Arizona Medical Information Exchange Outgrows Medicaid - The Commonwealth Fund

This article first appeared in the October/November 2009 issue of the newsletter "States in Action."

The Arizona Medical Information Exchange (AMIE) is a Web-based health information exchange that allows participating practitioners to view hospital discharge and other clinical reports, lab test results, and medication data for many of their patients. AMIE was developed by Arizona's Medicaid agency (the Arizona Health Care Cost Containment System, or AHCCS), went live in September 2008, and is slowly growing in capabilities and utilization. Focused primarily on the Phoenix region, AMIE is the only operational HIE in the state, and will play a key role as it works to build interoperability with other developing exchanges in the region.

Arizona recently submitted a proposal for federal stimulus funds (under the State Health Information Exchange Cooperative Agreement Program) to support a cooperative effort among AMIE, another HIE developing in the southern region in the state, and several smaller HIE efforts under way. The goal is to make these HIEs interoperable, essentially building a statewide system in which the whole will be greater than the sum of its parts. A new state HIT coordinator will oversee this collaborative effort.
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