In order to improve patient care in the United States there, the govment made a mandate called HIE (Health Information Exchange). This order was created from the belief that sharing digital health in-formation between, across, and within health communities will improve one’s healthcare experience across their lifespan. Patient health information, i.e. the personal health record, should be shareable between healthcare providers;such as private practice physicians, home health agencies, hospitals and nursing care facilities. Most of the U.S. hospitals now have electronic health records, however, with a lack of standards for structuring health information and unified communication protocols to share health information across providers, only a small percentage of U.S. hospitals engage in computerized HIE. In order to understand barriers and facilitators in the U.S. of HIE adoption, we reviewed the published research literature between 2010 and 2015. Our search yielded 664 articles from Medline, PsychInfo, Global health, InSpec, Scopus and Business Source Complete databases. Thirty-nine articles met our inclusion criteria. This article presents the compiled organizational and end user barriers and facilitators along with suggested methods to achieve continuity of care through HIE.