Clinical Investment Priorities - Use Case Descriptions

  1. Interoperable EHRs for Medicaid: (n=13) Sharing Medicaid medication history information with clinicians emphasizing medication management and electronic prescribing as the initial priority. This includes providing additional sources of medication history information from pharmacies and pharmacy benefit managers to enhance clinical decision support capabilities, such as drug-drug interaction checking. This use case includes Medicare electronic prescribing standards.
  2. Connecting New Yorkers and Clinicians: (n= 5) Providing the capacity to connect New Yorkers to their clinicians and providers to share clinical results, care management programs and emergency contact information.
  3. Health Information Exchange for Public Health: (n=3) Improving situational awareness and reporting for public health purposes and reducing administrative costs of preparing and transmitting data among providers and public health officials. This use case incorporates Federal standards emerging from biosurveillance best practices and the nationwide health information network.
  4. Immunization Reporting via EHRs: (n=3) Interfacing EHRs with the NYSDOH and NYCDOHMH Immunization Registries to enhance their use and improve safety and efficiency. The use case incorporates NY's Immunization Registry standards and incorporates criteria set forth by the Centers for Disease Control and Prevention (CDC) and the national Certification Commission for Healthcare Information Technology (CCHIT).
  5. Quality Reporting for Prevention via EHRs: (n=4) Implementing EHRs with embedded quality metrics for reporting prevention and process measures to support quality reporting. The use case incorporates the Federal Quality and Lab-EHR use cases and NY's priorities and requirements with respect to quality measures and approaches.
  6. Quality Reporting for Outcomes: (n=4) Providing quality-based outcome reports based on clinical information from an interoperable EHR as well as other data sources to all payers and providers to improve quality and support new payment models. The use case incorporates Federal standards and NY's priorities and requirements with respect to quality measures and approaches.
  7. Clinical Decision Support in a HIE Environment: (n=2) Providing analytic software to guide medical decisions and facilitate quality interventions. A Clinical Decision Support use case must be submitted by each applicant for consideration in the evaluation process.