The New York Digital Health Accelerator is a program run by New York eHealth Collaborative and the Partnership Fund for New York City for early and growth-stage digital health companies to develop cutting edge technology products in care coordination, patient engagement, analytics, and message alerts for healthcare providers.
- Accountable Care Organizations (ACOs)
An ACO, as defined by New York State, is an organization comprised of independent but clinically integrated healthcare providers that work together to manage and coordinate healthcare for a defined population. An ACO has a shared governance structure with the ability to negotiate, receive and distribute payments, and is accountable for the quality, cost, and delivery of healthcare to the ACO’s patients.
- Source: Sachs Policy Group
Adoption is the term used by healthcare providers making the shift to electronic health records. Providers can find help adopting an EHR for their practice by contacting their local QE.
The Application Programming Interface (API) will allow developers to build new healthcare technology applications on top of the SHIN-NY. Through this API, innovators and health IT companies access the clinical information required to develop products that meet healthcare providers’ needs, with the appropriate policies in place. This platform will also help innovators standardize their applications and software, driving development more efficiently across the state and beyond.
Attestation is the process of successfully demonstrating Meaningful Use for an EHR Incentive Program.
- Care Manager
A care manager oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room, and out of the hospital. [See: “Health Home”]
- Clinical Decision Support (CDS)
Computer-based clinical decision support (CDS) is defined as software that makes relevant information available for clinical decision making. CDS ranges from electronically available clinical data (e.g. information from a clinical laboratory system and information from a disease registry), to electronic full-text journal and textbook access, to evidence-based clinical guidelines, to systems that provide patient and situation specific advice (e.g., EKG interpretation, and drug-to-drug interaction checking).
- Source: AHRQ
- Collaborative Care
Collaborative care is an approach to healthcare with the goal being to improve overall care, patient outcomes and experience, and affordability by integrating primary care with mental health/specialist treatment to achieve a patient-centered medical home. [See: “Health Home”]
- Community Health Information Technology Adoption Collaboration (CHITA)
CHITAs are (i) community-based collaborations of clinicians and providers in a defined care coordination zone with a mission to advance the adoption and effective use of interoperable electronic health records, and which (ii) have been awarded grant funds or otherwise recognized, based on criteria and a process to be established, by the NYS Department of Health to accomplish this purpose.
- Computerized Provider Order Entry (CPOE)
Computerized Provider Order Entry (CPOE) systems comprise clinical applications that enable clinicians (e.g., physicians, nurses, therapists, pharmacists) to enter orders (for tests, medications, services, or other clinical processes) for further processing (storage in a database for record-keeping, routing/communicating to someone or a system performing the test or procedure, for further service delivery).
- Source: AHRQ
- Delivery System Reform Incentive Program (DSRIP)
In April 2014, CMS approved New York’s application for an $8 billion Medicaid waiver intended to help achieve the Triple Aim of improved care, enhanced quality, and reduced costs. Most of the waiver funding ($6.4 billion) will be allocated to the Delivery System Reform Incentive Payment (DSRIP) program, which has the overall goal of reducing avoidable hospitalizations in the State by 25% within its five-year lifespan. DSRIP allows provider collaborations called Performing Provider Systems (PPSs) to receive bonus payments if they can reach specific performance benchmarks. These benchmarks will be measured for a specific population of Medicaid and uninsured persons attributed to each PPS. Providers will be able to choose from a menu of 44 projects that aim to create system transformation, improve clinical services, and address population-wide health issues. DSRIP funds are expected to be allocated to PPSs starting in Spring 2015.
- Source: Sachs Policy Group
- Direct Exchange (Clinician-to-Clinician Exchange)
Direct Exchange allows for the sending of patient records directly from one EHR to another EHR (point-to-point). This can be used in transitions of care (hospital discharge, referrals, home health, Long Term Care (LTC), etc.), and may also be used for lab ordering, results delivery, sending records to patients, and physician alerts.
- E-prescribing, or eRx
Electronic prescription (e-prescribing) writing is defined by the eHealth Initiative as “the use of computing devices to enter, modify, review, and output or communicate drug prescriptions.” Although the term e-prescribing implies the use of a computer for any type of prescribing action, there are a wide range of e-prescribing activities with varying levels of sophistication.
- Source: AHRQ
- Electronic Health/Medical Records (EHR/EMR)
An EHR (electronic health record) is generally defined as the electronic systems providers use to store patients’ health information. These have replaced the paper records that providers traditionally used. An EHR contains data gathered from a variety of clinical services, including laboratory data, pharmacy data, patient registration data, radiology data, surgical procedures, clinic and inpatient notes, preventive care delivery, emergency department visits, billing information, and so on.
- Health Home
A Health Home is a care management service model whereby all of an individual’s caregivers communicate with one another so that all of a patient’s needs are addressed in a comprehensive manner. This is done primarily through a “care manager” who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room, and out of the hospital. Health records are shared among providers so that services are not duplicated or neglected. The health home services are provided through a network of organizations—providers, health plans, and community-based organizations. When all the services are considered collectively, they become a virtual “Health Home.”
- Health Information Exchange (HIE)
Health Information Exchange (HIE) refers to the sharing of clinical and administrative data across the boundaries of healthcare institutions and other health data repositories. Many stakeholder groups (payers, patients, providers, and others) realize that if such data are shared, healthcare processes would improve with respect to safety, quality, cost, and other indicators.
- Health Information Service Provider (HSP)
An organization that provides RHIOs with technical services, such as software, hardware, support services, and clinical/quality services that facilitate the secure exchange and use of health information.
- Health Information Technology (Health IT)
Health Information Technology (Health IT) is the use of computers and computer programs to store, protect, retrieve, and transfer clinical, administrative, and financial information electronically within healthcare settings.
- HITECH Act
The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law on February 17, 2009 to promote the adoption and Meaningful Use of health information technology. Subtitle D of the HITECH Act addresses the privacy and security concerns associated with the electronic transmission of health information, in part, through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules.
- Source: http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html
HIMSS defines interoperability as the “ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.”
- Multi-State EHR/HIE Interoperability Workgroup
The EHR | HIE Interoperability Workgroup is a New York eHealth Collaborative-led coalition of 14 States (representing over 45% of the U.S. population), 15 EHR vendors, and 16 HIE vendors. The workgroup was launched in February 2011 to leverage existing standards and develop consistent implementation guides for interoperability between HIE software platforms, and the applications that interface with them. Currently, there is no single set of standards to connect various information exchanges. The goal of the EHR/HIE Interoperability Workgroup is to create an integrated marketplace of EHR capabilities, in which the interfaces between EHRs and HIEs will be compatible more easily across and between states.
- Nationwide Health Information Network (NwHIN)
The Nationwide Health Information Network is being developed to provide a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare. This critical part of the national health IT agenda will enable health information to follow the consumer, be available for clinical decision making, and support appropriate use of healthcare information beyond direct patient care so as to improve health.
- Source: HHS.gov
- Office of the National Coordinator for Health Information Technology (ONC)
The ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. The position of National Coordinator was created in 2004, through an Executive Order, and legislatively mandated in the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009. The ONC is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS).
PACS stands for Picture Archiving System. PACS is a storage and management system that providers use for high-resolution images such as X-rays, MRIs, and CAT scans.
- Patient Admission Alerts and Notifications
Patient Admission Alerts and Notifications allow providers to receive a notification/alert when their patient presents himself in a healthcare institution. No matter where that person seeks care, be it an emergency room or otherwise, their primary care doctor, or their care plan manager, can be notified.
- Patient Portals
Patient Portals allow for patient engagement, allowing patients to see their health information, interact with their care plans, and see and interact with their record. This encourages patients to be proactive in their own health, and enhance communication with providers.
- Patient-Centered Medical Home (PCMH)
A PCMH is a model for transforming the organization and delivery of primary care. The Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place, but as a model of the organization of primary care that delivers the core functions of primary healthcare.
- Source: http://pcmh.ahrq.gov/
- Performing Provider System (PPS)
Providers cannot participate in DSRIP as standalone entities. Instead, providers are required to come together in coalitions called PPSs. Most PPSs are led by large safety net hospitals and/or public hospital systems and incorporate large networks of healthcare providers spanning the spectrum of services, including behavioral health providers. Currently, there are 25 PPSs. Some further consolidation may occur in the future, as the State’s overall goal is to have one PPS per region wherever possible.
- Source: Sachs Policy Group
- Personal Health Record (PHR)
Personal Health Records (PHRs) are a set of computer and internet-based tools that allow people to store, access, and coordinate their health information, and make appropriate parts of it available to those who need it.
- Source: Markle Foundation
- Privacy and Security
Electronic health information exchange promises an array of potential benefits for individuals and the U.S. healthcare system through improved clinical care and reduced cost. At the same time, this environment also poses new challenges and opportunities for protecting individually identifiable health information. In healthcare, accurate and complete information about individuals is critical to providing high quality, coordinated care. If individuals and other participants in a network lack trust in the electronic exchange of information due to perceived or actual risks to individually identifiable health information, or the accuracy and completeness of such information, it may affect their willingness to disclose necessary health information and could have life-threatening consequences. Coordinated attention at the Federal and State levels is needed both to develop and implement appropriate privacy and security policies. Only by engaging all stakeholders, particularly consumers, can health information be protected and electronically exchanged in a manner that respects variations in individuals’ views on privacy and access.
- Source: http://www.hhs.gov/ocr/privacy/
- Provider Analytics Tools
These analytic tools can be used in reporting needs, or for providers looking to be proactive in care delivery. For instance: a provider can ask the system to search all the diabetics under their care, generate a list of these, and then subset it down to those who have not had their feet checked in the last few weeks. This would allow them to proactively engage with patients.
- Provider-to-Provider Record Transfer
Provider-to-Provider Record Transfer is the ability to send secure email or messages between two providers, useful for transfer of a patient on discharge, or from primary care to specialty care. The Federal Program for this is called The Direct Project.
- Qualified Entity (QE)
A QE, formerly known as a RHIO (Regional Health Information Organization), is a local hub where a region’s electronic health information is stored and shared. There are eight QEs in New York State that each cover different areas from Buffalo to New York City. These QEs are the backbone of the SHIN-NY, providing the services that make secure, vital access to your health information possible statewide.
- Regional Health Information Organization (RHIO)
A RHIO is a non-governmental organization that exists as a New York State not-for-profit corporation to enable interoperable health information exchange via a common Statewide Health Information Network of New York (SHIN-NY) by participating in setting information policies through a statewide policy framework and governance process, implementing policies and ensuring adherence to such policies with a mission of governing its use in the public’s interest and for the public good, to improve healthcare quality and safety, and reduce costs. To fulfill this mission, RHIOs require commitment from multiple healthcare stakeholders in a geographic region, including physicians, hospitals, long term care and home care providers, patients, insurers, purchasers, and government. RHIOs are responsible for enabling interoperability through which individual stakeholders are linked together—both organizationally and technically through the SHIN-NY—in a coordinated manner for health information exchange and quality and population health reporting.
- Source: NYS DOH HEAL 5 RGA
The Statewide Health Information Network of New York (SHIN-NY) is a network of information transmitted between users. Regional Health Information Organizations collect health record data from the healthcare providers in their area and, with patient consent, allow this information to be shared securely with other providers in the region. The SHIN-NY connects these regional hubs to create a private and secure network spanning the entire State of New York.
- Statewide Collaborative Process (SCP)
As health information technology grows, new policy must be written, and new standards set. An essential task of NYeC is to develop common policies, procedures, and technical approaches through an open and transparent process—the Statewide Collaborative Process—to support New York’s expanding health information infrastructure. These will ensure the highest quality of service, interoperability, and full patient privacy, security, and safety.
Telehealth is the use of telecommunications technology to transmit health information from one location to another to improve health status. As such, telehealth enables connections among providers, and between providers and patients, linking potentially distant resources with more convenient sites of care. The patients may be situated in another medical facility or clinical office, may be at home, or, increasingly, may be mobile and simply interested in having certain clinical values monitored remotely.
- Two-Factor Authentication
Authentication method that requires user to present at least two of the following three types of authentication factors to verify identity:
- Knowledge: something the users knows,
- Possesion: something the user has, and
- Inherence:something the user is.