Products and Services
HEALTHeLINK services are organized in four categories:
- Interoperability services
- Web-based services
- Other services
- Future Capabilities
HEALTHeLINK’s interoperability services support connectivity across providers, payers, hospitals, and other data sources.
Electronic Results Delivery
For any clinical result from any participating HEALTHeLINK data source where a provider is a physician of record, HEALTHeLINK will route that result to an inbox format, known as Organization Results, accessible to that provider for review, within the HEALTHeLINK Application. Results are from all HEALTHeLINK data sources including laboratory results, radiology reports and images, transcribed reports, discharge medications, and telemonitoring. A complete list of the data sources and record types can be viewed here.
If the provider has an EMR with an interface to HEALTHeLINK, the results routed to the provider will also be delivered to the provider’s EMR where they can be attached directly to the patient’s electronic chart. In addition, with this interface enabled, any record accessed through the Patient Summary can be shared to the connected EMR.
For a select number of data sources, image-enabled results delivery (IERD) will attach a link within a delivered radiology report that can access the associated image through the practice's EMR.
Value to providers: This capability eliminates the need for faxes, manual scanning, and attaching clinical records to the patient’s electronic chart.
CCD at the close of an encounter
At the end of a patient encounter in a provider's office, select information will flow from the provider's EMR to HEALTHeLINK. This information will add significantly to the patient information available in HEALTHeLINK. This, in essence, makes every provider office a potential data source. CCD submission can also be used for collection of HEDIS data that can be submitted to payer organizations, eliminating the need for nurse visits to a provider's office for collection of such data.
Value to providers: This capability allows additional information to be sent to HEALTHeLINK about a patient. The ability to query this information, either from an EMR or through the HEALTHeLINK application, will be available in Q2 2016.
Secure Messaging (MirthMail)
HEALTHeLINK’s MirthMail product allows providers to send clinical information securely from one practice to another to provide a complete clinical summary of a patient at the time of the referral. The information is extracted directly from the referring provider’s EMR as a CCD. HEALTHeLINK’s secure messaging solution can be connected to direct messaging solutions embedded in a provider’s EMR. Both Healthcare Internet Service Providers (HISP) must be members of the Direct Trust Bundle in order to communicate with other secure messaging systems, such as SureScripts (used by Medent).
Value to providers: Completely eliminates the need to request, fax, and scan patient records. The information exchanged is available to enter directly into a patient’s chart and notes the information source.
Through the use of subscribe and notify functionality, HEALTHeLINK can create alerts for patients who have been admitted or discharged by allowing a provider to subscribe to a patient. If the patient has consented to access of records through HEALTHeLINK, a care alert can be sent directly to a connected EMR or to a Direct Mail address.
Value to providers: Providers can be made aware of a patient’s admission/discharge events to help coordinate transitions of care from the hospital to the primary care setting.
EMR Query of HEALTHeLINK
Enables queries directly to HEALTHeLINK from a provider's EMR. Once the query is launched, it will move directly to the patient's HEALTHeLINK record.
Value to providers: Streamlined access, with only one click, to the patient's record within HEALTHeLINK for providers and their staff.
HEALTHeLINK’s web-based services support patient queries made by providers.
The portal provides a single sign-on (SSO) with two-factor user identification, and access to HEALTHeLINK, HEALTHeNET, MirthMail, and potentially other applications in the future. For providers with credentials, the HEALTHeCOMMUNITY Portal can also provide access to the NYS DOH Health Commerce System (HCS) where providers can access the I-STOP application to see a patient’s history of prescriptions for controlled substances. Note that this requires a second sign-on at present.
Value to providers: The single sign-on provides ease of access, eliminating the need to enter credentials multiple times, while providing security and assurance that a user accessing clinical information is in fact authorized to do so. To the community providers, the portal provides a single location for secure access to a variety of healthcare applications hosted by multiple entities.
Query based Patient Summary Record
The Patient Summary record, available through HEALTHeLINK's new HIE platform, provides access to a patient's clinical records, with their consent, from all HEALTHeLINK data sources including laboratory results, radiology reports and images, transcribed reports, discharge medications, and telemonitoring. These are all the same results available through electronic results delivery described above. A complete list of the data sources and record types can be viewed here. When the interface is enabled, a provider is able to share any result from the user interface (except radiology images) to the provider’s EMR.
Value to providers: The patient summary allows a provider treating a patient access to clinical records that may not be in the patient's chart because the provider was not copied on the clinical results or the provider was not a physician of record for a particular result. This is especially useful in acute settings for specialists, preparing to treat a patient, who need the full clinical history, and for providers who are seeing a patient for the first time and need their clinical history. This eliminates the need to call various data sources to search for clinical data and is available at any time day or night.
Statewide Patient Record Lookup (sPRL)
This will allow all QEs in NYS to query and retrieve patient information from all other QEs in NYS through the SHIN-NY.
Value to providers: With patient consent, providers can access patient's medical information from across NYS.
Digital Image Exchange
Provides authorized users of HEALTHeLINK with access to diagnostic quality radiology images from multiple picture archiving and communication systems (PACS).
Value to providers/patients: Provides simple, secure access to images from any PACS connected to HEALTHeLINK. No more lost images, films, or CDs. Patients receive the most effective and efficient care because of immediate access to radiology images, as well as radiology reports. It also improves patient safety by helping eliminate radiation exposure associated with duplicate exams.
Medication History Query
Providers can query and review patients’ medication fill history including drug, dose, form, strength, and pharmacy.
Value to providers: Aids the provider during medication reconciliation and helps to prevent adverse drug interaction and overdose.
Veterans Administration Query
Providers can access a summarization report for VA patients. For VA consented patients, information such as allergies, immunizations, problems, medications, and diagnostic test results can be viewed and printed.
Value to providers: Ability to gain timely access to medical information electronically from the VA and vice versa.
Practice-ordered results (including lab results, radiology reports, and transcribed reports) from the data sources connected to HEALTHeLINK are delivered in real time to a feature similar to that of an email inbox. The results can be viewed on the screen and then saved electronically and filed by patient name for later use.
Value to providers: Those without an EMR system are able to take advantage of electronic results delivery and turn off incoming faxes. Results can be printed and saved in the paper chart if desired.
HEALTHeLINK also provides the following services to its users.
Support for research/analytics
HEALTHeLINK provides support for a growing list of research efforts focused on population health reporting and treatment efficacy studies. HEALTHeLINK is the only source of a community-wide MPI which is invaluable in compiling research data from multiple data sources.
The IMAT database acquired by HEALTHeLINK aggregates and normalizes patient data for research. This tool can be used to support data extracts for use by researchers, and to provide information to healthcare providers and researchers who lack their own data analytics tools. The IMAT database will allow HEALTHeLINK to aggregate and normalize patient data.
User authentication and administration
HEALTHeLINK provides the following core operational processes to the community in support of the web-based, interoperability, and other customer-facing services described above.
- Provide practice account management and project administration - Guide the practices through the process of becoming HEALTHeLINK participants including training in the use of the HEALTHeLINK application. Coordinate and manage the implementation of projects and services, and also manage the activities of all the HEALTHeLINK practice-facing services to deliver seamless customer service over time.
- Manage patient consent - Establish and execute processes to reliably and accurately capture patient consent in compliance with state and local policies.
- Manage patient master index - Identify multiple record numbers for specific patients by comparing data source specific patient information with the community level patient index. Instances of multiple record numbers are communicated to the relevant data source as a means for them to improve the accuracy of their patient records.
- Administer users - Ensure that users are correctly established and their accounts managed over time. Ensure that all provider-related data is correctly established as the routing of clinical results depends on the accuracy of this information. Manage a provider database as a community level master record of provider information.
- Conduct audits and manage privacy events - Perform various audits of access to patient information such as break-the-glass and same name access. Also perform audits of access to specific patients or access by a specific user.
Additional clinical information
HEALTHeLINK is currently working to bring additional clinical information into the respository.
Obtain claims data from Medicaid and private payers and map it to the master patient index in order to tie it to clinical data.
Personal Health Record (PHR)
Work with NYeC to provide access to the NYS Personal Health Record system to patients in the WNY community. HEALTHeLINK is currently conducting a pilot project.
Transfer to PACS
This will allow radiology centers who provide images to HEALTHeLINK to import non-owned images into their local PACS. This capability is slated to be live Q2 2016.