Friday, November 22, 2024
11/22/2024
Improving the safety, effectiveness, quality, and affordability of health care delivery in New York State will require widespread adoption of an interoperable health information infrastructure built upon an ???information highway???: the Statewide Health Information Network for New York (SHIN-NY). With close to $500 million of investment made to date in health information technology, New York is now ready for immediate, large-scale health information exchange (HIE) implementation through this 4-year Program. The SHIN-NY will provide value through the services its provides and the number of participants consuming those services. These goals are mutually reinforcing: The greater the value of the services to the network, the more participants will want to join; the more participants, the more valuable the services. Striking the optimal balance of resource allocation and sequence of efforts in seeking enhanced services and increased participation will be critical to the sustainability of the SHIN-NY. Specifically, New York seeks to (1) increase the number and diversity of providers connected to the SHIN-NY ??? including a continued focus on primary care physicians and hospitals, and new efforts to target home health, nursing home and behavioral health providers; (2) coordinate efforts linking State health information systems with the SHIN-NY; and (3) coordinate efforts to support health IT ???meaningful use??? through the Medicare and Medicaid programs. New York???s governance model operates through a public-private partnership, including defined roles and responsibilities for the NYS Department of Health (DOH) and the New York eHealth Collaborative (NYeC), and a formal governance relationship with the Regional Health Information Organizations (RHIOs), which in turn provide governance for HIE at the regional and local levels. Building an effective statewide health IT capacity requires that all stakeholder groups forge consensus across a broad range of technical, policy, legal, implementation and business issues. New York has utilized and will build on its Statewide Collaboration Process (SCP) for this purpose. NYeC will use the initial months of the grant period to reach consensus on the exact configuration of HIE development. Because robust data exchange cannot happen without widespread adoption of electronic health records (EHRs), , New York has created a network of Community Health IT Adoption Collaborations (CHITAs)/Regional Extension Centers to facilitate EHR adoption at the practice-level, whilch also supports effective integration with SHIN-NY and ???meaningful use??? across the state. The process also includes Statewide and other Associations, State agencies, the Health Information Technology Evaluation Collaborative (HITEC) and the Consumer Advisory Council. Building on the existing foundation of policy and operational activities, this Program will ensure that New York can provide (1) complete, accessible clinical information in the hands of both clinicians and patients, to support coordinated, preventive, patient-centered care; (2) more precise and timely information about what works in the real world to refine health care policies, monitor health status and safety, and guide physician and patient treatment choices; (3) integration of health care delivery information with public health surveillance systems to support public health goals; and (4) timely information about choices, prices, quality, and outcomes, enabling a truly patient-centered health system.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
