What Services are Available in the SHIN-NY?
All New York State SHIN-NY Qualified Entities (QEs) provide Core Services to their participants as part of their service requirements.
Of the Core Services listed below, Patient Record Lookup and Secure Messaging have been implemented on a statewide basis. All other Core Services are available within a QE community. As the SHIN-NY evolves, additional services are considered for statewide exchange. Currently, Clinical Event Notifications (Alerts) are being implemented across QE boundaries and will be fully operational statewide by the end of 2017.
All QEs offer basic services free of charge to members. These include:
Patient Record Lookup (PRL)
Functions like a highly secure search engine, allowing participating providers to retrieve individual patient records from across the network, after recieving consent from the patient.
Gives clinicians the ability to securely and seamlessly exchange authenticated, encrypted clinical data. It’s similar to highly secure email between doctors and other healthcare providers.
Clinical Event Notification (Alerts)
Automatic service that transmits real-time updates about patients to authorized providers subscribed to pre-defined patient events (ER and inpatient admits and discharges).
Provides electronic diagnostic results and reports to ordering clinicians and others designated to receive results into a provider’s EHR.
Provider & Public Health Clinical Viewers
A clinical viewer allows providers and/or public health officials to search for records for an individual patient across all data sources based on demographics, MRN, or other patient identifying information. The clinical viewer is web-based, which eliminates the need to integrate with EHRs.
Tracks patient consent to access records according to New York State law and other requirements defined by the federal and State laws and policies.
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.