Neutral by Design: Why UHIN’s Navina Forsythe is a 2026 Utah Business Healthcare Hero

Navina Forsyth Healthcare Hero

Every day, Utah’s payers, providers, state agencies, and researchers need information that lives in someone else’s systems. Building those connections between systems can be costly. Ensuring that the data can be shared legally, securely, and respecting patient’s preferences takes time and money. Using UHIN as the connection mechanism means saving costs by letting them make the connections and form the agreements that will govern the healthcare ecosystem. UHIN serves as the neutral steward that makes data available to the people who need it.

This month, Utah Business named Navina Forsythe, PhD, MPA, CIPM, UHIN’s Chief Data & Privacy Officer, one of its 2026 Healthcare Heroes. We could not be prouder, and we can’t think of a better illustration of why neutrality matters.

A career spent on every side of the data

Navina’s path to health data is not a typical one. She started in 1989 on a crisis phone line at the University of Utah. She went on to counsel adolescents in crisis, investigate cases for Child Protective Services, and practice as a licensed psychologist. At the Division of Child and Family Services, she helped take an agency running on paper files and an aging mainframe and gave it the ability to see outcomes from a single case up to the whole state. As Division Director of the Utah Department of Health’s Center for Health Data and Informatics, she oversaw Vital Records and Statistics, Health Care Statistics, Public Health Assessment, and Health Informatics.

She has been the caseworker who needed the record, the state director accountable for public health data, the researcher asking for access, and the review board chair deciding whether to grant it. That range is exactly why she is trusted with what UHIN holds. She knows what a clinician loses when information is withheld and what a patient loses when it is shared carelessly, and she weighs both.

Neutrality is something you practice, not just claim

UHIN is a nonprofit founded in 1993 and Utah’s state-designated health information exchange. We have no shareholders, and all of our net income goes back into the services our members depend on. That structure makes neutrality possible. Navina is a big part of what makes it real.

Since 2022, she has led data strategy, governance, and privacy at UHIN and serves as executive over Utah’s state-designated Clinical Health Information Exchange (CHIE). She holds the Certified Information Privacy Manager credential and has chaired institutional review boards for two Utah state agencies. She recognizes that while data is essential to inform positive outcomes, its use needs to be balanced with respect for privacy and patient’s right for autonomy.

Her position is not that data should be locked down. Broad, responsible sharing is how costs come down and care improves. That sharing only stays possible if the trust behind it is earned every day.

What neutrality makes possible

Because Utah’s health system trusts a neutral steward, it already has infrastructure that connects most of Utah’s health ecosystem. Nearly every hospital in Utah participates in UHIN. In the twelve months ending June 30, 2026, UHIN processed roughly 363 million inbound transactions, answered approximately 91 million patient record queries, delivered about 4 million clinical results, and sent roughly 40 million alerts.

Utah does not need to reinvent that. Every new integration or parallel data warehouse costs money and splits the state’s data into one more place that has to be reconciled later. The better path is to invest in what already exists and put it to work.

Bad patient data is a hidden tax

When the same patient exists as four slightly different records across four organizations, someone pays for it. Tests get repeated. Claims get denied. Staff spend hours calling records departments. Clinicians make decisions with half the picture.

One widely cited industry survey found duplicate records added an average of $1,950 per patient per inpatient stay and attributed roughly one-third of denied claims to inaccurate patient identification.1 Nobody sends an invoice for that waste. It shows up in premiums, in staff time, and in delayed care, and it falls hardest on the small, independent practices that can least afford it.

UHIN works to match and validate patient records of various quality and completeness from different healthcare entities so that what comes back is one patient, not four versions of one. Better data quality is one of the most direct ways to lower the hidden cost of care in our communities and UHIN leads efforts to improve the data quality and interoperability that all health care entities are responsible for.

From exchange to strategic data intelligence partner

Moving records from point A to point B is the foundation. The bigger opportunity is what Utah can do with trusted, high-quality data once it exists.

That is already happening. Granger Medical used CHIE alerts to cut its transitional care readmission rate from 23 percent to 9 percent. Home health and hospice agencies rely on it to avoid delays in patient care. Behavioral health agencies use it reach out to clients with support after a crisis. UHIN’s recent work also includes advancing interoperability in rural Utah and using health information exchange to improve chronic kidney disease outcomes.

If your organization has a question your own data cannot answer, about readmissions, care gaps, population health, or the patients you share with others, we want to hear it. That is where the next use cases come from.

Invisible by design

Navina’s work is invisible by design. The better the exchange runs, the less anyone notices it. There is no ribbon cutting for a record that arrived on time, and no press release for a readmission that never happened.

“Navina brings a rare combination of technical depth and real commitment to the communities we serve,” says Brian Chin, CEO of UHIN. “She’s kept us anchored in our role as a trusted, neutral partner in our community and never lets us lose sight of the patients and healthcare organizations on the other end of the data.”

Congratulations, Navina, and thank you for keeping the trust that makes all of this possible.


1. Black Book Research, patient identification and EMPI user survey of 1,392 health technology managers, Q3 2017 to Q1 2018, as reported in “Black Book Report Highlights Patient Identification Issues,” Healthcare Innovation, April 11, 2018. Also cited in Grannis SJ et al., “Evaluating the effect of data standardization and validation on patient matching accuracy,” Journal of the American Medical Informatics Association 29(8), 2022.

Building on What Works to Connect Rural Utah

Advancing healthcare interoperability is not just about adopting the latest technology. It is about building sustainable systems that serve everyone, especially the communities that have their own unique needs and healthcare dynamics.

UHIN leadership recently returned from the Civitas Networks for Health Annual Fly-In in Washington, D.C., where 20+ leaders from health information exchanges, health data utilities, and regional health improvement collaboratives spent the week in 47 meetings on Capitol Hill. As Utah’s state-designated, nonprofit Health Information Exchange, UHIN was at the center of those conversations. The message Civitas members carried into every office was consistent: locally governed, community-led organizations are the implementation layer that turns federal policy into real-world results.

That message landed at exactly the right moment. The Rural Health Transformation Program (RHTP), a $50 billion, five-year federal investment created by H.R. 1 (the One Big Beautiful Bill Act), is moving from announcement to execution. Utah received $195.7 million in first-year funding, with up to $500 million expected over the life of the program. How states deploy those dollars between now and 2030 will shape rural healthcare for a generation.

Here is what stood out from our time on the Hill, and what it means for Utah.

The ongoing debate over the Rural Health Transformation Program (RHTP) funding centers on a critical question: who is best equipped to help alleviate the struggles of medicine?

While the $50 billion investment has drawn a surge of venture-backed firms, there is growing concern that these entities prioritize a five-year revenue “exit” over the generational stabilization required to fix medical deserts and workforce shortages.

The Civitas perspective argues that the most effective stewards of this capital are the local, mission-driven organizations already embedded in these communities. The rationale for prioritizing nonprofit HIEs, local providers, and public health agencies is rooted in the specific challenges they are uniquely qualified to address:

Why Local Stewardship Matters for Rural Challenges:

  • With 50% of rural hospitals operating at a loss, venture-backed models often cherry-pick profitable services. Local providers, however, focus on maintaining “unprofitable” but essential lifelines like maternity care, preventing the expansion of maternity deserts.
  • Private firms often rely on temporary “locum tenens” or remote-only solutions. In contrast, local agencies invest in the “grow your own” strategy, which is 5.4 times more likely to result in long-term physician retention in areas where 70% of the population faces primary care shortages.
  • Technology-only solutions from external contractors often fail because they ignore the low health literacy and poor broadband infrastructure prevalent in rural zones. Local HIEs and public health offices have the “boots on the ground” track record necessary to help an aging population navigate these digital hurdles.

A consistent thread across every conversation: state and federal dollars have already built much of the interoperability infrastructure RHTP now depends on. Health Information Exchanges, Health Data Utilities, All-Payer Claims Databases, and Quality Improvement Organizations are the connective tissue of community health data. They are already in place, they are governed by the people they serve, and they have decades of investment behind them.

The temptation with $50 billion of new federal money is to spin up something new and shiny. That impulse carries a real cost. Every dollar spent rebuilding what already works is a dollar not spent improving care in rural communities. Civitas members made the case repeatedly: the smart move is to strengthen and extend infrastructure that has been earned and tested over years, not to start over from zero.

This is the work UHIN has been doing in Utah for 30 years. The CHIE already moves clinical data securely across providers, payers, and public health partners. Our recently modernized, FHIR-aligned platform is ready to scale to meet the use cases RHTP is asking states to solve.

There was real candor in these meetings about how the program came to be. RHTP was created by the same legislation that carried significant Medicaid changes. Several Civitas members and Congressional staff spoke about deep regret tied to those cuts. To be clear, many in the room do not view RHTP as a win. They view it as the reality we now have to work with, and they were honest that the program, on its own, will not offset what rural hospitals stand to lose when the funding window closes in 2030.

That said, this is the world we are operating in. RHTP is the tool in front of us, and Utah received $195.7 million in first-year funding to put it to work. The question is not whether to engage. It is whether we engage thoughtfully enough that, five years from now, rural Utah is in a stronger position than it is today, not facing a steeper cliff.

That requires honesty about the math. It also requires the kind of long-game thinking that nonprofit, community-governed organizations are built for.

If there was one word that came up in nearly every meeting, on both sides of the aisle, it was sustainability.

Some rural organizations cannot even absorb the funding being offered. They do not have the bandwidth, the technical staff, or the procurement infrastructure to take a fire hose of federal dollars in a 12-month window and turn it into durable change. That is not a failure on their part. It is a structural reality of rural health that this program has to plan around.

The harder problem is what happens in 2030. Programs stood up on five years of grant money have a way of collapsing the moment the money stops. The work that will outlast RHTP is the work that fits inside infrastructure that was already going to be here, supported by sustainable funding models, governed by people accountable to the communities they serve.

What This Means for Utah

UHIN exists for a simple reason: Interoperability for all. Better costs. Better care. That mission predates RHTP, and it will outlast it.

With 25 of Utah’s 29 counties designated rural, and many rural Utahns traveling more than an hour for hospital care and four to six hours one way to see a specialist, the case for a connected, statewide data foundation is hard to argue against. Rural providers need clinical, claims, and public health information harmonized in a way that is computable, real-time, and actually useful at the point of care. That is the foundation that makes everything else possible, from analytics and clinical decision support to the AI applications coming next.

UHIN has spent three decades building toward that picture. We operate a FHIR-aligned, statewide exchange. We coordinate data every day across hospitals, EHR vendors, payers, and public health agencies. We know rural Utah, because we have been showing up there for a long time.

If RHTP is going to deliver what rural Utah needs, the infrastructure to do it does not need to be invented. It needs to be invested in.

Get Involved

If your organization serves rural Utah and you want to talk about how the CHIE can support RHTP-related initiatives, or about what a sustainable, trusted, connected data foundation looks like in practice, reach out to us here. We are ready to roll up our sleeves.

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Frontiers. (2026). Digital twin virtual hospitals and rural health disparities: a six-country comparative study (2018–2024). Frontiers in Public Health, 14. https://doi.org/10.3389/fpubh.2026.1741438

Orimaye, S. O. (2026). Roadblocks to rural health: State transportation policies’ impact on health care access in Virginia’s rural communities. American Journal of Public Health, 116(2), 175–179. https://doi.org/10.2105/AJPH.2025.308285

Youngen, K., Cecil, J., & Borders, T. F. (2026). How 2026–2030 digital health policies impact access & patient engagement. Rural & Underserved Health Research Center Publications. https://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=3008&context=research_symp