2013-08-19T10:01:31-07:00 2012-12-31 SCHALL & ASHENFARB CPAS 350 5TH AVE STE 5610 NEW YORK NY 101180110 990 2012-01-01 562676857 Brooklyn Health Information Exchange BROO 7182835650 6323 Seventh Avenue Brooklyn NY 11220 Irene Koch 2013-08-19 true David C Ashenfarb P00535436 2122682800 2012 2016-02-24 21:20:13Z Irene Koch 6323 Seventh Avenue Brooklyn NY 11220 3401187 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. 12 12 0 0 5914520 1850494 608867 1469404 0 3265 81289 6526652 3401187 0 0 253098 363114 0 0 3772360 5834432 4025458 6197546 2501194 -2796359 10609722 6926362 2155110 1268109 8454612 5658253 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 5468277 1469404 The 2012 990 Program Service AccomplishmentsThe 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.BHIX provides cost effective access to a broad range of clinical information and related functionality to enhance patient care and support emerging models of care. In 2010, BHIX was engaged to support grant projects, led by Maimonides Medical Center, integrating new participant organizations to its roster to facilitate care collaboration for special needs populations. During this period, BHIX launched a secure Clinical Message Center enabling communications among and between BHIX users to facilitate 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 continue to 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 is the first RHIO to support 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. With the advent of the New York State Medicaid Health Home model of care, BHIX also added a growing number of community and behavioral health organizations, providing a technical framework for supporting Health Home operations and building connections to new care management applications.To date, nearly 2000 clinicians have been provisioned as BHIX users, including incoming hospital residents as part of their training and orientation as well as care managers responsible for coordinating care for high-risk patients who are enrolled in Health Homes. A significant milestone in 2012 was the announcement that BHIX would be the first New York City RHIO to sign-on to support the New York eHealth Collaborative (NYeC) in its efforts to integrate the downstate region, and ultimately the entire state, into a unified network for healthcare records. Furthermore, BHIXs robust infrastructure will be used as a key reference implementation for NYeC initiatives as it moves toward the development of the State Health Information Network for NY (SHIN-NY). Through the BHIX governance structure, input from clinicians, privacy officers and executive leadership continue to inform the evolving look, feel and functionality of the BHIX System. In addition to the increasing number and variety of data elements displayed in the Patient Record, BHIX has added vital signs, radiology and respiratory reports, care coordination documents (CCDs) and discharge summaries to round out health information available to providers. Additionally, BHIX has developed a Filtered Summary Report; a tabular view of BHIX community-wide health data that can be customized to support communications among clinicians through the BHIX Clinical Message Center. BHIX has also launched the BHIX Connect Indicator an at a glance dashboard integrated within a clinicians EHRs; it shares both user and patient context and provides a seamless workflow for clinicians.Clinicians have asserted that data available through BHIX and real-time event notifications have assisted them in the delivery of patient care, especially for those patients that present in emergency rooms and may not be able to articulate vital information. To support 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 outreach, education, customer service and community engagement, collecting hundreds of thousands of patient consents which represent over seventeen foreign languages. Last year BHIX launched an updated website, www.bhix.org, and a monthly newsletter to further its reach and targeting both clinical and patient communities as well as the media. BHIX leadership is 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. 5468277 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 8 0 true 0 false false false false false false false false false 0 false false false false false false false false false false X 12 12 true false false false false false false true true false false true true true true true true true true false NY X Feargus Leggett BTQ Fin'l 2129012440 80 Broad Street New York NY 10004 Martin Ambos 1.00 0.00 X 0 0 0 Lewis W Marshall Jr 1.00 0.00 X 0 0 0 Charles King 1.00 0.00 X 0 0 0 Tim Leddy 1.00 0.00 X 0 0 0 Mary Ann Christopher 1.00 0.00 X X 0 0 0 Louise Cohen 1.00 0.00 X 0 0 0 Robert Dubicki 1.00 0.00 X 0 0 0 Mitra Behroozi 1.00 0.00 X 0 0 0 Michael New 1.00 0.00 X X 0 0 0 Tom Early 1.00 0.00 X 0 0 0 Eli S Feldman 1.00 0.00 X X 0 0 0 Pamela S Brier 1.00 0.00 X X 0 0 0 Irene Koch 35.00 0.00 X 321426 0 17020 Vivienne DeStefano 35.00 0.00 X 134121 0 7102 Robert Cimino 35.00 0.00 X 207756 0 11001 Vitaly Furman 35.00 0.00 X 114063 0 6040 Joshua Lee 35.00 0.00 X 112220 0 5942 Harry Rivera 35.00 0.00 X 108142 0 5726 997728 52831 6 false true false Proskauer Rose LLP Eleven Times Square New York NY 100368299 Legal services 170492 Maimonides Medical Center 4802 Tenth Avenue Brooklyn NY 11219 Leased staff 264781 J2 Interactive LLC 2 Thirteenth St Charlestown MA 02129 IT consulting 1208542 Direct Staffing Services Inc 4510 16th Ave 2nd Fl Brooklyn NY 11204 Leased staff 993362 Active Health Management Inc 1333 Broadway 3rd Fl New York NY 10018 IT consulting 1135000 7 1850494 1850494 Stakeholder fees 985016 985016 Contract revenue 484388 484388 1469404 0 0 0 0 0 0 0 0 Other income 81289 81289 81289 3401187 1550693 0 0 0 0 363114 181557 181557 0 0 0 0 0 0 183919 11982 171937 218547 218547 0 0 0 5270 5270 0 22704 19525 3179 0 0 116625 100298 16327 23614 23614 0 0 8935 7684 1251 0 3592953 3592953 46274 39796 6478 Other 4041 3475 566 Bad Debt Expense 41580 41580 Hosting and maintenance 101881 101881 Leased staff expense 1465470 1382957 82513 2619 2555 64 6197546 5468277 729269 0 1479901 251484 0 830376 872500 102430 522545 0 0 0 0 49509 33050 9936026 4689243 8147506 5246783 0 0 0 0 0 10609722 6926362 2009150 936084 56920 145960 275105 2155110 1268109 X 8454612 5658253 8454612 5658253 10609722 6926362 -2796359 X false true X true false X 493040 3788391 4410196 5914520 2414292 17020439 319558 628700 366742 608867 985016 2908883 0 0 0 812598 4417091 4776938 6523387 3399308 19929322 0 0 19929322 0 0 0 5520 5829 594 3265 81289 96497 818118 4422920 4777532 6526652 3480597 20025819 0.99520 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 145544 146894 -1350 9790482 4542349 5248133 5246783 Note payable 250000 Deferred rent 25105 275105 X 3401187 3401187 3401187 6197546 6197546 6197546 Part X Part X : FIN48 Footnote BHIX does not believe its financial statements include any material,uncertain tax positions. Tax filings for periods ending December 31, 2009 and later are subject to examination by applicable taxing authorities. X X false false false false false false false false false false Robert Cimino 207756 11001 218757 Irene Koch 321426 17020 338446 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 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management A subcommittee committee reviews comparable salaries based on a recognized study and reviews the performance of the executive director to determine if the existing salary falls within these ranges. After a deliberation of this matter, a new proposed salary and benefit package is voted on. The minutes of the board of directors reflect the nature of this process. 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 11b Form 990, Part VI, Line 11b: Form 990 Review Process The form 990 was sent to the full board via email 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 finance 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.