All About Hixny

We are a nonprofit organization that uses secure technology to give healthcare providers, insurance companies, public health organizations and individuals the ability to access real-time information.

This coordination of information improves quality of care and contributes to lowering healthcare costs for more than 1.7 million people in upstate New York—and beyond, since Hixny is part of the Statewide Health Information Network for New York.

Who We Serve

Hixny is the health information exchange (HIE) that serves every provider, every resident and every visitor that accesses healthcare in our region.

Who We Serve

Hixny is the health information exchange (HIE) that serves every provider, every resident and every visitor that access healthcare in our region.

Hixny map

icon questionHow Hixny Works

While the tools and services Hixny provides to organizations and individuals make for a complex ecosystem, the heart of our efforts is simple. We allow healthcare to come together. Individuals, healthcare providers and organizations like hospitals and health plans, record various types of information—in digital filing cabinets. Hixny connects all of this information to one another online, using industry-leading security practices to protect privacy. By connecting with similar networks across the state, Hixny provides its users with access to health information generated throughout New York.

The end result is that health records aren’t tied to a single physical location anymore. Instead, a doctor in Plattsburgh can log in to her system and pull up her patient’s emergency department summary from a doctor in Ithaca. No waiting. No hassles.

Not only does that allow health professionals to deliver better quality of care with greater patient satisfaction at lower costs, but it also allows individuals to view their own records from home and it enables our region to better understand the health of our general population.

    Our History    

Like many organizations, it started with an idea and relationships, according to Ray Murphy, an implementation consultant, who later assumed leadership of Hixny in its early years.

The Hixny story began with a group of people coming together, some with competing interests, yet with a common goal to improve healthcare in the greater Capital Region. Today, Hixny continues to lead as one of the nation’s most successful and ground-breaking health information exchanges (HIEs).

Here’s our story of collaboration, evolution, and innovation in a nutshell:

  • 1999

    Gary Fitzgerald, president of Iroquois Health Care Alliance, and Paul Macielak, president and CEO of the New York Health Plan Association—who were friends from the days they worked together in the State Senate—saw a chance to use common ground among their members around compliance with HIPAA. This effort resulted in the creation of Hixny.

  • 2004

    The Capital Region Health Data Interoperability Task Force was formed to begin sharing information across health systems. Other health systems, including Northeast Health, took notice and got involved with the Task Force, which initially operated like a “CIO think tank” in its early days.Gary Fitzgerald, president of Iroquois Health Care Alliance, and Paul Macielak, president and CEO of the New York Health Plan Association—who were friends from the days they worked together in the State Senate —saw a chance to use common ground among their members around compliance with HIPAA. This effort resulted in the creation of Hixny.

  • 2004

    New York state announced $53 million in grants available under the Healthcare Efficiency and Affordability Law (HEAL) to create health information exchanges (HIEs). HEAL triggered the merger of the Task Force with Hixny. Eighteen initial healthcare organizations, mostly hospitals, comprised the initial Hixny membership.

  • 2006

    Hixny received a milestone grant under HEAL for $1.7 million. Albany-based insurer CDPHP provided matching funds, bringing the coffers up to $3.4 million.

    Ray Murphy was asked to lead Hixny in collaboration with committees comprised of the organization’s board members. A core goal of the “working board” was to build trust for information sharing across healthcare leaders representing different systems and to leverage the HEAL grant to build an HIE to link Capital Region payers and providers.

    Hixny chose FirstGateways as its platform.

  • 2007

    FirstGateways was sold and Hixny began to realize it was not the ideal solution for them.

    Hixny was testing with trials at Seton Health and Northeast Health in Troy, (now both part of St. Peter’s), Saratoga Hospital and Latham-based Community Care Physicians.

    Hixny and the Adirondack Regional Health Information Exchange (ARCHIE) join forces on a joint application for a second HEAL grant.

  • 2008

    With the second HEAL grant in hand, Dominick Bizzarro was selected as Hixny’s first CEO and he began building his team. The second HEAL grant catapulted the organization from no employees to a dozen nearly overnight. Hixny’s board became less hands-on, and focused more on establishing critically needed governance.

    Hixny flipped the switch for the organizations involved in the testing, and information started to officially flow through Hixny.

  • 2009

    A few “early adopters” were contributing basic data, such as patient demographics and medication history, and an e-prescribing initiative was underway.

    The passage of The American Reinvestment & Recovery Act (ARRA) in February of 2009 made what Hixny was doing even more important. Among its provisions were requirements for the “meaningful use” of health information technology, which financial incentives and penalties for providers attached.

    After an extensive RFP process, FirstGateways was replaced in 2009 with InterSystems Corp.

  • 2010

    Hixny started connecting providers as well as hospitals—which had been its early members.

  • 2011

    Hixny was reporting 32 members in 17 counties. Most were contributing data, including lab reports, images and discharge summaries, with more gearing up to do the same. By the fall, more than 1,100 healthcare professionals were sharing information on 2 million patients.

    In October, Hixny merged with the Adirondack Regional Health Exchange increasing its reach to the north country.

  • 2014

    Hixny rolled out provider alerts and direct messaging as well as “Hixny For You", a patient portal that allows patients to access and manage their own medical records.

  • 2017

    Hixny received a grant from New York state for a project called Wire Once to accelerate the quality, connectivity and interoperability of the State Health Information Network of New York (SHIN-NY), its Qualified Entities (QEs) and participating providers through a single connection that eliminates multiple connections.

  • Present Day

    Hixny continues to be a leader among the nation’s HIEs, striving to continuously innovate and meet the evolving needs of its membership, improve patient outcomes and lower healthcare costs.

The History of Hixny, the Complete Story

Our History

Hixny got its start when Capital District health executives began investigating the possibility of sharing information way back in 1999. We’ve grown steadily—and at the cutting edge of our industry—ever since. Today, Hixny is recognized as a national leader in the advancement of health information technology and data exchange.

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