Through the SPNS Information Technology Networks of Care Initiative, six demonstrations projects developed innovative electronic health information exchanges (HIE) to improve quality and coordination of HIV care for patients seen in regional areas around the country. We present findings from across projects with in-depth cases presented by three. Each employed unique techniques to encourage use of the local HIE, including (1) integrating the electronic system in formal quality improvement activities, (2) using HIE development as an opportunity to foster information technology capacity in small support agencies, and (3) integrating data-sharing systems into routine provider activities. We will explore how each approach ensured active use of the local HIE and examine the HIV clinical care indicators that improved as a result of the enhanced systems.
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