NY eHealth Collaborative’s Executive Director David Whitlinger discusses the strategy for the future of healthcare interoperability in the state of New York. At the heart of that health information exchange strategy is the evolution of SHIN-NY 2.0 which will provide robust interoperability and create a platform for sharing data and the rapid design of new clinical applications.

New York’s health IT framework is built upon common statewide information policies, technical standards, and protocols, as well as regional “bottom-up” implementation approaches and care coordination to allow local communities and regions to structure their own efforts based on clinical and patient priorities. This framework promotes innovation across the full range of New York’s diverse health care delivery settings – from solo-physician offices and community health centers to large academic medical centers and nursing homes, and from Manhattan to rural upstate towns – with vastly different market conditions and health care needs.

The SHIN-NY is an infrastructure pattern that enables widespread interoperability among disparate healthcare systems. The requirement to support very large-scale environments leads to two critical assumptions that lead directly to principles for the overall technical infrastructure: the environment will be very heterogeneous and continuous changing.

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