All Qualified Entities (QEs) are required to offer free basic services to their participants.
Of the services listed below, Patient Record Lookup and Secure Messaging have been implemented on a statewide basis. All other Core Services are available within the QE networks. Clinical Event Notifications (Alerts) are being implemented across QE boundaries and will be fully operational statewide in 2018.
Patient Record Lookup (PRL)
Functions like a highly secure search engine, allowing participants to retrieve individual patient records from across the state after receiving consent from the patient.
Alerts (Clinical Event Notifications)
Alerts allow participants to receive real-time updates about their patients. For example, if a patient enters or is discharged from a hospital, a subscribing provider can receive an Admittance, Discharge, Transfer alert.
Gives participants the ability to seamlessly exchange authenticated and encrypted clinical data. It’s similar to highly secure email between providers.
Provides electronic diagnostic results and reports to ordering clinicians and others designated to receive results.
Provider & Public Health Clinical Viewers
Allows participants or authorized public health officials to search for patient records across all data sources on identifying information. The Clinical Viewer is web-based, which eliminates the need to integrate with EHRs.
Tracks and verifies patient consent to share and access records per New York State and federal law and other requirements defined by HIPAA.
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.
Services for Payers
For information on services the SHIN-NY offers to payer organizations, please see the SHIN-NY Services for Payers document.
For information on the value of participating in health information exchange for payer organizations, please see The Case for Payer Participation in Health Information Exchange.
Statewide Patient Record Lookup
Since October 2015, participants have been able to access records from all QE participants through the SHIN-NY. Healthcare professionals, with consent, can use Statewide Patient Record Lookup to easily search for records, no matter where patients have received care in the state.
Here’s how it works:
When a provider uploads a new patient record to the QE, the patient’s name is included in the QE’s patient index. In the SHIN-NY, all eight QE patient indexes are combined into a Master Patient Index. When a different provider, who is not associated with the QE of the first provider, searches for a consented patient’s records, the SHIN-NY matches QE patient indexes against to the statewide Master Patient Index and displays all records available within the network.
Essentially, sPRL allows participants to search for consented patient records statewide. So, for example, a family practitioner in Brooklyn can look up her patient’s health records from a provider who treated her in Binghamton.