Social Health Information Exchange (SHIE)


Working Together Towards Whole Person Health

We believe in the transformative power of connection – that integrated, interactive, and interpersonal exchanges of information are the bridge to whole-person health in Colorado.

SHIE Ecosystem Diagram. Statewide Unifying Architecture is overarching. Regional Hubs with Whole Person Health Focus in the center. Additional pillars of SHIE include Consent Management, Provider Directory, Identity Resolution, and Community Resource Inventory.

What is SHIE? 

SHIE is a network to securely share physical, behavioral, and social health information between providers involved in whole-person care. Our SHIE approach is composed of both a statewide unifying architecture and regional hubs

The statewide unifying architecture is the secure overarching network that will allow for the sharing of health information between providers. 

The regional SHIE hubs are built upon existing work across Colorado. We will fund regional infrastructure and partnerships that are customizable to the priorities of the region. While some SHIE hubs may focus on substance use disorder, others may focus on homelessness. 

Other important aspects of a successful SHIE include:

This initiative aligns with the HHS Call to Action: Addressing Health-Related Social Needs in Communities Across the Nation and the 2023 HHS Data Strategy, emphasizing health equity and social care integration.

View SHIE Ecosystem Diagram

Mire el Diagrama Trata del SHIE


How will SHIE work? 

SHIE will be for people in Colorado who face barriers when navigating physical, behavioral, and social health care.

SHIE will be a network of social health data, insights, and resources that helps all people understand and access the best path to positive health outcomes.

SHIE will transform how Coloradans receive access to affordable, quality healthcare through the power of connection.

SHIE Connects the Dots, Removes Barriers, and Centers Whole Person Health.

View SHIE Infographic

Mire la Infografía Trata del SHIE

3 multi-colored overlapping circles labeled Behavioral Health, Physical Health, and Social Health. Person-Focused is in the center of the overlapping circles.

Long-Term SHIE Goals for Individuals

  • SHIE will remove data silos, which will make seeking and receiving care more approachable and equitable.
  • SHIE will promote whole-person health. Individuals will no longer have to separate the aspects of health and wellness that are in fact deeply connected.
  • Individuals will not need to recount complex medical and social histories over and over again or take the same screenings multiple times when visiting a provider. This will save time and improve the experience of seeking care. 

Long-Term SHIE Goals for Providers

  • SHIE will connect providers to the data they need to more effectively meet their patients’ holistic needs.
  • SHIE will reduce the amount of time providers spend on paperwork by creating efficiencies that make time spent more productive.
  • SHIE will build a data sharing network that enables providers to not only send closed-loop referrals, but also to avoid sending patients to services that do not work well for them.

Diving Deeper

In order to illustrate how SHIE can help enable more effective care coordination, we have developed two personas of fictional people in Colorado who are accessing coordinated care services through SHIE. These user journeys will be expanded upon as SHIE is developed and implemented. 

These journeys illustrate just two potential ways in which SHIE can enable more effective care coordination, but the possibilities are extensive. In order to represent more SHIE journeys, we want to create and map out the journeys of additional user personas. If you have an idea for a population or service that you would like to see represented here, please email gov_ask_oehi@state.co.us.

Meet Adrian and his daughter, Lucia!

Icons of Adrian and his daughter LuciaAdrian is a 35 year old Latino male who is currently living in Pueblo, CO with his husband and his 8 year old daughter, Lucia. Lucia is enrolled in Home and Community Based Services (HCBS) due to an intellectual disability that requires long-term support services. Adrian is enrolled in Medicaid and is diagnosed with depression and multiple chronic health conditions. His family experiences food and transportation insecurity. Data privacy and security is very important to Adrian.

Learn More About Adrian's Journey

Meet Vanessa!

Icon of VanessaVanessa is a 42 year old white female who lives in Fort Collins, CO with a roommate with whom she also shares a laptop. She is enrolled in Medicaid, she has been diagnosed with depression and substance use disorder (SUD), and she recently lost her job, so she is struggling financially. In addition to food insecurity and a lack of reliable Internet access, Vanessa does not like or regularly use technology, which makes finding resources online challenging. She also does not want information about her SUD to be shared with anyone outside of her SUD care team.

Learn More About Vanessa's Journey


Our SHIE Values

  • Accessibility: Making the resources that best meet an individual’s specific needs available, attainable, and equitable
  • Connectivity: Actively seeking new paths for individuals, information, and insights to form dynamic relationships
  • Effectiveness: Prioritizing efforts that advance people towards their intended outcomes
  • Humanity: Having empathy and showing respect for each person’s unique lived experience
  • Inclusivity: Showing up for and purposefully involving everyone working towards whole-person health in the ways that matter to them
  • Reliability: Taking great care to consistently align our words and our actions to earn trust
The SHIE Bulletin: Working Together Towards Whole Person Health

The SHIE Bulletin is a regular email newsletter from OeHI with updates, resources, and exciting news about Social Health Information Exchange. Join our mailing list today to stay in the loop on all the latest and greatest SHIE information:

Subscribe to The SHIE Bulletin

To view past editions of The SHIE Bulletin, email gov_ask_oehi@state.co.us.