Health Care and new Technology

New York is ready for large scale health information exchange (HIE) implementation. The state has pioneered the governance, operational, and technical aspects of information exchange at both the regional and state levels. All key stakeholders are engaged in functional collaboration activities. A base of human capital is in place that can launch transformation at all levels, from strategic planning to process redesign to technical implementation. New York is ready to rapidly build upon its solid foundation of learning and experience. With additional financial support from the federal government, New York can translate its initial foundation of operational HIE services into a robust production level system that supports statewide exchange of meaningful health information.
This environmental scan details many of the activities underway over the last 5 years to support health information exchange. This section will provide those new to New York the necessary background information to understand how far the state has progressed in standing up the governance, organizational, and technological systems for information exchange. Following the environmental scan is an analysis that points out the opportunities for moving from New York’s current state to a desired state of widespread meaningful use of health information.
Health Care Efficiency and Affordability Law for New Yorkers
The Health Care Efficiency and Affordability Law for New Yorkers Capital Grant Program (the HEAL NY Program) was established in 2004 to invest up to $1 billion over a four year period to reform and reconfigure New York’s health care delivery system to achieve improvements in patient care and increase efficiency of operation.  Over 25% of the HEAL NY budget is devoted to health information technology (IT), which has been executed in three rounds of funding totaling $260 million by the New York State Department of Health (NYS DOH).  Further, these public funds have been used to leverage an additional $290 million of private sector matching funds so that, all told, public and private spending on health IT and HIE in New York State under the HEAL NY umbrella will exceed half a billion dollars. Table 1 details the HEAL program investment by New York State.


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