In 2004, the state of Maine began work on a state health information exchange (HIE) in an effort to bring together disparate health care organizations, and meet federal calls to implement more effective real-time public health event monitoring and enable rapid response.
These included Maines four largest health delivery systems Central Maine Health Care, Eastern Maine Healthcare Systems, Maine General Medical Centers, and Maine Health. Included was also an independent, mult-site primary care practice Martins Point Health Care and an independent rural hospital Franklin Memorial Hospital in Farmington.