Manatt authored a report for the California HealthCare Foundation that reviews the nation’s health information exchange (HIE) efforts over the past decade and summarizes the opportunities and challenges that lie ahead. The report, “Ten Years In: Charting the Progress of Health Information Exchange in the US,” describes the HIE landscape as it stands nearly 10 years after the creation of the Office of the National Coordinator (ONC) and 5 years after the passage of the Health Information Technology for Economic and Clinical Health Act (HITECH). It assesses the nation’s HIE efforts in three key areas: electronic health record (EHR) adoption; standards, certification and incentives for HIE; and governance.