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In March 2010, ONC completed the announcement of the State Health Information (State HIE)
Exchange Cooperative Agreement Program. Awardees in which 56 states, eligible territories, and
qualified State Designated Entities (SDE) received recognition for rapidly building capacity for
exchanging health information across the healthcare systems both within and across states
1. What was the purpose of this agreement?
2. What key areas were included in this agreement?
3. Which states/eligible territories have not joined yet? Why did some states join and some did
not?
4. Which of the states received new funding under this agreement?
5. What is the latest report on the evaluation of this program? Offer main conclusions (do not
restate the report)
6. How was the program's effectiveness evaluated?
7. What factors influence HIE progress? How?
8. What was the overall program impact?
9. What were the lessons learned?
10. What were the challenges faced by the program and how were they resolved?

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