What Services are Available in the SHIN-NY?
All QEs provide Core Services to their Participants. Core Services are the baseline and essential service requirements that organizations must fulfill to be considered New York State Qualified Entities (QEs).
The information below outlines some Core Services, specifically those which a provider would utilize directly. Patient Record Lookup (PRL) and Secure Messaging have been implemented on a statewide basis. All other Core Services are currently available within a QE community.
For information on the current set of services that the Statewide Health Information Network for New York (SHIN-NY) offers to payer organizations, please see the SHIN-NY Payer Services Document document.
Patient Record Lookup (PRL)
Search for existing patient records within the local QE and across all other QEs statewide through an EHR connection or a secure Clinical Viewer/Portal.
Send (push) peer-to-peer messages between two trusted providers.
Allow users to establish subscriptions to pre-defined patient events (ER and inpatient admits and discharges) and receive notifications when those events occur.
Deliver diagnostic results and reports back to ordering providers and others designated to receive results.
Public Health Integration
Route required public health reporting information from primary sources to state aggregation points.
Track patient consent to access records according to New York State law and other requirements defined by the New York State law and policy.
QEs may provide additional services above and beyond the Core Services and may charge for these "value added services." EHR vendors may also charge a connection fee. Providers are encouraged to talk to their local QE for more information.
Statewide Patient Record Lookup (sPRL)
What is sPRL, and how does it work?
sPRL works like a secure search engine which allows healthcare providers to search for a patient’s data, similar to how a Google search functions. When a healthcare provider enters basic demographic information for a specific patient who has provided their consent, sPRL will return all the records it finds for that patient from each QE region.
Here’s how it works.
When a provider uploads a patient record to the QE, the patient’s name is included in the QE’s patient index. All of the eight QE patient indexes are combined into a Master Patient Index for the SHIN-NY as a whole. When a provider looks up a patient’s records, the QE’s patient index is matched against the statewide Master Patient Index to see what records reside in other QEs. When matches between indexes occur, the records show up in the search.
Essentially, sPRL allows a healthcare provider to search records across New York State for a particular patient’s information. So, for example, a family practitioner in Brooklyn can look up her patient’s health records from a provider who treated her in Binghamton. But providers can only access records if the patient has signed a consent agreement.
Is sPRL available now?
Beginning in 2015, QEs started connecting to the SHIN-NY hub. Since October 2015, all QEs are connected to the SHIN-NY, and their records are available to search via sPRL.