A “Win” for Health Information Exchange? How the Patient-Centered Data Home Could Shift the Narrative | Rajiv Leventhal | Healthcare Blogs Skip to content Skip to navigation

A “Win” for Health Information Exchange? How the Patient-Centered Data Home Could Shift the Narrative

January 11, 2018
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Has the foundation for interoperability between HIEs been established?

It was quite interesting to read a recent evaluation of the Vermont Health Information Exchange (VHIE), which found governance and data quality issues, as well as low usage rates. As Senior Contributing Editor David Raths reported, “Only 19 percent of Vermont patients’ records are currently accessible in VHIE, and statistics show providers generally use VHIE for limited purposes.” It was also noteworthy to read in that story that the organization that operates VHIE agrees with the evaluation and “believes the state should undertake a comprehensive realignment of the governance and delivery of its health information technology and exchange initiatives statewide.”

More broadly, research on the value of health information exchanges (HIEs) to date has been mixed and unclear. One study, published recently in Information Systems Research, concluded that HIEs do have the potential to cut billions in Medicare spending, but the key being that the healthcare market must have an established HIE infrastructure in place. In reality, many markets do not. Then there is the issue that it has been challenging for researchers to even come to real conclusions on the impact of HIEs. A recent paper published by healthcare researchers found that slowness in implementation and usage makes it difficult to measure their effectiveness.

But despite a lot of the negativity surrounding HIEs—and the many challenges that they face—a fairly new initiative from the Strategic Health Information Exchange Collaborative (SHIEC) has gotten me thinking that the narrative around HIEs, and specifically HIE-to-HIE exchange, might soon be shifting.

SHIEC, a Grand Junction, Colo.-based national collaborative representing health information exchanges, announced in June 2016 that three HIEs in the southwest—Arizona Health-e Connection (AzHeC), Quality Health Network (QHN) in western Colorado, and the Utah Health Information Network (UHIN)—planned to explore a method of sharing data between HIEs based on triggering episode alerts, which notify providers a care event has occurred outside of the patients’ “home” HIE, and confirms the availability and the specific location of the clinical data.

This piloted concept, called the “patient-centered data home (PCDH),” works by synchronizing patient identity records among the several HIEs whose participants are caring for the patient, as well as providing detail about where the patient record is located for easier, faster query and response. “For patients, this provides reassurance they can receive high-quality, personalized care regardless of where they are in the country,” SHIEC officials note. Other industry leaders have referred to the project as an extension of the “no wrong door” philosophy, meaning that services and information are always available regardless of where the patient seeks care.

The PCDH concept has continued to grow since its inception. Last week, SHIEC announced that the initiative will be rolled out nationally and is serving tens of millions more patients through the network. The national launch unifies three smaller regional implementations in which 17 HIEs worked together to prove the concept of inter-HIE information sharing and notification. These regional implementations (the western implementation, the heartland implementation and the central implementation, each which involved coordination among multiple HIEs spanning geographic areas and states) had been set up for months, and now the regions have all been connected to each other, as we reported last week.

Based on the success of the implementations, the participating HIEs have each agreed to a common, national agreement for participation, which set the stage for connecting the regional implementations together and rolling out the full-scale, national implementation, according to officials.

As SHIEC’s leaders have explained, through this HIE-to-HIE hub, when a patient living in one of the states has a medical encounter in one of the other participating states, an alert is sent to the patient’s home state HIE. Primary care physicians participating in that HIE then receive an ADT (admission, discharge and transfer) notification, and can query their system for the patient’s record. That initial query from HIE to HIE is based on the patient’s zip code.

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Source: SHIEC

Thus far, more than 300,000 event notifications have been exchanged via the PCDH network, and in addition to the 17 HIEs planning to participate, SHIEC’s broader membership also includes 60 HIE organizations that manage and provide for the secure digital exchange of health data for hospitals, healthcare providers and other participants serving more than half of the U.S. patient population. This represents a great opportunity for the PCDH initiative to expand out even more.

What’s also promising is that HIE leaders see the PCDH concept helping in emergency situations, such as the Hurricane/Tropical Storm Harvey disaster that struck Houston and southeast Texas late last summer. In fact, it was Phil Beckett, chief information officer at HASA (Healthcare Access San Antonio, a San Antonio-based HIE), who spoke to Editor-in-Chief Mark Hagland about this very topic at SHIEC’s annual conference, an event which took place during the same time as the Harvey storm was unfolding.

Beckett told Hagland at the conference, “This is also a situation in which the concept of the patient-centered data home, which the SHIEC organization is promoting and encouraging, and which has been a topic of discussion at this conference, comes into play…We were on a call that was sponsored by SHIEC, and were talking about the patient-centered data home, which provides a more accurate, precise way to share data. When we make use of this concept, it means that we’re storing a zip code list of zip codes that each HIE covers, and then if a patient shows up in one of our facilities with that zip code, we will send a notification with the home state of that patient, so that we’re connected across state lines with good demographics, since we don’t have single identifiers. That will help” in situations like this one with Hurricane/Tropical Storm Harvey, Beckett said.

Indeed, it certainly seems as if a foundation for interoperability between HIEs has arrived. With SHIEC’s announcement last week, Leigh Sterling, executive director, East Tennessee Health Information Network (eTHIN), had a quote that I thought was extremely telling about the capabilities of the patient-centered data home. Sterling said, “etHIN’s region contains the most visited national park in the country. Because visitors to our area often seek medical attention while they are here, we have medical data on patients living in all 50 states. PCDH is the best way to provide needed information to our local treating providers and to keep the patient’s hometown physicians informed of out-of-town treatment events.”

At the end of the day, isn’t that exactly what we wanted HIEs to accomplish from day one? The ability to have medical data on patients in all 50 states fulfills the spirit of what healthcare leaders set out to facilitate years ago with the advent of health information exchanges.

Now that’s not to say that HIEs themselves still don’t have their fair share of roadblocks with questions around their ability to remain viable only growing over time. But it’s quite promising to see that those HIEs that are successful can now interoperate with one another. To this end, last week federal health officials also released its draft Trusted Exchange Framework, as required by the 21st Century Cures Act of 2016, calling the development “a significant step towards achieving interoperability.” The Framework outlines a common set of principles for trusted exchange and minimum terms and conditions for trusted exchange, with the idea being to bridge the gap between providers’ and patients’ information systems and enable interoperability across disparate health information networks.

For anyone who has been paying attention, it’s been a long and rocky road for HIEs and interoperability. That journey is nowhere near finished, but thanks to initiatives such as the patient-centered data home, the arrow is pointing up.

Have any thoughts or questions? Feel free to tweet at @RajivLeventhal or comment in the section below.

2018 Raleigh Health IT Summit

Renowned leaders in U.S. and North American healthcare gather throughout the year to present important information and share insights at the Healthcare Informatics Health IT Summits.

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One New York Regional HIE Opposes Expansion of Another, Highlighting Issues with Competition Among HIEs

September 24, 2018
by Heather Landi, Associate Editor
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A New York regional health information exchange (HIE), HealthlinkNY, based in Binghamton, has publicly come out against another regional HIE’s plans to expand its services into HealthlinkNY’s market, saying it creates “confusion and uncertainty” in the marketplace.

Last week, Hixny, an HIE based in Albany that historically covered north and west of the Capital District, announced that it had added nine counties to its territory, specifically Chenango, Broome, Sullivan, Ulster, Dutchess, Orange, Putnam, Westchester and Rockland counties in southern New York. These nine counties are part of HealthlinkNY’s 13-county service area. HealthlinkNY’s service area spans the Hudson Valley, Catskills, and the Southern Tier of New York (the Southern Tier encompasses counties of New York west of the Catskill Mountains along the northern border of Pennsylvania).

With the expansion, Hixny now serves 28 counties and the HIE already has updated its website to state that it serves communities from Westchester to the Canadian border and Binghamton to Vermont.

Both HIEs are two among the state’s eight qualified entities (QE) connected by the Statewide Health Information Network for New York (SHIN-NY) – a “network of networks” that allows the electronic exchange of clinical information and connects healthcare statewide – overseen by the New York State Department of Health and managed by the New York eHealth Collaborative (NYeC). According to the NYeC website, participating healthcare organizations can connect with the QE that best aligns with their business, operational, and service delivery needs. 

HealthlinkNY issued a strongly worded press release late last week in response to Hixny’s expansion plans. “The truth is that an unnecessary expansion into this service area compromises the effectiveness of the Health Information Exchange [HIE],” Staci Romeo, executive director of HealthlinkNY, said in the press release.

During interviews Romeo and Hixny CEO Mark McKinney both addressed the expansion plans. Romeo says Hixny’s expansion into its territory creates competition between the HIEs and says the competition is a “distraction, it’s confusing for participants and it’s completely unnecessary.”

McKinney says, “The primary reason for us to consider expansion is because patients and providers really are not bound by county borders. We have long been a trail blazer as an HIE both in the state and around the country. From our perspective, reaching into those regions helps to meet the needs of those patients.” McKinney says Hixny officials recognized that there was an overlap of patients seeing providers both in Hixny’s territory and HealthlinkNY’s territory.

“We looked at data for patients already inside our master patient index, and we saw significant percentages of patients already had records inside our systems, so for those providers and those patients, getting a more accurate and complete record and making that system available to providers seemed like a valuable exercise to bring all that information to one place,” he says. “This gives providers a choice in terms of what they value with regard to the services that are provided.”

According to Hixny’s website, 1 in 5 residents of the Hudson Valley and Southern Tier already have Hixny records, and that figure increases to more than 1 in 2 in counties neighboring Hixny's established service area, the website states.

HealthlinkNY's service area

Hixny's service area

McKinney also notes that it is not uncommon for multiple HIEs to serve multiple markets and he believes its beneficial to have two HIEs serving the same counties. “I think what’s most important is to meet the needs of patients and providers. Ultimately, it’s about patients and providers and making sure they have access to the information that they need,” he says.

And in response to Romeo’s statement that Hixny’s expansion creates “confusion and uncertainty in the marketplace.” McKinney says, “I can’t comment on her response; what I can say it that we’re very committed to our expansion and delivering the data and the information that will improve care and lower costs for patients and providers in the region.”

Hixny (formerly known as the Health Information Xchange of New York) launched in 1999 as a collaboration between Iroquois Health Care Alliance, which represents upstate hospitals, and the New York Health Plan Association. The HIE currently serves 1.7 million patients.

Regional HIEs enable provider organizations to access and exchange health information with participants in their region, and, in New York State, all eight QEs connect to SHIN-NY, which acts as a hub to provide access to patients’ health information statewide. When contacted for comment, Valerie Grey, executive director of the New York eHealth Collaborative (NYeC), stated, “Ultimately, our role is to help expand participation in the information network and support all of our partners in that process. We’re going to continue that work with each of our eight regional networks because increased participation will improve health outcomes across New York.”

Historically, HIEs separately increase their networks within their agreed-upon geographic areas, while there also is a great deal of collaboration between regional HIEs. However, one challenge for many HIE leaders is determining how to exchange information with competing organizations.

Healthcare researcher Julia Adler-Milstein, Ph.D., who has done extensive research on HIEs, says there are regions with multiple HIEs operating and competition among HIEs is a common issue, although it’s often discussed in “backroom” conversations. Adler-Milstein is an associate professor of medicine and director of the Clinical Informatics and Improvement Research Center, School of Medicine, at the University of California San Francisco.

Three years ago, Adler-Milstein was part of a team of researchers from the Mathematica Policy Research, the Harvard School of Public Health and the University of Michigan, School of Information that published research examining health IT adoption, including the advancement of community HIEs. As part of that study, the researchers surveyed HIE leaders about barriers to development, and 84 percent of respondents cited competition among HIEs as a barrier to their development.

A Case of "Sour Grapes"?

HealthlinkNY officials also take issue with the wording of Hixny’s press release with regard to HealthlinkNY’s performance in those nine counties. Specifically, the press release Hixny issue last week stated that “the region in the Hudson Valley and Southern Tier has historically lagged in connecting providers to one another and collecting patient consent.”

“There has been public information that has demonstrated that the growth of SHIN-NY across the state has been uneven and so we’re basing it on some of that information that has demonstrated that certain areas have grown faster than others,” McKinney says. He adds, “We think our press release stands for itself, in terms of demonstrating that there is a need for Hixny to deliver the data and the information that will improve care and lower costs for patients and providers in the region.”

In HealthlinkNY’s press release, Romeo said Hixny’s claims against HealthlinkNY’s impact and progress are "completely unfounded.”

HealthlinkNY, which launched in 2005, already has all 35 hospitals in the Hudson Valley and Catskill region participating and sending data to their HIE, as well as 1,207 sites, according to Romeo. HealthlinkNY also recently hit the two million patient consent mark and has 374 participating provider organizations, up from 271 at the end of 2017, according to Romeo. HealthlinkNY also administers two Population Health Improvement Programs (PHIPs) in the Hudson Valley and Southern Tier. HealthlinkNY’s service area population is just shy of 2.9 million residents and includes nearly 1,800 participating locations.

Hixny has 21 sites and no hospitals in those nine counties, Romeo stated in the press release.

Further, Romeo stated in the press release that Hixny’s claims “sound like a case of sour grapes after being passed over during our search for a strategic partner.” HealthlinkNY has entered into strategic partnership discussions with HealtheConnections, another HIE located in Syracuse that serves central New York, and Romeo stated, “HealthlinkNY had recently advised Hixny that they did not make the cut.”

When reached for comment on Romeo’s claim, McKinney responded, “Hixny’s strategy for expansion is solely based on getting providers data that is complete, accurate and up-to-date and supporting the success of the SHIN-NY by improving the overall health of our communities.” 

Romeo notes that HealthlinkNY has significant plans underway in the Hudson Valley and Catskill regions to increase its presence and breadth of services offered. As part of this strategy, HealthlinkNY is looking to work with a strategic partner with “innovative services and an unwavering commitment to providing value,” she says. After interviewing potential partners, HealthlinkNY decided to collaborate with HealtheConnections.

Romeo said in the press release that HealthlinkNY entered discussions with HealtheConnections because “they are in alignment with us with respect to mission, best practices, services, capabilities, and culture.” She further stated, “They also will help power a more sophisticated technology platform as well as a complementary program for population health, critical with today’s burgeoning opioid crisis and the need for increased access to mental health services. We want to take this to the next level.”

Romeo further expanded on the partnership: “The combination of services currently provided by both QE's will be expanded by this partnership. Just a few examples are: additional functionality regarding actionable analytics, HEDIS reporting, as well as alerts provided how and when participants need them. We are looking forward to synergies and shared best practices between both organizations.”

HealthlinkNY covers a region of New York State with a significant population, geographic and cultural density. The future partnership will bring great value to both QEs’ participants, Romeo said.

“All of the hospitals in the region are already successfully contributing data to HealthlinkNY. We are the only QE in the region with data immediately available for healthcare providers. While others seek to confuse the marketplace for their own professional gain, our focus is pure: to help providers improve the continuum of care,” Romeo stated in the press release.


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One New York Regional HIE Opposes Expansion of Another, Highlighting Issues with Competition Among HIEs

September 24, 2018
by Heather Landi, Associate Editor
| Reprints
Click To View Gallery

A New York regional health information exchange (HIE), HealthlinkNY, based in Binghamton, has publicly come out against another regional HIE’s plans to expand its services into HealthlinkNY’s market, saying it creates “confusion and uncertainty” in the marketplace.

Last week, Hixny, an HIE based in Albany that historically covered north and west of the Capital District, announced that it had added nine counties to its territory, specifically Chenango, Broome, Sullivan, Ulster, Dutchess, Orange, Putnam, Westchester and Rockland counties. These nine counties are part of HealthlinkNY’s 13-county service area. HealthlinkNY’s service area spans the Hudson Valley, Catskills, and the Southern Tier of New York (the Southern Tier encompasses counties of New York west of the Catskill Mountains along the northern border of Pennsylvania).

With the expansion, Hixny now serves 28 counties and the HIE already has updated its website to state that it serves communities from Westchester to the Canadian border and Binghamton to Vermont.

Both HIEs are two among the state’s eight qualified entities (QE) connected by the Statewide Health Information Network for New York (SHIN-NY) – a “network of networks” that allows the electronic exchange of clinical information and connects healthcare statewide – overseen by the New York State Department of Health and managed by the New York eHealth Collaborative (NYeC). According to the NYeC website, participating healthcare organizations can connect with the QE that best aligns with their business, operational, and service delivery needs. 

HealthlinkNY issued a strongly worded press release late last week in response to Hixny’s expansion plans. “The truth is that an unnecessary expansion into this service area compromises the effectiveness of the Health Information Exchange [HIE],” Staci Romeo, executive director of HealthlinkNY, said in the press release.

During interviews Romeo and Hixny CEO Mark McKinney both addressed the expansion plans. Romeo says Hixny’s expansion into its territory creates competition between the HIEs and says the competition is a “distraction, it’s confusing for participants and it’s completely unnecessary.”

McKinney says, “The primary reason for us to consider expansion is because patients and providers really are not bound by county borders We have long been a trail blazer as an HIE both in the state and around the country. From our perspective, reaching into those regions helps to meet the needs of those patients.” McKinney says Hixny officials recognized that there was an overlap of patients seeing providers both in Hixny’s territory and HealthlinkNY’s territory.

“We looked at data for patients already inside our master paten index, and we saw significant percentages of patients already had records inside our systems, so for those providers and those patients, getting a more accurate and complete record and making that system available to providers seemed like a valuable exercise to bring all that information to one place,” he says. “This gives providers a choice in terms of what they value with regard to the services that are provided.”

According to Hixny’s website, one in five residents of the Hudson Valley and Southern Tier already have Hixny records, and that figure is more than one in two in counties neighboring its established service area, the website states.

HealthlinkNY's service area

Hixny's service area

McKinney also notes that it is not uncommon for multiple HIEs to serve multiple markets and he believes its beneficial to have two HIEs serving the same counties. “I think what’s most important is to meet the needs of patients and providers. Ultimately, it’s about patients and providers and making sure they have access to the information that they need,” he says.

And in response to Romeo’s statement that Hixny’s expansion creates “confusion and uncertainty in the marketplace.” McKinney says, “I can’t comment on her response; what I can say it that we’re very committed to our expansion and delivering the data and the information that will improve care and lower costs for patients and providers in the region.”

Hixny (formerly known as the Health Information Xchange of New York) launched in 1999 as a collaboration between Iroquois Health Care Alliance, which represents upstate hospitals, and the New York Health Plan Association. The HIE currently serves 1.7 million patients.

Regional HIEs enable provider organizations to access and exchange health information with participants in their region, and, in New York State, all eight QEs connect to SHIN-NY, which acts as a hub to provide access to patients’ health information statewide. When contacted for comment, Valerie Grey, executive director of the New York eHealth Collaborative (NYeC), stated, “Ultimately, our role is to help expand participation in the information network and support all of our partners in that process. We’re going to continue that work with each of our eight regional networks because increased participation will improve health outcomes across New York.”

Historically, HIEs separately increase their networks within their agreed-upon geographic areas, while there also is a great deal of collaboration between regional HIEs. However, one challenge for many HIE leaders is determining how to exchange information with competing organizations.

Healthcare researcher Julia Adler-Milstein, Ph.D., who has done extensive research on HIEs, says there are regions with multiple HIEs operating and competition among HIEs is a common issue, although it’s often discussed in “backroom” conversations. Adler-Milstein is an associate professor of medicine and director of the Clinical Informatics and Improvement Research Center, School of Medicine, at the University of California San Francisco.

Three years ago, Adler-Milstein was part of a team of researchers from the Mathematica Policy Research, the Harvard School of Public Health and the University of Michigan, School of Information that published research examining health IT adoption, including the advancement of community HIEs. As part of that study, the researchers surveyed HIE leaders about barriers to development. Eight-four percent of respondents cited competition among HIEs as a barrier to their development.

HealthlinkNY officials also take issue with the wording of Hixny’s press release with regard to HealthlinkNY’s performance in those nine counties. Specifically, the press release Hixny issue last week stated that “the region in the Hudson Valley and Southern Tier has historically lagged in connecting providers to one another and collecting patient consent.”

“There has been public information that has demonstrated that the growth of SHIN-NY across the state has been uneven and so we’re basing it on some of that information that has demonstrated that certain areas have grown faster than others,” McKinney says. He adds, “We think our press release stands for itself, in terms of demonstrating that there is a need for Hixny to deliver the data and the information that will improve care and lower costs for patients and providers in the region.”

In HealthlinkNY’s press release, Romeo stated, “Hixny’s claims against HealthlinkNY’s impact and progress are completely unfounded.” HealthlinkNY, which launched in 2005, already has all 35 hospitals in the Hudson Valley and Catskill region participating and sending data to their HIE, as well as 1,207 sites, according to Romeo. HealthlinkNY also recently hit the two million patient consent mark and has 374 participating provider organizations, up from 271 at the end of 2017, according to Romeo. HealthlinkNY also administers two Population Health Improvement Programs (PHIPs) in the Hudson Valley and Southern Tier. HealthlinkNY’s service area population is just shy of 2.9 million residents and includes nearly 1,800 participating locations.

Hixny has 21 sites and no hospitals in those nine counties, Romeo stated in the press release.

Further, Romeo stated in the press release that Hixny’s claims “sound like a case of sour grapes after being passed over during our search for a strategic partner.” HealthlinkNY has entered into strategic partnership discussions with HealtheConnections, another HIE located in Syracuse that serves central New York, and Romeo stated, “HealthlinkNY had recently advised Hixny that they did not make the cut.”

When reached for comment on Romeo’s claim, McKinney responded, “Hixny’s strategy for expansion is solely based on getting providers data that is complete, accurate and up-to-date and supporting the success of the SHIN-NY by improving the overall health of our communities.” 

Romeo notes that HealthlinkNY has significant plans underway in the Hudson Valley and Catskill regions to increase its presence and breadth of services offered. As part of this strategy, HealthlinkNY is looking to work with a strategic partner with “innovative services and an unwavering commitment to providing value,” she says. After interviewing potential partners, HealthlinkNY decided to collaborate with HealtheConnections.

Romeo said in the press release that HealthlinkNY entered discussions with HealtheConnections because “they are in alignment with us with respect to mission, best practices, services, capabilities, and culture.” She further stated, “They also will help power a more sophisticated technology platform as well as a complementary program for population health, critical with today’s burgeoning opioid crisis and the need for increased access to mental health services. We want to take this to the next level.”

Romeo further expanded on the partnership: “The combination of services currently provided by both QE's will be expanded by this partnership. Just a few examples are: additional functionality regarding actionable analytics, HEDIS reporting, as well as alerts provided how and when participants need them. We are looking forward to synergies and shared best practices between both organizations.”

HealthlinkNY covers a region of New York State with a significant population, geographic and cultural density. The future partnership will bring great value to both QEs’ participants, Romeo said.

“All of the hospitals in the region are already successfully contributing data to HealthlinkNY. We are the only QE in the region with data immediately available for healthcare providers. While others seek to confuse the marketplace for their own professional gain, our focus is pure: to help providers improve the continuum of care,” Romeo stated in the press release.


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Regional New York HIE, Hixny, Adds Nine Counties to Its Territory

September 17, 2018
by Heather Landi, Associate Editor
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Hixny, a regional health information exchange (HIE) based in Albany, has added nine counties to its territory, committing a significant amount of funding over the next 18 months to connect local providers.

Hixny is one of the state’s eight qualified entities (QE) connected by the Statewide Health Information Network for New York (SHIN-NY) – a “network of networks” that allows the electronic exchange of clinical information and connects healthcare statewide – overseen by the New York State Department of Health.

“The success of the SHIN-NY hinges on meeting the needs of providers based on complete, accurate and up-to-date data,” Mark McKinney, CEO, Hixny, said in a statement. “At Hixny we’ve demonstrated the effectiveness of our model – and want to do the same for the providers and patients in our neighboring regions.”

The region in the Hudson Valley and Southern Tier has historically lagged in connecting providers to one another and collecting patient consent, according to Hixny officials.

Hixny’s territory encompasses 28 counties north and west of the Capital District and south of Hudson Valley. In its existing region, 100 percent of hospitals and three out of every four providers are connected via Hixny. Ninety-two percent of adult patients have given consent to their physicians, a number that increases each month. Additionally, it offers the only patient portal in the state called Hixny for You, allowing patients to view their own medical history, with data that spans the entire state.

“Their reputation precedes them,” Yuk-Wah Chan, M.D., a family practitioner in Pleasant Valley, NY, part of Hixny’s new territory, who recently signed-up, said in a statement. “More than ever, physicians need to deliver higher quality and more personalized care to their patients while lowering costs – to do that, you need access to the best, most reliable data. And that’s Hixny.”

Eight total locations have already signed participation agreements with Hixny: Dialysis Clinic, Inc.’s three locations in Elmsford, Hawthorne and Yorktown; Hurley Avenue Family Medicine’s three locations in Kingston, Stone Ridge and Saugerties; Premier Dialysis Center in Goshen and Dr. Chan’s practice.

All participating organizations will have access to patient information across the state through the SHIN-NY.

“We are pleased to welcome these new providers to Hixny; their decision proves that providers who have a choice will choose better data,” McKinney stated. “Hixny is changing the game and this news is only the first of many announcements that demonstrate why Hixny is the best option.”

 

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