Medicaid’s Mississippi Division has awarded a four-year contract worth $8 million to Shared Health, Inc., to build and operate a statewide electronic health record (EHR), an e-prescribing application and clinical decision support tools to improve patient care coordination and patient safety for its estimated 600,000 beneficiaries. The systems are expected to become operational by the end of the year by the Medicaid officials. About 900 physicians will be connected through the EHR with Web-based access to patient health summaries, including demographics, recent diagnoses, hospital discharge information, lab results, allergies, medication history and immunization records. The system will be integrated with e-prescribing, which will provide physicians with a patient’s current medications, drug interaction data and appropriate generic alternatives. Residing at secure facilities, the statewide system, will be run by Shared Health and its partners. Medicaid will provide patient claims data to Shared Health, which will rely on analytics engines and other tools to standardize the data and present it to physicians in a format relevant for their clinical needs. Mississippi Medicaid, which still has a legacy Medicaid Management Information System (MMIS), is making its first foray into digital records across the Medicaid beneficiary base with this effort. The State of Mississippi also has other health IT initiatives underway. These include the development of a medication error reporting system for rural hospitals and the eHealth Information Support Network (eHISN), which will provide a clinical data repository containing continuity of care records for six coastal counties that are at risk for hurricane-related disaster.