The nation's "current state" of the exchange of health information is that there are several competing approaches playing out, which are often conflicting and most definitely confusing. Industry professionals who are responsible for making decisions about "if" and "how" their organizations will interoperate often aren't equipped with the information they need to know the difference between Health Information Exchange (the noun and verb), CareQuality, Commonwell, and the eHealth Exchange. The industry could do a better job of providing a cohesive story to explain these different approaches. This session aims to help tell that story by explaining the differences in these approaches and how they work--and sometimes compete--with each other. Our talk will acknowledge the current state, explain the differences and present a cohesive approach for national interoperability.