The Electronic Healthcare Network Accreditation Commission (EHNAC), a non-profit, self-governing organisation, awarded Malaffi with accreditation for their Health Information Exchange Accreditation Program (HIEAP), for the first time given to an organisation outside of the USA. HIEAP assesses organisations for their global privacy policies, security measures, technical performance, business practices, and organisational resources. In addition, it reviews the governance structure and how the HIE is managed, ensuring enhanced trust among the healthcare community and patients alike.