Below is an electronic copy of a notification distributed to all CIHIE Participants on 12-7-2018 via letter and email.


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Date: December 7, 2018
To: CIHIE Participants
From: Joy Duling, Executive Director
Re: Notice of Service Termination

I am writing today to formally notify you that Communities of Illinois Health Information Exchange will terminate all services, effective February 8, 2019.

This written notification provides 60 days’ notice as required by our Agreement and includes all services:

  • Direct Messaging / HISP

  • ADT Alert Notifications

  • Public Health Reporting

  • Health Record Queries

CIHIE intends to continue operating services as normal pending agreement with various third parties, through February 8, 2019, but we encourage you to take immediate action if you need to arrange alternative services for your organization’s needs. We will be unable to accommodate service extensions.

I understand that this notification may raise important questions. I will attempt to answer those in the remainder of this letter.

Why are services being terminated?

Healthcare looks different today than it did when we began in 2009. There are now viable alternatives to exchanging data that did not exist when CIHIE was formed.

In 2009, as CIHIE was conceptualized around a conference room table, even hospitals located in the same community weren’t sharing records across organizational boundaries. There were many different vendors in the market and not enough uniformity to make electronic exchange possible. Fax, mail and hand-delivery were required to get records from one place to another and many physician practices were still on paper.

Today, these limiting factors are no longer true. Federal investments in policymaking, vendor certifications and incentive funding have shifted the market. Software vendors now recognize the importance of making data more portable and less proprietary.

As CIHIE’s participating organizations have assessed the capabilities that now exist with their own vendors, they are increasingly telling us that their investment in CIHIE is becoming duplicative. Our board has listened to these concerns and believes the responsible action is to cease services so that there is no longer a financial requirement being placed on organizations to support an independent exchange.

What will happen to the data?

No data will be available through CIHIE after February 8, 2019. All interfaces will be deactivated.

As required under the terms of our Business Associate Agreement, existing data will be destroyed.

What alternative options exist for services that have been provided by CIHIE?

First, we recommend that you contact your current EHR vendor to determine their offerings. If your vendor does not offer a service directly, there may still be a preferred path that works most seamlessly with their technology.

Additionally, the following resources may be available to you:

Direct Messaging / HISP

CIHIE is negotiating with Informatics Corporation of America (“ICA”) on termination of the agreement we have. One possibility is that ICA will directly contract with our Participants at their option. CIHIE has no control over whether ICA will extend that possibility to our Participants but will encourage ICA to make that available to interested Participants.

The contact person at ICA is:

Brian Higdon, Vice President, Client Services
(615) 866-1500,

Public Health Reporting

Data can be reported directly to the State.

The contact person at the Illinois Department of Public Health is:

Dejan Jovanov, Discharge Data Manager/System Architect, Division of Patient Safety and Quality
(312) 814-1627,

Health Record Queries

Successful exchange of data between disparate EHR systems has been achieved at the national level through Commonwell and Carequality, although it is limited to specific clients. Please visit or for information about these efforts.

On behalf of the CIHIE team and our Board of Directors, we thank you for being part of our mission to improve patient care over the past decade. While it is sad to see this chapter come to a close for CIHIE, we are thankful for the bridging role that we’ve been able to play in healthcare advancement.


Joy Duling, Executive Director