South Dakota Health Link – Mastering the Art of the HIE


South Dakota Health Link has become one of the nation’s most successful state health information exchanges (HIE), thriving when other state HIEs have struggled or disbanded.

Health Link, which is provided by the South Dakota Department of Health, has strategically developed service offerings that are designed to spur member adoption and ensure the organization’s ongoing sustainability. These include direct services, query-based services and health information service provider services, all provided by Health Link’s technology provider, Medicity.

South Dakota’s state HIE has achieved notable levels of participation, including:

  • 150 organizations representing 2,200 providers using Direct services
  • 95 percent of hospitals and 75 percent of primary care clinics using Point of Care Exchange (querybased services)
  • First state in the nation to link with a local Veterans Affairs facility