ClinicalConnect HIE

What ClinicalConnect HIE does

ClinicalConnect HIE is a Pennsylvania non-profit corporation founded in 2011, operating western Pennsylvania's first regional Health Information Exchange. The organization was formed by leadership of nine regional healthcare organizations (including UPMC, Heritage Valley Health System, St. Clair Hospital, ACMH Hospital, and Meadville Medical Center) to enable electronic exchange of clinical information between participating hospitals, physician practices, post-acute facilities, payers, and ancillary healthcare service providers. Its primary customers are hospitals, health systems, and physician practices in western Pennsylvania, with patients enrolled automatically through their participating providers.

The platform delivers a core longitudinal patient record aggregating participant data with query/retrieve access to trusted external partner data, exposed within clinical workflow. The product suite comprises five modules: Connect Alert (real-time ADT-based encounter notifications with panel maintenance), Connect Community (PA Navigate integration for closed-loop social-care referrals using PRAPARE and HSRN assessments), Connect Direct (HIPAA-compliant secure email for PHI exchange), Connect Quality (standardized quality reporting outputs), and the underlying Longitudinal Patient Record. Clinical data normalization is supported by Diameter Health (partner since November 2018), and the organization meets or exceeds HIPAA, state, and local privacy/security requirements with strict access controls and routine auditing.

ClinicalConnect operates as a member-governed non-profit, generating revenue primarily through recurring membership and subscription fees from participating healthcare providers. Pricing is not publicly disclosed; prospective members must complete an inquiry form specifying organization type. The organization is overseen by a Board of Directors composed of executives from member health systems and, since December 2021, led by President Phyllis D. Szymanski. The strategic posture has shifted toward state-government partnership via the 2024 launch of PA Navigate with the Pennsylvania Department of Human Services and Findhelp, expanding the platform's scope from clinical exchange into social determinants of health.

Name

ClinicalConnect HIE

Legal name

ClinicalConnect HIE

Website

https://clinicalconnecthie.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

ClinicalConnect HIE is a Pennsylvania non-profit health information exchange founded in 2011, providing hospitals, physician practices, and post-acute providers in western Pennsylvania with real-time ADT alerts, longitudinal patient records, secure Direct messaging, and quality reporting.

Ownership category

akta.pro rank

Product category

Health Information Exchange

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

akta.pro secondary industries

Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Consent, Authorization & Data Sharing Governance (opt-in/opt-out, DS4P) (HLACABAG)

Keywords

• Health information exchange
• Clinical data interoperability
• Longitudinal patient records
• Secure PHI messaging
• Healthcare provider network

Headquarters

HQ city

Pittsburgh

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Infrastructure, Marketing or Sales

Revenue model

1. Healthcare Provider Membership Fees: ClinicalConnect HIE operates as a non-profit corporation formed by regional healthcare organizations. The exchange likely generates revenue through membership/subscription fees from participating healthcare providers who pay for access to the health information exchange network and its services.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

ClinicalConnect HIE operates western Pennsylvania's first Health Information Exchange, providing a secure electronic platform that connects regional healthcare providers, payers, and ancillary service providers for the exchange of clinical information. Its offering includes real-time patient encounter alerts, a longitudinal patient record aggregating data across participants, HIPAA-compliant secure email for PHI, quality reporting data, and integration with the PA Navigate statewide community services referral network.

Product overview

ClinicalConnect HIE operates as western Pennsylvania's health information exchange (HIE), providing a unified platform that securely connects clinicians with patients' vital medical information. The core platform delivers a longitudinal patient record that aggregates data from participating healthcare providers and trusted external partners. The product suite includes four integrated service modules: Connect Alert (real-time ED/hospital encounter notifications), Connect Community (PA Navigate integration for social care referrals), Connect Direct (HIPAA-compliant secure email for PHI exchange), and Connect Quality (quality reporting and analytics). The system enables electronic exchange of clinical information including allergies, medications, lab results, and past hospitalizations among healthcare providers, payers, and ancillary healthcare service providers across western Pennsylvania.

Differentiator

Problem solved

Functional benefit

Brands

• Connect Alert: Real-time secure service to notify healthcare providers of encounters at an emergency department or hospital
• ConnectDirect
• PA Navigate
• Connect Quality
• Connect Community

Products and services

• Connect Alert Real-time secure notification service that alerts healthcare providers when patients have encounters at emergency departments or hospitals. Monitors ADT (Admission, Discharge, Transfer) sources and provides panel maintenance and upload services for healthcare provider participants.
• Connect Community Integration to PA Navigate, the statewide community information network designed to address health and social care needs for Pennsylvanians by connecting them to community services. Includes PRAPARE and HSRN assessments, referral tracking, and analytics for healthcare providers.
• Connect Direct Secure email exchange platform for protected health information (PHI) in a HIPAA-compliant manner. Functions like regular email with a secure webmail-based platform, replacing mail, fax, or courier exchange methods for participating providers.
• Connect Quality Data service providing secure, standardized formats and outputs for better quality care and quality reporting. Enables quality reporting and analytics for healthcare providers and payers participating in the network.
• Longitudinal Patient Record Provides aggregated patient data from participating providers and query/retrieve access to trusted external partner data. Aggregated participant data is easily accessed within clinical workflow for better patient care across the HIE network.

Quantifiable outcome

• Millions of patients benefit from the network's health information exchange capabilities
• +2 more outcomes

Named customers10 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Three partnerships are on record, tiered core and flagship.

• FindhelpcoreTechnology or Integration · 24 January 2024Findhelp partnered with four Pennsylvania Health Information Exchanges (HIEs) including ClinicalConnect HIE to build a statewide online referral platform called PA Navigate. This partnership enables integration with existing systems to streamline workflow, make referrals to community-based organizations, and use built-in PRAPARE and HSRN assessments for standard documentation and reporting.
• Pennsylvania Department of Human Services (DHS)flagshipStrategic or Co-development Partner · 23 January 2024ClinicalConnect HIE partnered with the Shapiro Administration to launch PA Navigate, a statewide online tool designed to address health and social care needs for Pennsylvanians by connecting them to community services including food, housing, childcare, and more.
• Diameter HealthcoreTechnology or Integration · 6 November 2018Diameter Health partnered with ClinicalConnect HIE for clinical data integration, expanding ClinicalConnect's ability to normalize and optimize clinical data across its network of participating healthcare providers.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Healthix: One of the largest public HIEs in the U.S., serving the greater New York City region. Directly comparable to ClinicalConnect HIE as a regional, non-profit/member-supported HIE providing longitudinal records, ADT alerts, and quality reporting for hospitals, physician practices, and ancillary providers.
• Greater Houston Healthconnect: Regional HIE serving the greater Houston/Gulf Coast region of Texas, providing secure clinical data exchange, ADT alerts, and quality reporting to hospitals and ambulatory providers. Comparable regional, hospital-anchored HIE model and product set to ClinicalConnect HIE.
• CORHIO (Colorado Regional Health Information Organization): Colorado-based non-profit HIE (now part of Contexture) delivering ADT alerts, longitudinal records, and quality analytics to hospitals, providers, and health plans. Direct functional and structural peer to ClinicalConnect HIE.
• Manifest MedEx: California-based non-profit HIE offering longitudinal patient records, ADT notifications, and quality analytics to hospitals, health plans, and provider organizations across California. Closely analogous in mission, membership model, and product set to ClinicalConnect HIE.
• Indiana Health Information Exchange (IHIE): One of the largest U.S. HIEs, serving Indiana and adjacent regions with clinical messaging, longitudinal records, and analytics for hospitals, providers, and public health. Comparable scale and non-profit, member-supported model; similar product mix of alerts, records, and quality reporting to ClinicalConnect HIE.
• HealthShare Exchange: Regional HIE serving New Jersey and southeastern Pennsylvania, providing ADT alerts, clinical record exchange, and analytics to hospitals and physician practices. Direct geographic and functional peer to ClinicalConnect HIE given overlapping Pennsylvania footprint and similar membership-driven model.
• VITL (Vermont Information Technology Leaders): Designated statewide HIE for Vermont operating a non-profit, member-supported model with clinical exchange, analytics, and quality reporting. Comparable in size, structure, and offering to ClinicalConnect HIE.
• CRISP (Chesapeake Regional Information System for our Patients): Maryland and DC regional HIE providing clinical data exchange, ADT alerts, and population health tools; designated statewide health information exchange. Comparable regional non-profit HIE with similar provider membership, ADT alert, and quality reporting services as ClinicalConnect HIE.

Broad incumbents

• Orion Health: Global HIE and population health platform vendor whose technology underpins many regional HIEs worldwide. Broad incumbent offering overlapping functionality with ClinicalConnect HIE's platform, though sold as infrastructure rather than operated as a regional HIE.

Emerging players

• Health Catalyst: Healthcare data and analytics platform offering health-system clients data warehousing, interoperability, and quality/analytics services that overlap with ClinicalConnect HIE's Connect Quality and longitudinal record products. Adjacent rather than direct competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ClinicalConnect HIE