What does the Florida HIE Do?

The Florida Health Information Exchange (Florida HIE) delivers statewide services that enable the secure, reliable sharing of patient health information to improve care coordination, quality, and overall system efficiency. Governed by the Agency for Health Care Administration (AHCA), the Florida HIE ensures that hospitals, providers, payers, and public health agencies can exchange critical data in real time, supporting faster and better‑informed clinical decisions. Through its Event Notification Service (ENS), the Florida HIE sends immediate alerts when patients are admitted, discharged, or transferred, using ADT data received from more than 700 facilities across the state. This allows care teams to respond quickly, reduce avoidable readmissions, and ensure patients receive timely follow‑up care.

In addition to real‑time event alerts, the Florida HIE strengthens continuity of care through its Patient Record Exchange (PRE), which enables providers to retrieve patient information from many clinical data sources at the local, state, and national levels. By connecting to networks such as eHealth Exchange, the PRE helps reduce duplication of tests, fill gaps in fragmented medical histories, and ensure that clinicians always have the information needed at the point of care. These services also play a key role in statewide public health efforts, improving patient safety, quality outcomes, and systemwide efficiency by linking hospitals, clinics, physicians, payers, and public health agencies.

All of this work is grounded in Florida’s legal and regulatory framework. Under the Florida Electronic Health Records Exchange Act, the Florida HIE must meet requirements for secure data sharing, enforce mandatory participation for certain facilities—such as hospitals using certified EHR technology—and operate under the administrative authority of AHCA. Together, these policies and services make the Florida HIE an essential component of a mo