Q&A on RHIO Connectivity

Please note, this Q&A was updated on November 20, 2017. Click here to see the most recent version.

Regional Health Information Organization (RHIO) connectivity is a DSRIP requirement for all OneCity Health partners that either provide clinical services and/or have an Electronic Medical Record (EMR).

In the beginning of 2017, OneCity Health conducted a successful pilot with one partner to connect their EMR to the New York Care Information Gateway (NYCIG) RHIO. This pilot has now been expanded to serve a larger wave of partners. For the expanded pilot, our vendor, Digital Edge, is responsible for recruiting partners with an EMR that will receive technical assistance and support from OneCity Health and NYC Health + Hospitals to connect to the NYCIG RHIO.

Digital Edge will or already has sent an email and followed up with a phone call to all OneCity Health partners to schedule an introductory meeting. OneCity Health will help partners establish a site to site Virtual Protected Network connection with the RHIO, and do a test of data exchange. The following Q&A covers additional questions that OneCity Health partners have raised regarding RHIO connection.

Are OneCity Health community-based organization ([CBO], non-Medicaid billing) partners required to connect to a RHIO?
No, these partners are not required to connect to a RHIO. However, if any of these partners are interested in electronic/RHIO connectivity, they should inform OneCity Health so that we can support their electronic/RHIO connectivity efforts.

Are OneCity Health CBO (non-Medicaid billing) partners required to utilize an electronic medical record (EMR)?
No, these partners are not required to utilize an EMR.

Are OneCity Health partners required to connect to the NYCIG RHIO specifically or to any RHIO? If to any RHIO, will Digital Edge provide technical assistance for a partner to connect to a RHIO other than the NYCIG RHIO?
OneCity Health partners can connect to any RHIO. However, we are only offering technical assistance for connection to the NYCIG RHIO.

If my organization is already connected to a different RHIO, is there any advantage to connecting to the NYCIG RHIO as well?
There is no disadvantage to connecting to multiple RHIOs. Connecting to multiple RHIOs can provide access to a wider array of information given that each RHIO collects some information that another RHIO may not. However, sharing or gaining access to your patient’s or client’s information in each RHIO you connect to, is dependent on the patient or client executing a consent for each such RHIO.

Are we offering an Electronic Medical Record (EMR) for Medicaid billing partners? If so, do we have a specific product that we are offering?
Yes. We are still finalizing this process though, and will share details when they are available

What is specifically covered by OneCity Health via technical assistance from New York City Health + Hospitals and Digital Edge?

  • Procurement of an EMR or electronic record? No, procurement of an EMR is not covered. You should inform OneCity Health though if you would like to acquire an EMR. OneCity Health is currently exploring the possibility of offering an EMR option to such partners.
  • Technical assistance to connect an EMR or electronic record to a RHIO? Yes, this is covered but only for connection to the NYCIG RHIO.
  • Technical assistance to install an EMR? No, this is not covered
  • Technical assistance to share information bi-directionally with a RHIO? Yes, this is covered but only for the NYCIG RHIO.
  • Costs that an EMR vendor may charge for connecting to a RHIO? No, we will not cover costs that partners may incur from their own EMR vendor to support connectivity to a RHIO; we will only provide technical assistance to support their connectivity to the NYCIG RHIO. Such technical assistance may include collaborating with your EMR vendor as needed.
  • Ongoing subscription fees? Partners should not be subject to any ongoing subscription fees to a RHIO as the New York State Department of Health is currently subsidizing such fees directly with RHIOs.

Are there any other resources (i.e., state or city funded) that partners can utilize to support their electronic/RHIO connectivity?
We are happy to work with you to identify the electronic connectivity option that works best for your organization, which includes the technical assistance services that we are providing free of charge. However, if you prefer to utilize different resources to pursue electronic/RHIO connectivity, we can recommend New York State Department of Health resources such as the New York eHealth Collaborative which may be able to provide financial assistance

If you continue to have questions about connecting to the RHIO, please reach out to the OneCity Health support desk at ochsupportdesk@nychhc.org or call 646-694-7090 (Monday through Friday, 9-5pm ET).