named programs · 3 · from sources
What they call their work
1115 HIE Project
Technical infrastructure supporting Health-Related Social Needs (HRSN) data exchange under New York's Medicaid 1115 waiver, connecting regional health information organizations to the state data lake.
Fusion Shared Infrastructure
Development and implementation of a unified, FHIR-native health information exchange platform to consolidate and modernize data sharing across Qualified Entities in New York State.
QE Advisory Forum (QAF)
Collaborative governance framework engaging Qualified Entities in the design and implementation of shared HIE systems, incorporating frontline expertise into platform development.
activities · 3 groups
What they do
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Health Information Exchange Support 3 activities
- Implement and manage Project Fusion for shared health data infrastructureLeads Project Fusion to enable state-level collaboration among Qualified Entities (QEs) for shared services and improved medical record interoperability, including publishing requirements on GitHub, conducting bi-weekly planning meetings, and collecting feedback via GitHub Discussions and Asana.
- Operate statewide health information exchange platformsDevelops and operates technology platforms and services for health information exchange within New York's statewide HIE network, including message transformation, data integration, and secure data sharing among qualified entities.
- Support 1115 Waiver Project implementationImplements the 1115 Waiver project to send HRSN screening data to the New York State data lake, including providing a centralized user interface for message observability, technical guidance, and support resources for partners.
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Educational Technology Access and Support 1 activity
- Provide technical support and access managementOperates a Help Desk system via GitHub for partners to submit and manage technical support tickets using standardized templates, provides a form for requesting access to systems in the Tech by Design ecosystem, and maintains a security incident reporting channel.
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Uncategorized 3 activities
- Enforce FHIR-based interoperability standardsMandates a FHIR-first strategy for all data exchange and integration, requiring FHIR version 4 or above, implementing a FHIR-native Interoperability Policy, and using tools like BridgeLink and the Nexus Data Store to support compliant data flows.
- Facilitate capacity building through training and advisory forumsOperates the Quality and Equity (QE) Advisory Forum to guide platform development and decision-making, and recommends or requires FHIR and InterSystems training for team members and qualified entities to support consistent implementation.
- Promote interoperability best practices and industry engagementEncourages participation in FHIR Connectathons and other industry-led events to validate solutions in real-world settings and improve system interoperability.
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financials · form 990 · fy2024
revenue
Total revenue$4.37M
Contributions & grants$4.37M100%
Program service revenue$00%
Investment income$00%
Other revenue$0
expenses
Total expenses$3.67M
Program expenses92%
Admin / overhead8%
Fundraising0%
Salaries & benefits$0
Grants paid out$0
Largest expense lineFacilities
balance sheet
Total assets$1.88M
Cash$0
Investments$0
Liabilities$1.18M
Net assets$700K
Liquid reserves0.0 mo
2 years on record · 2023–2024
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 6
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| ROBERT J HACK | DIRECTOR THRU DEC 2024 | 1 | $448K |
| DANIEL PORRECA | SECRETARY/DIRECTOR | 1 | $408K |
| ANTHONY DREW MCNICHOL | EXECUTIVE DIRECTOR | 38 | $338K |
| DONALD JURON | CHAIRMAN/DIRECTOR | 1 | $335K |
| MARLENE BESSETTE | TREASURER/DIRECTOR | 1 | $290K |
| ELIZABETH AMATO | DIRECTOR | 1 | $286K |
board members · 2
- CHARLES A SCAGLIONE — DIRECTOR
- CHERYL JONES — DIRECTOR
relationships · 17
Who they work with
- Bronx Rhio Partner — Founding health information exchange and governing board member of Tech by Design.
- GitHub Partner — Leverages GitHub as a platform for hosting the Help Desk, sharing code, and enabling collaboration with partners.
- GitHub Partner — Uses GitHub for hosting help desk tickets and managing public discussions around frequently asked questions.
- HEALTHeLINK Partner — Founding health information exchange and governing board member of Tech by Design.
- HL7 Network — Adheres to HL7 FHIR standards and participates in the broader FHIR community through Connectathons and feedback loops.
- HealtheConnections Partner — Founding health information exchange and governing board member of Tech by Design.
- InterSystems Partner — Collaborates with InterSystems for access to training resources on HealthShare products.
- InterSystems Partner — Collaborates with InterSystems on use case development and training resources for the Fusion Project.
- InterSystems Partner — Partnership to support HealthShare via the iService Portal and Management Portal for backend system operations and issue resolution.
- MaxMD Partner — Partnership to provide secure messaging services through MaxMD portals, including user access, administration, and provisioning.
- NYeC Government — Point of contact for general questions about the 1115 Waiver project outside of Tech by Design's Hub.
- NYeC Partner — Collaborates with NYeC for resolving issues related to the API Gateway and Data Lake, directing users to NYeC's Jira system for technical support.
- New York eHealth Collaborative Partner — Founding member of the consortium that governs Tech by Design and plays a major role in planning implementation and adoption.
- Qualified Entities Partner — Collaborates with Qualified Entities through the QE Advisory Forum to inform the design and implementation of the Fusion platform.
- Rochester RHIO Partner — Founding health information exchange and governing board member of Tech by Design.
- Tech by Design Network — Organization operates under the name Tech by Design
- Verato Partner — Partnership to support patient identity management through the Verato UI and dedicated support portal for issue escalation.
strategies · 3
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Collaborative Platform Co-Design with Qualified Entitiesmethodology: peer_informed_co_designBy integrating feedback and best practices from Qualified Entities through structured forums and shared learning, the organization improves platform effectiveness because peer-informed design increases relevance, adoption, and system optimization at scale.
- FHIR-First Interoperability Standardizationmethodology: standards_first_interoperabilityBy requiring the use of standardized FHIR resources and avoiding custom extensions, the organization ensures scalable, consistent, and automated health data exchange across systems because adherence to machine-attestable standards reduces complexity and enables compliance validation.
- Open and Transparent Development Ecosystemmethodology: open_development_transparencyBy developing functionality in the open and prioritizing public, self-service documentation, the organization builds trust and ensures consistent support because transparency in code, message flows, and issue resolution enables partner autonomy and system-wide coordination.