Document Type

Working Paper

Publication Date



Access/Insurance, Rural, Veterans, Access, HIE, Health Information Technology, access, MRHRC


This paper reports on the design and implementation of a first-in-the nation project to expand rural veterans’ access to healthcare by establishing a bi-directional connection between Maine’s statewide health information exchange (HIE) and Veterans Administration facilities and centers. The paper reviews key factors that have contributed to implementation challenges and successes and lessons relevant to efforts to create interoperable health IT systems across multiple, complex organizational settings.

Funding Organization or Grant

Federal Office of Rural Health Policy