Long before they were buzzwords, market segments or government incentive programs, concepts like interoperability, data liquidity, patient engagement and meaningful use were fueling innovation at a tiny software development firm tucked in a discreet little corner of northeast Indiana. The visionary — current CEO and Chief Technology Officer, Doug Horner — rounded out his skill set through a partnership with co-founder Eric Jones to build one of the country’s first sustainable HIEs, which is still operating in Indiana today. And from those roots, they built a company that today serves client ranging from family practices to Fortune 100 clients. As early as 1995, Horner had his head in the “cloud”, and made a bet that health information technology would one day be largely web-based. Bucking the then current and unfortunately continuing trend of proprietary protectionism – creating walled gardens tethered tightly to siloed software solutions — he insisted on and led the effort to develop an innovative, interoperable platform from the ground up. Horner and his team trailed alongside local physicians, observing their workflows and interactions, their challenges and frustrations. Clinicians were wary of health IT. MIE was undaunted. Over the last 20 years, the company has quietly created a platform that allows different clients in completely different market segments to use the modules appropriate for their use cases, objectives and operations. Cognitive, not clerical. Adaptable. Accessible. Interoperable. Medical Informatics Engineering embraces the idea that when you call your product a solution, it needs to be one. Every system the company develops and delivers has been custom crafted to solve a problem — clinical, operational or financial — helping clinicians remain cognitively focused on patient care, rather than the clerical administration of its delivery.