In place for five years, the Health Information Exchange, which started as The Agency for Healthcare Research and Quality’s (AHRQ) study, examined how well Norman Regional was coordinating preventative medicine. The exchange allows providers and staff to access and securely share a patient’s vital medical information electronically. Utilizing eClinicalWorks Electronic Health eXchange (eEHX), which creates a holistic view of a patient’s clinical record, 60-70 patients were treated monthly for preventative medicine. The community solution facilitates interoperability between clinical systems in community-wide projects. Overall, the goal is to create tighter integration between practices and easily send patient records from office to office. Norman Regional became the first group of physicians in a decade to be recognized by the government as being clinically integrated. A key part of the structure was eEHX as it instituted a community standard rolling out quality improvement programs, allowing the health system to operate as a single entity. The solution supplies the tools to deliver the upmost care to its patients. For example, providers have the ability to better manage chronic conditions, and specialists are able to address problems faster. Typically, several patients may see three to four physicians annually and with the eEHX, Norman Regional can coordinate care, exchange data and medication lists, laboratory results, specialty reports and electronic referrals. Further advancing care, an HIE to HIE connection was established in 2010 to a larger health information exchange in Oklahoma City, that accessed all of the metro area health systems.