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Taconic Health Information Network and Community (THINC) Regional Health Information Organization (RHIO) is a not-for-profit corporation dedicated to improving the quality, safety and efficiency of healthcare for the benefit of the people of the Hudson Valley region of New York State. The primary purpose of the THINC RHIO is to advance the use of health information technology through the sponsorship of a secure Health Information Exchange (HIE) network, the adoption and use of interoperable Electronic Health Records (EHRs) and the implementation of population health improvement activities, including public health surveillance and reporting, pay for performance, public reporting and other quality improvement initiatives.

THINC RHIO is governed by a multi-stakeholder Board of Directors and comprised of a broad range of stakeholders from the public and private sectors, including physicians, hospitals, safety net providers, payers, employers, laboratories, public health authorities, quality organizations, state government representatives, community business leaders, a consumer advocacy group, and others in the healthcare industry.

Managed by a program office and five operating committees, the THINC RHIO is developing and implementing solutions which address the key components necessary for successful and sustainable health IT adoption. The five operating committees are: (1) Privacy and Consumer; (2) Security and Technology; (3) Quality and Clinical; (4) Public Health and (5) Financial Oversight. The key components are:

Ensuring patient privacy of health information and strengthening security of health IT systems.

Engaging consumers to participate in the RHIO and to adopt health IT.

Building privacy and security requirements upfront into the business and technical aspects of the THINC organization.

Letting clinical care and population health improvement priorities drive the technology priorities of THINC RHIO by:

	overseeing the implementation of the nationwide health information network (NHIN) and interoperable EHRs;
	implementing a region wide pay for performance program to help achieve financial sustainability for clinicians and providers while driving quality improvement across the region; and
	establishing a bidirectional public health surveillance and reporting system among the local and state public health authorities and the clinicians and providers across the region.

Overseeing the financial transparency and integrity of the THINC RHIO.

The THINC RHIO organizational structure also includes an anchor partner, MedAllies, a Health Information Service Provider (HISP). MedAllies manages all technical aspects of the organization, including the day to day implementation and operations on behalf of and under the direction of THINC RHIO.