Edited sentence: ) a non-profit, rural health network and OpenHRE Contributor comprised of community health centers, local and regional hospitals and FQHCs, a social service agency, a tribal health clinic, a regional State of Louisiana Office of Public Health, and a coalition of over seventy St.Bayou Teche Community Health Network (ByNet, Franklin LA.EKCITA has deployed secure and appropriate sharing of electronic health files and clinical data for public health, patient care, and research.Eastern Kern County Information Technology Association (EKCITA) a rural community association and OpenHRE Contributor in California achieving the first functioning community Health Information Exchange West of the Mississippi.Frequent Flyers in the ER) and clinical conditions (Diabetes, Hypertension, Asthma).HASA participants include the seven major safety net hospitals,  City of San Antonio Metropolitan Health District (Immunization Data) and a network of community FQHCs serving the uninsured of San Antonio.Healthcare Access San Antonio (HASA) a health care consortium and OpenHRE Community Contributor serving the medically uninsured in Bexar County, TX.KDHE is an OpenHRE Contributor.Kansas Health and Environment (KDHE) Diabetes Quality of Care Project The Kansas Diabetes Quality of Care Project involves over 68 funded organizations at 90 provider sites across the State of Kansas.Mary Parish organizations.Over 350 health professionals participate in this program with representation from over 50% of Kansas’ counties.The ByNet centralized repository contains demographic and clinical records that will exceed 100,000 patients.The EKCITA deployment provides community caregivers access to over 32,000 local patient health profiles.The SecureShare centralized community repository contains demographic and clinical records for over 500,000 uninsured patients.This effort has electronically connected many of these sites to allow the collection and analysis of patient diabetes data by KDHE personnel for improving quality of care.Working on achieving meaningful use and expanding scope of functioning HIE by producing analytics and reports for key business metrics (i