority (OHA) and Reliance (then Jefferson Health Information Exchange), which was the only HIE selected to work with OHA on this grant, which aimed to expand and enhance Reliance services. During the two-year grant period, Reliance has realized the following achievements which benefit participating providers and their patients, ranging from growth and expansion to new service offerings:

Enrollment and Training

  • Reliance has grown from providing services to providers, health systems and Coordinated Care Organizations (CCOs) in eight Oregon counties to 16 Oregon counties, three counties in California and practices in South Central Washington.
  • Two additional CCOs, three additional health systems and four critical access hospitals joined during this period.
  • More than 130 organizations were reached and two-thirds of those completed the enrollment process. System utilization increased by an average of 83%
  • User accounts increased by 60%
  • Monthly transactions contributed to Reliance increased by an average of 62%.
  • The Reliance team grew from two Implementation Specialists to a team of five to support the growth and demand for Reliance’s services.

Clinical Interfaces

A total of 211 interfaces have been completed between Reliance and health care organizations across Oregon to populate the community health record for query based exchange as well as to support CCO quality reporting. These include:

  • Providence Health and Services’ eight Oregon Hospitals (including one Critical Access Hospital) and all PMG clinics – contributing ADT, laboratory, pathology, microbiology, radiology reports, transcribed reports and continuity of care documents.
  • St. Charles Health System’s four Central Oregon hospitals including three critical access hospitals – contributing ADT, laboratory and radiology (additional interfaces in progress for 2018).
  • Continuity of Care Documents (CCDs) from 137 ambulatory clinics/practices (with 17 additional in progress, including five Behavioral Health programs).