Missouri Health Connection is a part of the Strategic Health Information Exchange Collaborative (SHIEC). SHIEC is a nationwide collaborative of health information exchanges (HIEs) with more than 70 HIEs members covering more than 200 million patients in the United States. SHIEC enables the secure exchange of patient information locally, regionally and nationally. Striving for seamless nationwide interoperability, SHIEC started the Patient Centered Data Home (PCDH) Initiative. 45 HIEs participate in the PCDH Intiative to improve health care for patients and providers in the United States.