Healthix Inc

Programs: Hcra/medicaid programthe it group works with healthix participants to integrate them into the hie and to work with them to design and develop products and services that help them to improve care through better care coordination. In 2017 we used the funding from hcra/medicaid to support staff and technology for this work. The it group was led by a cio covering four areas: innovation, development, engineering and security. The innovation team included eight project managers, a business analyst, a software quality assurance engineer, a data analyst, a director of strategic data services and a vice president of innovation. [see continuation on schedule o]the development team included eight developers and a senior director and the engineering team included four engineers. The development team was augmented by up to eight additional developers. Security was led by a chief information security officer. In addition, the funding covered data center operations. Accomplishmentsin 2017 healthix completed 486 projects including 411 customer projects and 75 internal projects. The 411 customer projects included connecting new participants to healthix and providing them with standard and custom services. The 75 internal projects included:- development of new products and services- improving the infrastructure and security of the system- expanding and improving the data being sent to healthix- improving the technical integration between healthix and the electronic health records system the connect to us- 2016 also included the final stages merging two legacy systems into a single platform. Healthix customer projects in 2017 were with the following types of facilities:- ambulatory 113 projects- behavioral health organizations 19 projects- community based organizations 24 projects- emergency management services 1 project- federally qualified health centers 20 projects- health plans 2 projects- health systems and hospitals 34 projects- home care 6 projects- laboratory/radiology 3 projects- long term care 106 projects- nys medicaid health homes 3 projects- other non-clinical 6 projects- pharmacy 10 projects- physician practices 46 projects- miscellaneous 18 projectsduring the year ended december 31, 2017, the company recorded $15,851,449 in revenue in connection with this program. Pcori cdrn programthe patient-centered outcomes research institute (pcori) awarded a contract to weill cornell medical college for the new york city clinical data research network (cdrn) to:- build infrastructure to perform comparative effectiveness research- perform two observational studies on diabetes and cystic fibrosis- facilitate patient-centered research that can be linked to a national network- collaborate nationally with 10 other cdrns to develop best practices and support join studieshealthix contributionthe new york genome center functions as a trusted broker combining the clinical data from major health systems in nyc, several federally qualified health centers, as well as health plans. The healthix master patient index (mpi) is used to link patient records from across these facilities into a common data set for research. In 2017 healthix completed two rounds of matching. During the year ending december 31, 2017, the company earned $62,000 in revenue. Hrsathe new york state department of health (nysdoh) has partnered with healthix, the largest hie in the state. The collaboration will allow the nysdoh hiv surveillance program to access additional data on hiv-infected persons for a more comprehensive look at health care measures important to the epidemic, including measures of hiv testing, linkage to care, retention in care, antiretroviral therapy, and viral suppression. Healthix membership is in new york city and the adjacent nassau and suffolk counties on long island. Their geographic location and service area will provide the nysdoh access to additional data on infected persons living in the regions of the state with the highest prevalence of hiv. Deliverable #1 healthix conducted on-going analysis to improve the query to search the hie for patients matching criteria for infected persons. This query is run daily to create and maintain a list of patient identifiers meeting these criteria. Healthix detects encounters by these patients at healthix facilities. Healthix developed a process to send patient expiration notifications for patients matching selection criteria. Healthix modified the process in which the updates are sent to nysdoh. Updates are sent in real-time in hl7 format using the uphn-lite as the transport mechanism. Healthix sends initial ccds for any newly identified patients meeting the selection criteria agreed upon by healthix and nysdoh. Healthix continues the development of the documents provided to the doh to meet the newest standards and to be as comprehensive as possible. Deliverable #2 enrich the healthix data collection to include data elements that are missing from some sources: - race- ethnicity- pref. Lang. - smoking status- problems- medications- med. Allergies- lab test- lab values- vitals- care plan fields- procedures- care team members- encounter diagnosis- immunizations- functional & cognitive status- discharge instructions- primary procedure- primary diagnosis- radiology- ekg- advance directives- provider npi- discharge disposition expansion of the data captured by healthix and provided to the doh enhances the department's understanding of the patient's clinical condition and progress. Healthix reached out to existing participants to add new data feeds and enhance existing feeds to fill these gaps. The activities included:- analysis current data sources and gap analysis, - outreach to participants to gain their support for new projects, - project planning, - interface building/enhancing, - testing & debugging, - data quality assurance and - deploymentduring the year ended december 31, 2017, the final year of the grant, the company earned $105,376 in revenue. Chsli pps supportcatholic health services of long island (chsli) was selected by nys department of health to be a performing provider system (pps) as part of medicaid reform. As part of operating the pps chsli had to exchange clinical data with dozens of community physician practices. They contracted with healthix to complete this work. Healthix completed 62 projects for chsli in support of this program. The projects included integrating the practices with healthix which allowed chsli and the practices to exchange clinical data on their shared patients. In addition, the projects included alerts to the practices to inform them when their patients go to the hospital and single sign-on services to allow them to link to the healthix clinical portal from within their electronic health system (ehr). Total revenue for this program as of december 31, 2017 was $168,004. Hub granthealthix was awarded a grant by the new york ehealth collaborative to build out its hub program. The healthix hub program started at healthix about five years ago. Healthix learned that it was possible to build a single connection to an electronic health system (ehr) and connect multiple facilities to healthix through that single connection. This innovation has cut project time and cost to a fraction of what it costs to build individual connections for each facility. The hub grant provides healthix with funding to hire additional resources to build connections with five additional hub ehr vendors. The total revenue from this program as of december 31, 2017 was $104,146.