Organizational Infrastructure

Policy Framework – Governance and Accountability

A health information technology infrastructure is essential to create an electronic, interconnected system that will help address many of the challenges facing New York's health care system, including: preventable medical errors, disparities in the quality of care New Yorkers receive, high costs, administrative inefficiencies and the lack of coordination among physicians, hospitals and patients. The organizational infrastructure is comprised of a policy and governance framework, collaborative processes and accountability mechanisms on which the strategy is being implemented, including:

New York eHealth Collaborative

The New York eHealth Collaborative (NYeC) is a State designated public-private partnership and statewide policy body playing an integral role in the implementation of New York State's health IT strategy. New York State elected to develop health information policies, standards and technical protocols governing the health IT infrastructure – collectively referred to as Statewide Policy Guidance. NYeC, in partnership with the DOH, led the development of statewide policy guidance through an open, transparent, and consensus driven process to which all contribute to ensure health IT advances in the public's interest. Today, NYeC continues to be the primary contractor facilitating the Statewide Health Information Network for New York (SHIN-NY). More information on the SHIN-NY is available on NYeC's website.

Roles and Responsibilities

It is important to note that New York's framework for a comprehensive, interoperable health information infrastructure is predicated on distinguishing between the responsibility for setting policy, which is the province of the state (Policy) and is assisted by a state designated public-private partnership, NYeC through a transparent governance process (policies).

Through the statewide collaboration process managed by NYeC, a policy framework to develop and maintain information policies was formulated in the public's interest through a transparent governance process. The policy framework and governance as well as the technical infrastructure implementation are inextricably linked and essential to advancing interoperable health information exchange supporting care coordination, quality improvement interventions, public health reporting and biosurveillance activities.

Interplay of New York's HIT Projects

New York has historically led the nation with HIT infrastructure development and has leveraged this experience to increase the capacity of existing HIT systems to better meet the needs of an integrated healthcare delivery system. HIT is the thread that binds the multiple, complex levels of patients, providers, payers, and communities together in our transformed health care delivery system. Maintaining and improving the functioning of our transformed health care delivery system relies on timely and relevant data from patients, providers, and payers across multiple regions which is supported by HIT. NYS is committed to fundamentally shifting how patients, providers, payers, and communities engage in the healthcare delivery system.

New York has invested heavily in developing an HIT infrastructure that both supports and drives healthcare system transformation. HIT, such as the SHIN-NY or the All-Payer Database (APD), increase the State’s ability to gather timely and relevant data from providers and payers. Initiatives such as the New York State Health Innovation Plan (SHIP) and the Statewide Innovation Model (SIM) leverage these HIT to inform and measure health care progress.

More information can be found at the links below