The Bronx Regional Health Information Organization (Bronx RHIO) is a clinical information exchange established by the borough’s leading healthcare organizations. Participants include hospitals, health systems, ambulatory care centers, individual physician offices, long-term care, home care, and community and other organizations. Collectively, these providers deliver the vast majority of the healthcare received by the borough’s 1.4 million residents, including over 95% of the borough’s annual hospital discharges, over 600,000 annual Emergency Department visits and 4.5 million annual ambulatory care visits. The Bronx RHIO participates in the Statewide Health Information Network for New York (the “SHIN-NY”).