The Healthcare Information Xchange of New York (HIXNY), a not-for-profit RHIO whose coverage area includes 17 counties in upstate New York, is composed of a diverse group of healthcare organizations including hospitals, physician practices, health plans, healthcare associations, government/education and consumer/patient groups.  HIXNY’s members include health plans representing over 400,000 members; major regional hospitals with over 3,000 beds; large physician groups representing a total of 500 physicians; healthcare associations representing 56 hospitals and over 30 health plans in New York State; a university/school of public health; and a consumer advocacy group.

When HIXNY chose InterSystems' HealthShare as the technology platform for its exchange, InterSystems assembled a joint project team of InterSystems and J2 resources to lead the implementation.  In addition to directing the technical architecture for the project, J2 is responsible for point-to-point HL7 integration, web service implementation, and HealthShare application development.