Tennessee Health Information Exchange (TnHIE), one of the longest-operating health information exchanges (HIEs) in the United States, uses InterSystems solutions to power its self-sustaining network. The solutions help TnHIE overcome data integration and interoperability challenges, accelerate time-to-market, and ensure high performance, scalability, and availability for a host of advanced data aggregation, delivery, and reporting services. TnHIE helps healthcare organizations improve continuity of care and patient outcomes by providing fast, reliable, and secure access to over 1.5 billion clinical records.