RHIO Services

Overview

The Rochester RHIO provides a range of services, which promote and support the movement towards a patient-centric view of clinical information. At the core of RHIO services are a set of policies and procedures around patient privacy and security. On top of these core community policies sits a community-wide Master Patient Index (MPI) and Record Locator Service (RLS) to identify, locate, and present medical information including lab and radiology reports and images for patients who choose to participate.

Rochester RHIO's community health information exchange (HIE) support both a query-based approach to requesting clinical information, and a clinical messaging model where results are routed directly to ordering, referring, and cc’ed physicians. To learn more about the basics of the Rochester RHIO, watch this 10 minute video.

Data Integration

Central to a health information exchange (HIE) is the integration and exchange of data from a variety of systems. The Rochester RHIO works with each data-providing organization's staff to ensure a smooth and fairly painless approach to this technical task. With a strong track record in connecting hospitals, physician practices and healthcare organizations, RHIO staff quickly leverage existing hospital and lab messaging systems and portals to securely route clinical messages out to the HIE and the Explore community query portal, and to regional healthcare providers.

RHIO Integration for DSRIP

Throughout New York State, there is an increased focus on improving the quality and efficiency of healthcare for Medicaid eligible patients. The Rochester medical service is engaged with the Medicaid Redesign project known as Delivery System Reform Incentive Payment (DSRIP). The most prominent DSRIP project in the Rochester RHIO's region is the Finger Lakes PPS, with the mission of improving the integration of healthcare delivery. The FLPPS DSRIP project includes hundreds of medical and social service organizations. For a basic review of the FLPPS DSRIP project, read DSRIP 101.

RHIO integration is a key component of DSRIP projects. All DSRIP participating safety-net organizations are required to maintain bi-directional connectivity with one of the state's Qualified Entities (QEs). The Rochester RHIO actively collaborates with FLPPS to support participant adoption of health information exchange services. For information for DSRIP participants, please contact the RHIO Support Center at info@grrhio.org, or call 1-877-865-7446 (RHIO).

Explore

Explore is a secure, web-based portal that includes clinical data for over 1.4 million patients — accurate, up-to-date and always available. Whether in the hospital or almost anywhere else, users can immediately access the data they need when a patient or colleague requires guidance. The RHIO's secure electronic health information exchange is a valuable resource to over 5,000 authorized medical providers and their staffs across 13 counties in New York's Finger Lakes region. More: What Explore Has to Offer

Explore Image Exchange

Access diagnostic images such as X-rays, MRIs and more from hospitals and clinics across the region. Rochester RHIO's Explore includes access to your patients' radiology and cardiology images - with a diagnostic-quality viewer, instantly on any computer. Explore users can view imaging studies from hospitals and radiology centers throughout the 13-county region, and compare images in seconds. More:The Image Exchange Clinicians Need

MyResults Delivered

Already using an EHR? The Rochester RHIO can deliver electronic results directly to a practice’s EHR. No more logging into multiple portals for results. No more dollars spent on interfaces with multiple data providers. No more phoning and waiting for lab results, or sending patients for another round of tests when results are not forthcoming. The Rochester RHIO works with EHR vendors to facilitate integration. This one interface will provide lab, radiology and clinical documents from all participating area labs, hospitals and radiology centers.

 Physician practices with MyResults Delivered can opt-in to add Image Enabled Results Delivery (IERD). With IERD, imaging results are delivered to your EHR with a link directly to the diagnostic quality imaging study. More: Test Results Delivered Directly into Your EHR

DIRECT (Messaging Service)

The Rochester RHIO provides DIRECT messaging services for our community participants. As a certified Health Information Service Provider (HISP), we are accredited through EHNAC as a member of the Direct Trust Organization. The RHIO HISP offers secured access thru webmail to exchange care summary and other clinical information between providers in our community.   

DIRECT is simple. It works like secure email, and can be as easy as sending an electronic fax from within an EHR. The added advantage is that the recipient can file many of the documents into the patient chart as discrete data. DIRECT messaging supports patient referrals and transitions of care. Unlike RHIO Explore, which has information from many sources, DIRECT is a point-to-point exchange allowing one care provider to send specific information to another care provider securely. While many EHR vendors are including DIRECT as part of their product to support Meaningful Use requirements, practices do not need to have an EHR to use DIRECT. More: Referrals and Clinical Data Delivered - As Easy As Email

RHIO Facts for DIRECT users

  • Rochester RHIO operates as a HISP – any RHIO participant can request a DIRECT license.
  • As a Direct Trust Certified HISP, Rochester RHIO seamlessly connects to other certified HISPs, including Surescripts. Several EHRs use the Surescripts HISP for DIRECT services, including EPIC, Medent, Nextgen, eMDS, Amazing Charts and Soapware.
  • Some EHRs are providing their own HISP services, including Allscripts, AthenaHealth, Cerner, DBmotion, eClinicalworks, Greenway and Medplus.
  • The Rochester RHIO HISP is connected to the RHIOs in Albany, Syracuse and Buffalo.

Rochester RHIO's DIRECT service includes a C-CDA Viewer, which allows users to view and print C-CDAs (Continuity of Care Documents). 

Our clinical messaging architecture also supports two levels of integration to third party EHR systems. Call RHIO for information about integrating with your EHR at 1-877-865-7446 (RHIO).

Alerts

It's simple. Physician practices, home health providers, and health systems can receive notification whenever their patients are admitted or discharged from any of our regional hospitals or emergency departments. The RHIO will also send an alert when a patient uses EMS services from our participating EMS providers. Practices can choose to receive alerts for all their consented patients, or if there is an option to select a subset of patients that require closer monitoring by practice staff. To sign up for alerts, the practice needs to have consented patients and a DIRECT address. Customized alerts will be available at a future date. If you'd like to pilot customized alerts, contact your Deployment Coordinator. More: RHIO Alerts Fit Your Workflow

MyAlerts

MyAlerts is a list-based custom alerts service, which allows participants to select the alerts received based on the needs of both the care provider and patient. MyAlerts is an enhancement of the core RHIO Alerts service, and can be:

  • delivered through DIRECT messaging, or
  • integrated through an EHR vendor or system

MyAlerts is a value-added service that has been developed to meet specific clinical use cases and allows for the customization of clinical workflows. 

More: MyAlerts How You Need Them

Contribute

What is Contribute? It is the Rochester RHIO's call to participating providers to share your patient data (C-CDAs) with the RHIO through your EHRs. With this additional data, the RHIO will be able to provide more complete patient health records, enabling the highest quality patient care -- effectively transforming the healthcare system. More: Become a Data Contributor

Note: Several vendors are in the process of connecting with the Rochester RHIO for Contribute. The first vendor to be up and running for this service is STI (Chartmaker).‚Äč If you have STI, call the Rochester RHIO today to set up this Core service!

Subscribe/Forwarding

Rochester RHIO can provide organizations a data feed of clinical data associated with consented patients (Subscription), or a data feed based on a contractual relationship between RHIO participants (Forwarding). These value-based services are a powerful tool for participants to gather a more complete clinical record of their patients.  For more information, call 1-877-865-7446 (RHIO), or contact your Deployment Coordinator.

Secondary Use (Community Initiatives, Grants & Other Business)

The Rochester RHIO also responds to data requests to support community initiatives, grant evaluation projects, public health metrics, health/medical research, and healthcare operations. Data requests are reviewed and approved by the RHIO’s Secondary Use Committee. For more information, download the Secondary Use Information SheetFor more information, call 1-877-865-7446 (RHIO), or contact your Deployment Coordinator.

EHR Connectivity

Is your EHR certified? Check out the Certified Health IT Product List to find out today.  

Our clinical messaging architecture supports integration to third party EHR systems, based on a standardized HL7 interface. Reports that you order, or that are “copied to” you, will be delivered directly to your clinical inbox. Since MyResults Delivered mirrors the existing exchange of information in your medical practice, patients do not need to sign the RHIO Patient Consent Form for you to receive their results through the RHIO.

Practices with MyResults Delivered services can opt to add Image Enable Results Delivery (IERD). With IERD, imaging results are delivered to your EHR with a link directly to the diagnostic quality imaging study. RHIO staff will work with your EHR vendor to facilitate integration. This one interface will provide lab, radiology and clinical documents from all participating area labs, hospitals and radiology centers. 

The following EHR Vendors have connectivity with the RHIO. To activate an interface to your practice, contact your EHR vendor. 

Allscripts Professional Amazing Charts AthenaHealth Avairis
BlueFire Comet eClinicalWorks eMDS*
Epic Systems* Greenway Homecare Homebase (HCHB) Homegrown
HST Medent MEDITECH McKesson
Mysis (Allscripts) Netsmart (Sequest) NextGen Office Practicum
PNP PrecisionCare QuadraMed Reliable Health Systems
Seaquest SOAPWare STI (Chartmaker) Vitera (Sage)
Therap (Vorro Health)*      

Note: Several vendors are in the process of connecting with the Rochester RHIO for Contribute. The first vendor to be up and running for this service is STI (Chartmaker).

Regional Data Normalization

The RHIOs three-year Regional Data Normalization project, funded by the Greater Rochester Health Foundation, is successfully building community collaboration and education for standardization of lab test codes. As of April 2016, more than 80% of lab tests now include community standardized codes, and a majority of test results sent to providers via the RHIO's results delivery services also include these codes. As a result, healthcare providers can compare test results from regional labs more efficiently.

The Regional Data Normalization project has widened its focus to examine community standards for naming radiology reports and clinical documentation, which will better support healthcare providers in their efforts to efficiently access patient information to support quality healthcare. LOINC (Logical Observation Identifier Names and Codes) is a universal code system for identifying laboratory and clinical observations. From serum levels of Hepatitis B surface antigen to diastolic blood pressure, LOINC has standardized terms for all kinds of observations and measurements that enable exchange and aggregation of electronic health data from many independent systems.

The accurate coding of lab results is critical to the effective comparison of values to support patient care and quality reporting. Regional labs are working with the Rochester RHIO to address the need for accurate, standardized codes for lab results across the community. Leadership from labs, Monroe County Medical Society, and the RHIO's Regional Data Normalization (RDN) project funded by the Greater Rochester Health Foundation are collaborating to build a compendium of the 200 most common lab tests, and the LOINC codes that link similar tests.


 
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