Colorado Social Health Information Exchange (CoSHIE)
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.

What is CoSHIE?
CoSHIE is a network to securely share physical, behavioral, and social health information between providers involved in whole-person care. Our CoSHIE approach is composed of both a statewide unifying architecture and regional Proofs of Concept.
The statewide unifying architecture is the secure overarching network that will allow for the sharing of health information between providers.
The regional CoSHIE Proofs of Concept 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 CoSHIE Proofs of Concept may focus on substance use disorder, others may focus on homelessness.
Other important aspects of a successful CoSHIE 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.
How will CoSHIE work?
CoSHIE will be for people in Colorado who face barriers when navigating physical, behavioral, and social health care.
CoSHIE 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.
CoSHIE will transform how Coloradans receive access to affordable, quality healthcare through the power of connection.
CoSHIE Connects the Dots, Removes Barriers, and Centers Whole Person Health.
Our prioritized populations include individuals experiencing homelessness, substance use disorder, disabilities, and justice involvement.

How can my organization participate in CoSHIE?
If you are interested in participating in a discovery session to help us better understand how your organization currently uses technology to support care coordination, fill out this CoSHIE Discovery Session Interest Form.
May 2024 CoSHIE Implementation Updates
Watch the video to the left for CoSHIE implementation updates. This presentation was given at the May 2024 eHealth Commission meeting.
Long-Term CoSHIE Goals for Individuals
- CoSHIE will remove data silos, which will make seeking and receiving care more approachable and equitable.
- CoSHIE 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 CoSHIE Goals for Providers
- CoSHIE will connect providers to the data they need to more effectively meet their patients’ holistic needs.
- CoSHIE will reduce the amount of time providers spend on paperwork by creating efficiencies that make time spent more productive.
- CoSHIE 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.
Our CoSHIE 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