Health Information for Veterans Now Easier to Access


Hawai‘i Health Information Exchange (HHIE) is playing a key role in making the health information of U.S. veterans more easily accessible to Hawai‘i providers.


HHIE subscribers can access the data of all veterans who are participating in the data exchange and have received care at any of the 152 Veterans Affairs (VA) medical centers and nearly 1,400 community-based outpatient clinics in the United States, U.S. territories such as American Samoa, Guam, Puerto Rico, and the Virgin Islands as well as the Philippines. The facilities are run by the Veterans Health Administration, which is part of the U.S. Department of Veterans Affairs.

In Hawai‘i, the VA operates the VA Pacific Islands Health Care System in Honolulu, community-based outpatient clinics in Hilo and Kailua-Kona on Hawaii Island; Kahului, Maui; and Lihue, Kauai; and a PTSD Residential Rehabilitation Program in Hilo.


HHIE subscribers can access the data of the participating veterans in the Community Health Record under the Documents tab. If you have any questions, please contact Rebecca Burton, MD, HHIE’s Medical Director, at (808) 441-1429 or


HHIE Adopts Innovative Solution to Advance Interoperability

Improving interoperability—the ability of healthcare organizations to exchange patient data across different electronic health record systems—continues to be one of the toughest challenges facing health information exchanges across the country. This situation is often exacerbated by patients who often share their identify in different ways with different healthcare providers. Identifying and matching patient data adds to the complexity of data exchange.

The inconsistencies in the way patient demographic data is captured can lead to duplicative or mismatched health records. This can have adverse clinical and financial consequences—
reduced quality of care or delays in care for patients,
increased hospital readmissions, and unnecessary healthcare spending.

While organizations exchanging data have yet to reach a consensus on the optimal standards and minimum data elements for effective data exchange to support the constantly evolving requirements to support whole-person care and advance payment models, the Hawai‘i Health Information Exchange is moving forward with a promising solution to facilitate identifying patients across systems that are participating in health data exchange.

Francis Chan, HHIE CEO, and other HHIE leaders are taking steps to reduce duplicate and mismatched records by adopting enterprise matching patient index (EMPI) tools offered by NextGate’s Patient Matching as a Service (PMaaS) and Provider Directory. The EMPI tool uses demographic data such as a patient name, birthdate, and Social Security number to match records to patients.

For the past 20 years, NextGate has helped organizations transform siloed systems into a seamless, efficient network to provide a comprehensive view of each patient, connecting the right patient with the right data to deliver better, more efficient care.

For more information, here to read an interview with Francis Chan in the article, “How Health Information Exchanges Can Boost HER Patient Matching” that was recently posted in



Hawai‘i HIE Hosts Record Attendance at Health IT Summit

500+ providers and staff gathered Sept. 19, 2015, to hear State Sen. Josh Green, MD, Health Director Virginia Pressler, MC, and many other health IT leaders. Also in this issue: 2015 Health IT Leader Dr. Stephen Miyasato is recognized. Read the Hawaii HIE Newsletter.

Hawai‘i HIE to Act as Hub for Quality Data Exchange Between HMSA and Providers  (December 2014)

The Hawai`i Health Information Exchange (Hawai`i HIE) will now serve as the vehicle for exchanging patient data between HMSA and providers participating in the health plan’s quality initiatives, including patient-centered medical home (PCMH) programs, pay-for-quality programs, and hospital value-driven health care programs.

HMSA membership data and laboratory data from Clinical Labs of Hawaii and Diagnostic Laboratory Services, Inc. can now be transmitted through Hawai`i HIE. Having laboratory data populate Applied Research Works’ Cozeva pay-for-quality dashboard is saving providers and their staff hours of manual data entry, helping to ensure the accuracy of the data, and facilitating faster receipt of HMSA incentive payments.

In August, Hawai‘i HIE and HMSA, the state’s largest health insurance provider, took a giant step toward enhancing the quality of care for more than 700,000 HMSA members by entering into a data-sharing agreement, allowing HMSA to utilize the technology infrastructure being developed by Hawai‘i HIE to securely transfer patient lab test results to its network of health care providers.

State Sen. Rosalyn Baker Wins National Award  (September 2014)

An HIMSS Health Information Technology Leadership Award was given to Sen. Baker for her support of health IT in Hawai‘i, and sponsorship of Senate Concurrent Resolution 36, which recognizes the Hawai‘i Health Information Exchange as the State-Designated Health Information Exchange.

Read the HIMSS article.

Hawai‘i HIE and HMSA Sign Data Sharing Agreement: Real-Time Patient Data To Improve Quality of Care  (August 2014)

The Hawai‘i Health Information Exchange and HMSA, the state’s largest health insurance provider, recently made a giant leap forward to enhance the quality of care for more than 700,000 HMSA members.

Through a data sharing agreement, HMSA is now able to utilize the technologically infrastructure being developed by the Hawai‘i Health Information Exchange to securely transfer patient lab test results to its network of healthcare providers.  Electronic access to a patient’s lab data gives physicians and other healthcare providers the results of lab tests faster to make sound clinical decisions. This aids in making proper diagnoses, reduces delays in treatment, and eliminates redundant testing if a patient is referred to another healthcare provider.

Read the Pacific Business News article.

Hawai‘i Health Information Exchange is Re-designated as the Official Statewide Health Information Exchange  (May 2014)

The legislature recently designated Hawai‘i Health Information Exchange (Hawai‘i HIE) as the only fully operational, statewide health information exchange for Hawaii. This reaffirms the Hawai‘i HIE’s initial designation in September 2009.

Please see the below link for the final House Concurrent Resolution (HCR) 40:

House Concurrent Resolution (HCR) 40

Queen’s Medical Center and Queen’s Medical Center West Oahu join the Hawaii Health Information Exchange  (February 2014)

Read the Pacific Business News article.

Castle, Hawaii Pacific Health join data-sharing network (September 2013)

Read the Honolulu Star-Advertiser article.

Electronic health records increasingly used in isles (July 2013)

Read the Honolulu Star-Advertiser article.


O’Reilly Radar: Hawaii and health care: A small state takes a giant step forward
MidWeek: Expanding Electronic Records
Pacific Business News: Abercrombie signs Hawaii patient privacy protection law
Hawaii News Now: Electronic Health Records
Hawaii News Now: Howard’s Business Report: Christine Sakuda