2012-09-14T13:51:18-07:00 2011-12-31 SCHALL & ASHENFARB CPAS 350 5TH AVE STE 5610 NEW YORK NY 101180110 990 2011-01-01 562676857 Brooklyn Health Information Exchange BROO 7182835650 6323 Seventh Avenue Brooklyn NY 11220 Irene Koch 2012-09-14 true David C Ashenfarb 2122682800 2011 2016-02-24 21:20:13Z X Irene Koch 6323 Seventh Avenue Brooklyn NY 11220 6526652 false false X www.bhix.org X 2008 NY The BHIX mission is to support the advancement of healthcare information technology and maintain a secure clinical data information exchange for the benefit of the people of the State of New York. 10 10 0 0 4410196 5914520 366742 608867 0 586 3265 4777524 6526652 0 0 250000 253098 0 0 1494524 3772360 1744524 4025458 3033000 2501194 8368105 10609722 2414687 2155110 5953418 8454612 The BHIX mission is to support the advancement of healthcare information technology and maintain a secure clinical data information exchange for the benefit of the people of the State of New York. false false 3339228 608867 The 2011 990 Program Service Accomplishments The Brooklyn Health Information Exchange, Inc. (BHIX), a Regional Health Information Organization (RHIO), was developed through a community-driven collaboration between providers and payers interested in improving patient care through the application of technology across health care settings. Nationally recognized as a leader in advancing health information exchange, BHIX fosters improvements in community health information connectivity. BHIX supports sharing of health care data among patients, doctors and other practitioners, hospitals, long term and home care services, community based organizations, government agencies and insurers. Since its incorporation in 2007, BHIX has been governed by an independent board of directors, accountable to the regional community. BHIX manages data from nearly 2 million patients, representing encounters at dozens of health care facilities and insurers, most of whom feed data to BHIX on a real-time basis. Since implementing the InterSystems HealthShare platform in 2009, BHIX has continued to build and develop a portfolio of products and services that provide cost-effective access to a broad range of clinical information and related functionality to enhance patient care and support emerging models of care utilizing statewide and national technical standards. Last year BHIX was engaged to support grant projects, led by Maimonides Medical Center, integrating new participant organizations to its roster and adding additional data elements to facilitate care collaboration for special needs populations. BHIX also launched a secure Clinical Message Center enabling communications among and between BHIX users and facilitating patient referrals. To monitor significant patient events and to improve care coordination, BHIX designed and deployed real-time automated event notifications which are routed to care managers and clinicians, alerting them via email or notification to hand-held devices. These tools enable clinicians to work effectively and collaboratively, providing value-added services to BHIX customers. Additionally, BHIX developed a new user interface or Landing Page, which supports a variety of users involved in many aspects of patient care management. To expand its user-base, BHIX automated its training and provisioning process, thereby creating an efficient, scalable method for training an increasing numbers of users of the BHIX. BHIX has worked to support many user types including providers using interoperable electronic health records. Using national, interoperable standards, BHIX supports a seamless, bi-directional data flow directly from within the physician's electronic medical record. This enables the physician to query for community-wide health information without leaving his/her application. Over 500 clinicians have been provisioned as BHIX users, including incoming hospital residents as part of their orientation and training. Through the BHIX governance structure, clinician input continues to inform the evolving look and feel of the BHIX Patient Record. Physicians are able to see an increasing number and variety of data elements, such as demographics, medication history, allergies, labs, advance directives, problem lists, procedures and diagnosis. Recently, BHIX has added vital signs, radiology and respiratory reports, care coordination documents (CCDs) and discharge summaries to round out health information available to providers. Clinicians have asserted that data available through BHIX, and now, real-time event notifications have assisted them in patient care delivery, especially for those patients that present in emergency rooms and may not be able to articulate vital information. To support its customers and an increasing number of users, BHIX deployed an automated Help Desk application available 24/7 to provide user support.BHIX continues to focus its efforts on customer service and community engagement, collecting tens of thousands of patient consents which represent over seventeen foreign languages. BHIX Staff are frequently invited to participate on national and statewide panels and conferences as subject experts in both HIE deployment, RHIO operations and privacy and security matters. BHIX continues to work with the New York eHealth Collaborative (NYeC), moving toward the collaborative development of the Statewide Health Information Network of New York (SHIN-NY). 3339228 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false true 13 0 true 0 false false false false false false false false false false false false 0 false false false false false false false false false false false X 10 10 true false false false false false false true true false false false true true true true true true true true false false NY X Feargus Leggett BTQ Fin'l 2129012440 80 Broad Street New York NY 10004 Charles King 1.00 X 0 0 0 Tim Leddy 1.00 X 0 0 0 Mary Ann Christopher 1.00 X 0 0 0 Louise Cohen 1.00 X 0 0 0 Robert Dubicki 1.00 X 0 0 0 Mitra Behroozi 1.00 X 0 0 0 Michael New 1.00 X X 0 0 0 Tom Early 1.00 X 0 0 0 Eli S Feldman 1.00 X X 0 0 0 Pamela S Brier 1.00 X X 0 0 0 Irene Koch 40.00 X 263784 0 13967 Robert Cimino 35.00 X 171964 0 9105 Vivienne DeStefano 35.00 X 105262 0 5574 541010 28646 3 false true false Maimonides Medical Center 4802 Tenth Avenue Brooklyn NY 11219 Leased Staff 449579 J2 Interactive LLC 2 Thirteenth St Charlestown MA 02129 ITConsulting&Support 1851601 InterSystems Corporation PO Box 84-5809 Boston MA 022845809 ITConsulting&Support 743661 Direct Staffing Services Inc 4510 16th Ave 2nd Fl Brooklyn NY 11204 Leased Staff 843376 Active Health Management Inc 1333 Broadway 3rd Fl New York NY 10018 ITConsulting&Support 1245000 9 5816520 98000 5914520 Stakeholder fees 608867 608867 608867 0 0 0 0 0 0 0 0 Other Income 3265 3265 3265 6526652 612132 0 0 0 0 253098 126549 126549 0 0 0 0 0 0 65179 38635 26544 216940 216940 0 0 0 220841 214459 6382 0 54116 41669 12447 0 0 119416 91950 27466 29415 14708 14707 0 0 55694 42884 12810 0 1529968 1529968 47065 36240 10825 Miscellaneous 4164 3206 958 Meals and catering 12200 12200 Leased staff expense 1022693 849800 172893 Hosting and maintenance 334827 334827 Bad Debt Expense 57072 57072 2770 2133 637 4025458 3339228 686230 0 1242716 1479901 0 1712215 830376 61140 102430 0 0 0 0 99894 49509 9686491 1538985 5252140 8147506 0 0 0 0 0 8368105 10609722 1382790 2009150 750000 281897 145960 2414687 2155110 X 5953418 8454612 5953418 8454612 8368105 10609722 2501194 X false true true X false false X 493040 3788391 4410196 5914520 14606147 319558 628700 366742 608867 1923867 0 0 0 812598 4417091 4776938 6523387 16530014 0 0 16530014 0 0 0 5520 5829 594 3265 15208 818118 4422920 4777532 6526652 16545222 X 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 366901 143186 223715 9319590 1395799 7923791 8147506 Deferred Rent 14915 Capital Lease Obligation 131045 145960 6526652 4025458 2501194 2501194 6526652 6526652 6526652 4025458 4025458 4025458 Part X Part X : FIN48 Footnote BHIX has adopted the provisions of FASB ASC 740, Income Taxes, which applies to positions taken or expected to be taken in a tax return. Organizations are required to recognize the effects of tax positions if they are more likely than not of being sustained. BHIX does not believe its financial statements include any uncertain tax positions. X false false false false false false false false false false Robert Cimino 171964 9105 181069 Irene Koch 263784 13967 277751 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The conflict of interest policy, governing documents and financial statements are available upon request. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization has a "board approved" conflicts of interest policy. Each board member must fill out an annual declaration stating they had no conflicts or identifying the nature of their interested party transactions. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The Form 990 was sent to the full board of directors via e mail prior to being filed with the IRS with the anticipation of their review comments to be sent back to the audit/finance committee. All directors were afforded the opportunity to ask questions and offer edits. The decision of whether to make edits was made by the staff person in charge of finances within the organization in conjunction with our tax preparer. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Pamela S. Brier and Eli Feldman are on the Board of Directors of the Greater New York Hospital and Association. Pamela S. Brier and Eli Feldman are on the Board of Directors of First to Care Home Care Inc.