Updated Q&A on RHIO Connectivity

As discussed in our November OneCity Health Partner Webinar, OneCity Health will begin to accelerate connecting our partners to the Regional Health Information Organization (RHIO), and coordinate the work of our vendor, Digital Edge, and NYC Health + Hospitals IT. Based on questions we received during the webinar and other updates to the process, below please find an updated RHIO Q&A. Please note, this Q&A replaces the version we posted on September 8, 2017.

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).

OneCity Health is in the process of reaching out to partners regarding electronic/RHIO connectivity status. 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 a larger wave of partners. For the expanded pilot, we are working with our vendor, Digital Edge, and NYC Health + Hospitals to connect partners with an EMR to the NYCIG RHIO.

For partners interested in connecting to the NYCIG RHIO, OneCity Health will help partners establish a site to site virtual protected network connection with this 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 non-Medicaid billing community-based organization (CBO) 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 non-Medicaid billing CBO partners required to utilize an EMR?
No, these partners are not required to utilize an EMR.

Can OneCity Health partners 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 and support for connection to the NYCIG RHIO. This support is available even if you are already connected to another RHIO. For partners eligible for a Comprehensive Schedule B, OneCity Health will include an incentive payment for initial and ongoing RHIO connectivity.

What information is available once my organization decides to join the NYCIG RHIO?
If you choose to join the NYCIG RHIO, as soon as you sign the NYCIG Participation Agreement, you will have access to the NYCIG RHIO’s web-based Portal which will allow you to explore the kinds of patient data available in that RHIO.

Is consent different for each RHIO? If my organization has already obtained patient consent for one RHIO, would we have to obtain consent again if we connect to a second RHIO?
Patients or clients must execute a separate consent form for each RHIO that your organization is connected to.

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 to share information for each such RHIO. The State Health Information Network of NY (SHIN-NY), a network that is intended to link RHIOs throughout the state together, is limited in its RHIO-to-RHIO connections. The only way to ensure you get access to data from NYC Health + Hospitals is via connection to the NYCIG RHIO.

Is OneCity Health offering an EMR for partners that provide clinical services? If so, do we have a specific product that we are offering?
For partners that provide clinical services but do not have a meaningful use (MU) certified EMR, OneCity Health will provide a FREE MU-certified EMR option that is already connected to the NYCIG RHIO.

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? If you are a clinical provider who does not have a MU-certified EMR, OneCity Health can provide a free MU-certified EMR option that is already connected to the NYCIG RHIO. Procurement of any other EMR is not covered.
  • 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? The New York State Department of Health is currently subsidizing such fees directly with RHIOs. Partners should consult with their RHIO of choice to learn about their eligibility for subsidization of ongoing subscription fees. Note that the NYCIG RHIO is currently subsidizing such fees. Additionally, partners that are eligible for a Comprehensive Schedule B, will be eligible to receive an incentive payment for initial and ongoing RHIO connectivity.

Are there any other resources (i.e., state or city funded) that partners can utilize to support their electronic/RHIO connectivity?
OneCity Health can work with you to identify the electronic/RHIO 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 recommend that you pursue 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).

Partner Webinar: VBP, RHIO Connections, and the Continued Development of our IDS

Thank you to our partners who attended today’s OneCity Health Partner Webinar: VBP, RHIO Connections, and the Continued Development of our IDS.

For our partners who were unable to view the webinar, the slides are available to view here.

Our partners should keep in mind next steps:

  • This week: We will share the initial VBP training presentation with OneCity Health partners and post it to our website
  • November 23, 2017: From all of us at OneCity Health, have a happy Thanksgiving!
  • December 6, 2017: Join us for our next Project Advisory Committee (PAC) meeting at Henry Street Settlement in Manhattan. Details are in the Events Calendar
  • Due December 7, 2017: Three Project 11 metrics
  • Due December 8, 2017: Ten Process Metrics are due to OneCity Health. As a reminder, OneCity Health partners are only responsible for the metrics in their Phase II Comprehensive Schedule B. They should also be sure to attest on the OneCity Health Partner Portal for completing the VBP training (all partners) and NowPow training (some partners)
  • December 12, 2017: Participate in our next OneCity Health Partner Webinar – our last of Phase II. Phase III webinar dates will be posted to our website soon
  • Due December 15, 2017: For our participating CBO partners, the deadline to complete the organizational self-assessment

We look forward to continuing to engage with our partners on future webinars.

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).

Agenda for July 11 Partner Webinar

On Tuesday, July 11, we are hosting our next monthly OneCity Health Partner Webinar.

As a reminder, on these webinars we intend to further assist partners in understanding Comprehensive Schedule B requirements, discuss practical steps for project execution and reporting, and highlight best practices. Moreover, throughout Phase II, we expect to focus more on educational topics and begin to showcase how we are collectively meeting various outcomes.

The agenda for Tuesday’s webinar is:

  • Comprehensive Schedules B updates
    • Closing Phase I
    • Approaching Phase II deadlines
  • OneCity Health’s HIV initiatives
  • OneCity Health’s training strategy
  • Q&A on connecting to the RHIO
  • Upcoming listening sessions and final reminders

Here is how to join:

Tuesday, July 11th, from 2:00 p.m. – 3:30 p.m. EST
WebEx Meeting Link: click here
Audio Connection: 1-855-282-6330 US TOLL FREE
Access Code: 737 967 457

Updates from the PAC: Digital Edge IT Assessments and Next Steps for Partners

At our March 8, 2017 Project Advisory Committee (PAC) meeting, our partners offered feedback and follow-up questions on a number of resources and ongoing initiatives that we have introduced to further develop our integrated delivery system (IDS). Specifically, our partners suggested:

Over the coming weeks, we will discuss each of the topics in depth, and also continue to provide updates on our monthly OneCity Health Partner Webinars. Our webinars are also a forum for additional questions and answers with our partners.

Below please find an update on OneCity Health’s support to partners for achieving electronic connectivity, including an infographic explaining the benefits of connecting to a Regional Health Information Organization (RHIO), IT assessments conducted by our IT technical assistance vendor Digital Edge, and next steps for partners.

RHIO Connectivity, IT Assessments and Next Steps

RHIO and Benefits to Partners
To further develop our IDS, OneCity Health will facilitate connectivity of our partners with a RHIO this year to ensure that all of a patient’s providers can securely access his or her data and share information.

Please note that it is also a Delivery System Reform Incentive Payment (DSRIP) program requirement for partners to connect to a RHIO. However, if a partner does NOT provide clinical services (e.g., social services only) or does NOT have an Electronic Medical Record (EMR), they are not required to connect to a RHIO. For these partners, OneCity Health is currently procuring a web-based “EMR-like” solution as an alternative option for connection to a RHIO.

To learn more about a RHIO and how it will benefit both our partners and patients, please view our infographic below. It is also available for download here.

Digital Edge IT Assessments
Throughout 2016, Digital Edge, a OneCity Health IT technical assistance vendor, conducted assessments of our partners’ IT capabilities to help us understand the steps we need to take to electronically connect our partners to a RHIO and securely share patient information across our integrated delivery system. Thank you to our partners who worked with Digital Edge; we now have an overview of the current state of our network’s electronic connectivity and are able to move forward with supporting partners in this regard. Here are some key takeaways:

  • Digital Edge reached out to all partners who have signed a Master Services Agreement (MSA) with OneCity Health, and were able to coordinate an assessment with 153 partners. Of this subset:
    • 133 partners have an Electronic Medical Record (EMR)
    • 36 partners are connected to a RHIO

We have stopped conducting IT assessments, and are now moving forward with supporting all of our partners by initiating or strengthening their electronic connectivity.

Next Steps for Partners
Earlier this year, we conducted a successful pilot with one of our partners to connect their EMR to a RHIO. Next, we will start to connect EMRs to a RHIO for a large wave of partners. To start this process, Digital Edge is again conducting outreach, beginning with an email and following up with a phone call, to OneCity Health partners (including those that did not complete the IT assessment) to schedule an introductory meeting to discuss the connection process. Digital Edge will work directly with partners to enable their connection to a RHIO, and will soon reach out all partners.

If OneCity Health partners would like to request to be in this first wave, they should respond to the initial email from Digital Edge right away or reach out to the OneCity Health support desk. Due to space constraints, these requests will be handled on a first come first served basis.

What will be Required of Partners During the RHIO Connection Process?
Connecting to a RHIO is FREE for OneCity Health partners. This means we will help partners establish a site to site VPN connection with the RHIO, and do a test of data exchange at no cost to partners. However, OneCity Health will not compensate a partner’s current IT vendor that may need to facilitate additional connections to another RHIO(s).

Partners are requested to identify an IT contact who can collaborate with Digital Edge throughout the RHIO connection process, which should take about 3-4 weeks.

OneCity Health Partner Webinar Series Phase II Dates

With Phase II (April 1, 2017) on the horizon, we have scheduled the next slate of dates in our OneCity Health Partner Webinar series.

Since launching the monthly series, we’ve discussed contracting and our partners’ Comprehensive Schedules B, practical steps for project execution, and how our partners can meet their reporting requirements. While these will continue to be important aspects of our webinars, our intent is to foster dialogue and bring our network closer together as we align around our larger DSRIP transformation efforts. Therefore, we also plan to focus more on educational topics, such as the Regional Health Information Organization (RHIO), highlight best practices, and begin to showcase how we are collectively meeting various outcomes.

We will continue to hold OneCity Health Partner Webinars on the second Tuesday of every month. Here is the full schedule:

All webinars are from 2 p.m. – 3:30 p.m.:

  • April 11, 2017
  • May 9, 2017
  • June 13, 2017
  • July 11, 2017
  • August 8, 2017
  • September 12, 2017
  • October 10, 2017
  • November 14, 2017
  • December 12, 2017

As we have done for previous webinars, we will continue to post the call-in details in our Events Calendar, and publish the agenda by the Friday prior to the webinar.

We know our partners’ time is valuable and that most of their day is spent caring for, or arranging to care for, the New Yorkers we serve. We’d like for our partners to attend at the time of the session and hope that this advance notice helps their planning. However, if one of our partners cannot attend, they can continue to view the recordings when they are posted to our website.

Partner Webinar: Concluding Phase I, Initiating Phase II

Thank you to our partners who attended today’s OneCity Health Partner Webinar: Concluding Phase I, Initiating Phase II.

For our partners who were unable to view the webinar, the slides are available to view here. In addition to discussing the final Phase I deadlines, we recognized our progress across a number of initiatives. Thank you to all our partners for their efforts to date!

Please also view the webinar here:

As we discussed on the webinar, our partners can view an updated sample Phase II Comprehensive Schedule B here. Our partners should keep in mind next steps:

  • This week: We have begun to distribute Phase II Comprehensive Schedules B. Our partners should inform us if they haven’t received one by March 31. Instructions to sign via DocuSign are here
  • March 20, 2017 was the DSRIP compliance deadline: If our partners haven’t done so yet, they need to satisfy their DSRIP training and compliance requirements. Complete and submit the Attestation form to Kevin Rogan, and contact him with any questions. His contact information is on our website along with instructions to complete compliance training
  • Beginning March 21: NYC Health + Hospitals is hosting panel discussions across the city to address health care rights for immigrants. Visit our Events Calendar for details
  • March 28 and March 29, 2017: New York State behavioral health value-based payment feedback sessions. Details are on our website Events Calendar
  • March 29, 2017: Our partner, SUNY Downstate Medical Center, is hosting a forum on HIV and pre-exposure prophylaxis (PrEP). Click here for details
  • Due March 31, 2017: We’ve been recommending to our primary care partners that they submit an application for the Mental Health Service Corps to support behavioral health integration. The deadline was extended to March 31. Click here for details
  • Due March 31, 2017: Three Phase I Data & Tracking (DT) metrics, and Participation (P) metrics 1 and 3
  • March 31, 2017: Phase I ends. Our partners need to remember to invoice!
  • April 1, 2017: Phase II begins
  • Beginning April 1, 2017: Our partners can now submit their Workforce Impact Survey to the OneCity Health support desk. Deadline is April 20. We posted a Q&A from our Office Hours session to our website; please view it here
  • On April 11, 2017: Attend our next monthly OneCity Health Partner Webinar. The webinar will be held from 2 – 3:30 p.m. Click here for details
  • April 26, 2017: Five Phase I Patient Engagement (PE) metrics are due to OneCity Health
  • April 30, 2017: Four Phase I recurring Operations & Outcomes (OO) metrics are due to OneCity Health
  • If our partners have questions about completing metrics or submitting reports, please contact our support desk

Finally, as we discussed on the webinar, we will continue to update partners on the development of the closed loop referral platform and our program to connect partners to the Regional Health Information Organization (RHIO).

We look forward to continuing to engage with our partners on future webinars.

Partner Webinar: Coordinating Patient Care

Thank you to our partners who attended today’s OneCity Health Partner Webinar: Coordinating Patient Care: GSI and the RHIO.

For our partners who were unable to view the webinar, the slides are available to view here.

Please also view the webinar here:

Our partners should keep in mind next steps:

    • Due by October 14, 2016: 13 Comprehensive Schedule B metrics
    • Due by October 15, 2016: Five Patient Engagement metrics
    • Continue to attend monthly OneCity Health Partner Webinars. Our next one will be November 15, 2016
  • Our support desk is also available for questions.

    We look forward to continuing to engage with our partners on future webinars.

    Agenda for October 11 Partner Webinar

    On Tuesday, October 11, we are hosting our third monthly OneCity Health Partner Webinar.

    As a reminder, on these webinars we intend to further assist partners in understanding Comprehensive Schedule B requirements, discuss practical steps for project execution and reporting, and highlight best practices.

    Additionally, attending these webinars will help our partners complete the Comprehensive Schedule B performance metric to “attend 75 percent of monthly webinars hosted by OneCity Health within the Schedule B period”. We detailed the webinar series here.

    The agenda for Tuesday’s webinar is:

    • OneCity Health Partner Webinar series logistics
    • Comprehensive Schedule B deadlines
    • Enrollment in GSI training
    • Background on the Regional Health Information Organization (RHIO) and OneCity Health IT assessments
    • Final reminders
    • Patient Engagement metrics
  • Here is how to join:

    Tuesday, October 11th, from 2:00 p.m. – 3:30 p.m. EST
    WebEx Meeting Link: click here
    Audio Connection: 1-855-282-6330 US TOLL FREE
    Access Code: 730 459 022