Cloud was just the start


The Collaboration for Health IT (Collaboration) was born out of a determination to bring about evolutionary change in electronic health records (EHR) in order to advance patient care, research and education within healthcare.

We have now developed that EHR (ICE Health Systems) in the Cloud. ICE is continuously being refined across all aspects of its extensive features and functions. In turn, the new EHR is moving the profession forward and connects, for the first time, software developers with a global community of innovative providers, researchers and educators who value integration, research and education as core driving forces for ICE.

Value Proposition

The value of the Collaboration can be summarized into the following categories:

Global Collaboration

Through our work together as a global community of educators, researchers and clinicians at universities schools throughout the world and private clinicians, along with Internet2 and our vendor, ICE Health Systems we have built a secure, extensive, interoperable and high performance EHR which is delivered entirely through cloud technology.

While we now benefit from this technology in new and exciting ways, we communicate actively to extend our work and direct new innovations into ICE to further improve patient care, research, interprofessional and patient communications and education.

Third-Party Security Audits

Protection of patient information is a global imperative and fundamental requirement. Security must be continuously improved and externally verified on an ongoing basis. Numerous providers have been found to render services that may be considered less than adequate for entrusting them with the private information of our patients. The media have focused on this topic and it is the PRACTICE, the PROVIDER and the SCHOOL that are liable. Here are a few examples:

Our Collaboration recognizes security as a foundational component and two external reviews of ICE have taken place (November, 2015 and November, 2016), providing unique value and transparency. The work to attaining ISO 27001 certification has commenced, of which SOC2 audits are an ongoing part.

Reduced Cost

With traditional systems demanding resources from multiple budgets, clinics often do not know accurately what they are paying for their EHR. Members of the Collaboration published the results of a study (click here to access) for education, and others have done so for private industry (click here to access) outlining the total costs of ownership for current systems.

The results of this information drove the pricing model of ICE to make sure that total costs are lowered for all users.

Data Accessibility

Easy and instantaneous access to all information in the EHR is a sine qua non for private clinics and educational institutions alike. Enabling Immediate access to personally designed reports, answers to questions asked at any time about any aspect of the operation has been a guiding design principle for ICE. The movement from tremendous amounts of data collected being unused to serving as valuable sources of knowledge, has finally begun.

Data accessibility principles govern the development processes for ICE. Thus, all of the data in the system can be exposed, combined with external data sources and presented in real-time in the desired format.

Constant Improvements

The only constant in healthcare and technology is continuous change. While providing the required stability of good performance and core functions, EHRs must reflect and even lead such change so that patients benefit from continuous healthcare innovation.

The Collaboration governs ICE in all system areas, including prioritizing the delivery of innovative elements, such as integration with electronic medical record systems and built-in telehealth.The Collaboration development process is both agile and mature resulting in releases, upgrades and enhancements delivered, on average every two weeks.

Contracted High Service Levels

We have found that nothing builds a good relationship and reliability like clarity in a contract. Internet2 led the contract creation process with the Collaboration. The contract includes:

  • Business Associates Agreement
  • Service Level Agreement
  • Support Level Agreement
  • Release Plan
  • Security commitments
  • Transparent and standardized pricing
  • Favored nations clause


The ability to extend systems is essential. Integrations with drug databases, inventory systems, medical record systems (e.g., Epic), e-prescription systems, PACS systems and more are required to improve the operational efficiency and workflow of healthcare. Interoperability can also be defined as communication with consumer electronics that generate health data, such as Bluetooth-enabled toothbrushes; or it can be defined as the transfer of health records from one provider to another. All these interoperability aspects are built right into ICE. Put simply, we need to improve our patient care by having ready, immediate and one-click access to what we need at that moment, including allowing the patient to see the entire patient record–after all the data belong to the patient and the providers act as temporary guardian.

This founding principle has been met and ICE is now integrated with multiple systems, such as LexiComp and other systems and is both able and in process of expanding the integrations as requested by the Collaboration.

Extensive, Innovative and Interdisciplinary

  • Through the leadership and guidance of the Collaboration for Health IT (Collaboration), ICE has developed an extensive EHR to substantially improve healthcare delivery, research and education.
  • Delivered via the cloud, ICE is able to provide extensive system upgrades, backups and support to users requiring nothing more than a device with internet access.
  • The Collaboration is determined to support the entire health profession. ICE is developed with that consideration and is suited to provide excellence for private clinics of all sizes, schools and researchers.
  • ICE is enables easy and automated user communications and referrals throughout all clinics.
  • The Collaboration has specialists throughout the world in all areas of dentistry, computer science, economics, psychology, human-computer interaction, telehealth, epidemiology, and many more fields working with ICE to ensure excellence. As such the system supports multiple practitioners in the same practice as well as individual practitioners provider multiple areas of service.
  • ICE includes the first fully integrated telehealth system. This enables proper and secure telehealth services as well as professional coaching and mentoring.
  • Click here to review a series of Frequently Asked Questions on the financial components of the EHR.
  • …and much more