What are Health Data Utilities?

Health Data Utilities represent a new paradigm to support community-centric health data exchange. They serve as a resource to multiple stakeholders within a defined region with expanded purposes beyond clinical data exchange such as public health, social determinants of health, quality improvement, and value-based care.

Explore resources for Health Data Utilities below.

Defining Health Data Utilities

An HDU can be defined as one or more entities serving a specific geography, guided by a diverse stakeholder governance structure, that combine, enhance, and exchange disparate electronic health data sets for treatment, care coordination, quality improvement, population health, public health emergencies, and other public and community health purposes. HDUs build on existing technical, organizational, and trust infrastructure and can operate at both a statewide and regional level.​

Key Characteristics of Health Data Utilities

Health Data Utilities, despite their diverse implementations, share several key characteristics:

Neutrality and flexibility in meeting stakeholders’ goals

Designated authority for specific services​

Sustainable
financing

Connected region or state geography

Multi-stakeholder, cross-sector participation

Modular infrastructure and advanced technical services

Public-private
partnerships

Public-private
partnerships

Participation in national networks

Common Health Data Utility Capabilities

HDUs demonstrate vast, cutting-edge capabilities to provide data-driven support for both public and private health priorities and solve some of the most pressing challenges associated with making clean, matched, and normalized data available for research, quality improvement, and programs to improve population health.

Some common HDU capabilities include (hover over the images below to explore):

Integration and improvement of diverse and/or traditionally siloed data sources. ​

Connectivity with Medicaid, public health agencies, and clinical care providers. ​

Data standardization and harmonization. ​

Facilitation of research and population health initiatives through a repository of quality health data. ​

Deidentification and privacy protection. ​

The Health Information Exchange to Health Data Utility Evolution

Longstanding HIEs are the foundational platform from which HDUs grow. HIEs have become essential for promoting whole-person care, driving value-based health system transformation, and supporting public health data modernization. ​This expansion of use cases is prompting the emergence of HDUs as health data exchange is no longer just moving clinical health data. ​Note: Some HIEs may choose not to explore the expanded role and scope of an HDU given potential challenges in governance, technical complexity, partnerships, and cost.​

Health Data Utility Models

Single state-designated HIE that has evolved HDU capabilities over time and functions as an emerging HDU (if not with the explicit HDU label).
True multi-organization HDU, formed from an HIE alongside one or more previously separate APCDs, RHICs, providers, or other entities. ​
Federated HIE model with designed statewide and regional HIEs, all of which become components of the HDU in the same basic structure with expanded use cases and improved cohesion. ​
Single state-designated HIE that has evolved HDU capabilities over time and functions as an emerging HDU (if not with the explicit HDU label).
True multi-organization HDU, formed from an HIE alongside one or more previously separate APCDs, RHICs, providers, or other entities. ​
Federated HIE model with designed statewide and regional HIEs, all of which become components of the HDU in the same basic structure with expanded use cases and improved cohesion. ​
Single state-designated HIE that has evolved HDU capabilities over time and functions as an emerging HDU (if not with the explicit HDU label).
True multi-organization HDU, formed from an HIE alongside one or more previously separate APCDs, RHICs, providers, or other entities. ​
Federated HIE model with designed statewide and regional HIEs, all of which become components of the HDU in the same basic structure with expanded use cases and improved cohesion. ​

Minimum Necessary Use Cases of Health Data Utilities

Public Health

(e.g., electronic lab reporting,
immunization reporting, syndromic surveillance)

Medicaid Data Exchange

(e.g., claims data aggregation, eligibility,
and enrollment)

Cross-Sector Data Integration

(e.g., SDOH, behavioral health, quality improve)

Value-based Payments and Care Models​

Health Data Utilities as Public Goods

Health data utilities serve as nonprofit, community-governed entities positioned to provide robust health data to improve care; warrant accountable fee structures, public support, and require government intervention to prevent underfunding and ensure equitable participation; are designed to equitably serve the interests of diverse stakeholder groups; and are agile, prioritize stakeholder value, health data as a public good, and continuously evolve to meet emerging demands.

Health Data Utilities: Resources & Support

Civitas is excited to share our Health Data Utility resources. It is our mission to advance this field. Please reach out if you need support or would like to request a presentation from the Civitas team on this subject.

Health Data Utility Issue Brief

As the need for comprehensive health data and interoperability grows, the realms of HIE and health improvement are rapidly changing. This issue brief discusses Civitas Networks for Health and the Maryland Health Care Commission's work to define the key characteristics of emerging HDU models.

Health Data Utility Framework

In follow up to Civitas Networks for Health and Maryland Health Care Commission’s Health Data Utility Issue Brief, the goal is for the Framework to assist collaborators and entities within states in assessing their current readiness level, identifying next steps, and actioning or furthering implementation of Health Data Utilities.

How States Promote and Govern HIEs

This four-part research project was conducted by Civitas Networks For Health CEO Lisa Bari, alongside two industry thought leaders, in an effort to understand how states engage with their regional HIEs.

Draft HDU Framework Supplement

Civitas Networks for Health has a new draft HDU resource. This supplement builds upon the foundational Health Data Utility Framework, addressing the evolving needs of health data governance, interoperability, and value-based care. Public comment is closed.

CSRI Maturity Model

The CSRI Health Data Utility Maturity Model provides a flexible, aspirational framework to guide states and health data organizations in advancing toward more comprehensive, equitable, and effective health data infrastructure. Learn more by accessing the model.

Health Data Utilities: Federal Advocacy, Policy Milestones, and State Progress

We’ve made a lot of progress over the past few decades to prompt the emergence of Health Data Utilities across the country.

Health Information Exchange, State Development, and State Designation

Click on a state to view details

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State development highlight

State law creating, designating, or enabling statewide HIE

State law creating, designating, or enabling statewide HIE, plus regional state-sanctioned HIE platforms

State law creating system of multiple HIE(s)

Statewide HIE created or recognized by state executive or health department authority

Statewide HIE(s) operating without any formal state sanction

State law creating, designating, or enabling statewide HIE, plus regional state-sanctioned HIE platforms

No current statewide HIE operational

Forging a Path for Health Data Utilities

Many Civitas members are utilizing existing health IT, health data, and quality improvement infrastructure to advance Health Data Utilities to further interoperability and improve health and health care delivery. Check out our community stories below.

HDU California

California Department of Public Health

Read the case study about how the CDPH developed a disease-specific network for lab test reporting in real time.

SCHIO

Learn about how Santa Cruz County is leveraging health information exchange to improve care delivery for California's behavioral health clients.

CyncHealth

Discover how CyncHealth is working with dozens of health care and community-based organizations to build a social determinants of health ecosystem.

Manifest MedEx

Read about how LA county is using longitudinal patient records from Manifest MedEx to care for older adults and individuals experiencing homelessness.

CRISP, HSCRC, and Medisolv

Learn how these Maryland-based organizations are empowering health care organizations to collect and submit digital quality measures via HDU.

Arkansas SHARE

Read more about the work being done in Arkansas to enable interoperability via Health Data Utility.

North Carolina Department of Health Information Technology

Discover how North Carolina's HIE – NC HealthConnex – is supporting Black mothers with secure health data exchange.

Chesapeake Regional Information System for Our Patients (CRISP)

Learn how CRISP worked with Civitas Networks for Health to develop an HDU framework.

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