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Health Information Technology

Statewide Health Information Exchange

The creation of a statewide health information exchange will allow health information to be securely exchanged between providers within Texas. This will increase the coordination and quality of care while improving efficiency in the health care system and increasing consumer empowerment and control.

In 2010, the Texas Health and Human Services Commission was awarded $28.8 million through the State Health Information Exchange Cooperative Agreement Program. These funds helped the state develop a strategic and operational plan for health information exchange and are continuing to support implementation of the strategic and operational plans through the first quarter of 2014.

HHSC is contracting with the Texas Health Services Authority, an entity created through House Bill 1066 in 2007 as a public-private non-profit charged with implementing state-level health information technology functions and catalyzing the development of a seamless electronic health information infrastructure to support the health care system in the state. The health information exchange operational plan will occur from late 2010 to the end of the cooperative agreement program in 2014.

The Texas Health Services Authority (THSA) is working under contract with the Health and Human Services Commission (HHSC) to coordinate the implementation of health information exchange (HIE) strategic and operational plans for the State of Texas.  The Texas HIE strategic and operational plans, which guide the implementation of HIE services in Texas, outline and support the implementation of the following three key strategies:

  • General State-Level Operations
    • These are administered jointly by THSA and HHSC to support a transparent and collaborative governance structure to coordinate the implementation of HIE in Texas, develop policies and guidelines, and provide statewide HIE services.
  • Local HIE Grant Program
    • This grant program partially funds planning, development, and operations of local and regional HIE networks.
    • Texas has a number of local health information exchanges (HIEs) in various stages of operation.  The Office of e-Health Coordination is committed to working with local exchanges to promote health information technology and health information exchange in the state.  Information about Local HIEs, including HIE profile sheets, can be found on the THSA website,
  • “White space” Strategy
    • This coverage strategy supports HIE connectivity through HISP’s regions of the state without local or regional HIEs.  Information on the white space program can be found at

Additional information and resources can be found on the THSA’s website,