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21 ORGS · 147 ACTIVITIES ← all strategies ·
approach

Integrated Data for Holistic Care

By integrating clinical, social, and behavioral data through health information exchange and coordinated workflows, organizations improve care coordination and patient outcomes, because comprehensive, real-time data enables proactive, patient-centered, and equity-focused interventions. This strategy centers on breaking down silos between medical care, social services, and public health through interoperable data systems and multidisciplinary collaboration. What distinguishes it from narrower models is its dual emphasis on technological integration (e.g., FHIR, HIE, EHR embedding) and the inclusion of social determinants of health (SDOH) to inform clinical decision-making. Unlike standalone care coordination or technology adoption efforts, this approach treats data unification as foundational to achieving value-based, culturally responsive, and preventive care at scale.

21
orgs running it
147
activities of those orgs
12
activity groups touched
who runs it

Organizations running this strategy · 21

what it looks like in practice

Activities of orgs running this strategy

A sample of programmatic activities from the orgs above — what the strategy looks like on the ground.

  • Develops clinically integrated model for health care reform FINGER LAKES IPA INC
    direct service
    Creates a collaborative, clinically integrated model designed to meet health care reform requirements in New York.
  • Conduct comparative research on adolescent residential treatment THE AUGUST AICHHORN CENTER FOR ADOLESCENT RESIDENTIAL CARE INC
    research
    Performs comparative analyses of demographic and clinical characteristics of admitted adolescents relative to other programs and presents findings at professional conferences and in peer-reviewed journals, including Psychiatric Services and the American Academy of Child and Adolescent Psychiatry.
  • Operate residential treatment facilities for adolescents THE AUGUST AICHHORN CENTER FOR ADOLESCENT RESIDENTIAL CARE INC
    direct service
    Provides intensive residential care for adolescents with severe emotional and behavioral challenges, operating a 32-bed facility in Manhattan and a 24-bed facility in Brooklyn, with structured living units, educational support, and continuous supervision by a staff of approximately 86 full-time equivalent employees.
  • Support adolescent reintegration into community and education THE AUGUST AICHHORN CENTER FOR ADOLESCENT RESIDENTIAL CARE INC
    direct service
    Facilitates the transition of well-stabilized residents to part-time and eventually full-time public high school enrollment as part of their rehabilitation and discharge planning.
  • Track and report clinical and post-discharge outcomes of former residents THE AUGUST AICHHORN CENTER FOR ADOLESCENT RESIDENTIAL CARE INC
    research
    Conducts long-term follow-up studies of former residents, including in-person interviews, social media tracking, and data analysis to monitor outcomes such as mortality, incarceration, and symptom severity, with findings reported as of 2025.
  • Combine operations with health organizations to strengthen regional health infrastructure GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    capacity building
    Integrated operations with Common Ground Health in 2024 to combine expertise in health information exchange, data analytics, and community health improvement, and merged with the Finger Lakes Performing Provider System (FLPPS) in 2026 to enhance regional healthcare delivery and population health initiatives.
  • Conduct research on social determinants of health using HIE data GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    research
    Analyzes documentation of homelessness and other social determinants of health within the health information exchange to support vulnerable populations and is developing a data dictionary to standardize SDOH data types available for research use.
  • Deliver training for HIE system users GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    capacity building
    Provides required online training for all RHIO Explore users ahead of system upgrades like Explore+, with plans for on-demand video training to support ongoing user education and adoption.
  • Educate healthcare facilities on SHIN-NY connection requirements and funding GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    capacity building
    Hosts webinars and informs regulated healthcare facilities about their legal obligation to connect to the Statewide Health Information Network for New York (SHIN-NY), while educating them on the benefits of participation and available funding opportunities.
  • Enable patient access and control over electronic health information GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Offers patients secure self-service tools to download their electronic health information and partners with Selfiie to operate Cures Gateway, a patient-controlled repository for accessing and sharing health data. Also provides educational resources such as the "Mind the App" guide to inform patients about privacy risks associated with mobile health applications.
  • Ensure compliance with privacy, security, and consent regulations GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Uses and discloses protected health information (PHI) in accordance with federal and state laws for treatment, payment, care coordination, and healthcare operations. Employs encryption and secure transmission methods, complies with breach notification requirements, maintains audit logs for emergency "break the glass" access and public health queries, and conducts regular audits of patient consent forms. Uses a SAMHSA 42 CFR Part 2-compliant consent form approved by the New York State Department of Health.
  • Expand and enhance HIE technical capabilities and user experience GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Upgrades health information exchange infrastructure, including implementation of a new patient search engine (Explore+) featuring a consolidated timeline view, improved data categorization, and encounter-based data grouping. Conducts quality assurance testing and loads historical and real-time data feeds in preparation for system launches.
  • Facilitate patient consent enrollment and track participation GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Collects affirmative patient consents for inclusion in the health information exchange, receiving tens of thousands monthly. Maintained a cumulative total of 4,762,176 patient consents as of March 2025.
  • Improve provider satisfaction and usability of HIE platforms GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Works to increase participant satisfaction with key HIE services such as the Explore clinical query portal, Image Exchange, MyResults Delivered, and DIRECT messaging, achieving a 9 percent improvement in portal satisfaction in 2017.
  • Increase data connectivity and interoperability across healthcare systems GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Expands the number and diversity of data sources within the HIE, adding more than 500 contributing organizations by 2017 and integrating ambulance call data from multiple emergency medical services. Adds approximately 1.5 million clinical results to the exchange each month.
  • Operate a secure regional health information exchange (HIE) for authorized healthcare providers GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Provides a secure health information exchange that enables clinicians, hospitals, and other authorized healthcare providers across a 14-county region in the Finger Lakes area to access real-time patient data including medical histories, lab results, diagnostic images, discharge summaries, and medication lists. The system supports care coordination by allowing providers to review prior test results from other facilities and reducing reliance on paper-based records.
  • Present innovations in health data and population health GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    advocacy
    Presents advancements in health information exchange and social determinants of health data at forums such as the FLPPS Showcase, contributing to regional knowledge sharing and innovation in healthcare delivery.
  • Provide technical support and deployment assistance to HIE participants GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC
    direct service
    Offers technical support through a dedicated Deployment Team, an online support request system, and phone line. Completed over 1,000 in-person site visits in 2017 and continues to support user needs during platform transitions and upgrades.