Delaware established the first statewide clinical health information exchange (HIE) in 1997. Compared with other states, it has taken more of a public sector approach to HIE governance, though this strategy may be shifting. Its HIE, the Delaware Health Information Network (DHIN), is a public–private partnership that operates under the auspices of the Delaware Health Care Commission, which the state created in 1990 with the goal of moving toward basic, affordable health care for all residents.
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