Hospitals & Health Systems

Admit-Clinical Activity History

In the Philadelphia region, the sheer number of facilities delivering acute care in close proximity to each other nearly guarantees that healthcare consumers frequently receive services from multiple hospitals and health systems, regardless of affiliation.

HealthShare Exchange (HSX) works to collect and provide data from 37 acute care hospitals and 1 specialty hospital today. These hospitals and health systems utilize a wide range of services that allow them to be more informed about patients who have had clinical encounters at other outside facilities.  Through employment by HSX-member Hospitals and health systems, care providers are able able to engage with HSX services too. 

Service Descriptions 
  1. Direct Secure Messaging (Direct) / Provider Directory (PD)
    • Point-to-point exchange of clinical information between providers using the national Direct Project standards — included, but not limited to, sending of continuity of care (C-CDA) documents with discharge information and referrals for transitions of care. HSX can offer direct addresses to providers and organizations as needed.
    • For some members, HSX can serve as the Health Information Service Provider (HISP), providing direct messaging services through the hospital’s electronic health record (EHR) system.
    • The HSX PD contains more than 9,000 direct addresses for healthcare providers who actively participate with HSX for direct messaging; interoperability testing is completed before providers’ direct addresses are added to the PD to ensure employed providers within hospitals and health systems can engage with Direct in a meaningful way.
  2. Automated Care Team Finder (ACTF)
    • Uses the patient’s member identification with his or her healthcare insurer to identify the patient’s primary care provider and route continuity of care (C-CDA) documents, containing discharge information, leveraging the HSX PD.
    • More than 2,500 successful CCD deliveries by participating hospitals/ health systems occur each month.
  3. Clinical Data Repository
    • Collects and retains medical-records data about patients, permitting a patient’s provider and/or care-team members to query for clinical information about the patient.
    • In most cases, hospitals and health systems access the CDR through integration with the EHR.  The HSX query portal is available to these organizations as well.
    • Clinical Data Repository (CDR) Overview
  4. Encounter Notification Service (ENS) – Hospital-Owned Practices
    • Hospital-owned ambulatory practices can subscribe to panels of patients and receive timely notifications when their patients are hospitalized or present to an emergency department and then are subsequently discharged.
    • HSX-member hospitals and health systems support ENS by providing Admit, Discharge, Transfer (ADT) feeds to HSX.
    • Encounter Notification Service (ENS) Overview
  5. Encounter Notification Service (ENS) – For Hospitals
    • Once a hospital or health system supplies Admit, Discharge, Transfer (ADT) feeds to HSX, HSX to automatically subscribe discharged patients from the inpatient setting for the participating hospital or system.
    • ENS autosubscription provides notifications back to the participating HSX-Member hospital about discharged patients who are subsequently admitted within a defined timeframe (e.g. 30 days, 45 days) to HSX- Member emergency departments and hospitals.
    • Download our Encounter Notification Service (ENS) for Hospitals fact sheet
  6. Clinical Activity History (CAH)
    • Collects recent clinical history about a patient from the patient’s healthcare insurer, based on the patient’s member identification within the health plan and translates this claims/utilization data to a clinical care document — returning this information to the requesting emergency department.
    • Admission, discharge, transfer (ADT) feeds from the hospital’s emergency department trigger the clinical activity history service to deliver documents for eligible patients.
    • Download our Clinical Activity History Overview
  7. Urgent Patient Activity Liaison Service (uPAL)
    • The Urgent Patient Activity Liaison (uPAL) service identifies a patient’s admission, discharge, or transfer location and date/time within the regional healthcare system, serving as a patient locator service that takes advantage of member-hospital admission-discharge-transfer (ADT) data feeds and the HSX CDR.  It can be used in mass crisis scenarios or in more routine, individual cases.
HSX Member Testimonial: Jeanes Hospital

HealthShare Exchange provides a platform to share valuable information between hospitals and physicians to support continuity of care.

Marc P. Hurowitz, D.O., MBA, FAAFP
CEO, Jeanes Hospital
CEO, Temple Physicians Inc.

Benefits 

By participating with HSX, hospitals and health systems can:

  • Receive claims data from HSX-member health plans in the form of a readable, consumable document, resulting in increased awareness of patients’ previous medical activity and potential decreases in duplication of services and testing
  • Improve care management/coordination with timely notification of potential patient readmissions post-discharge
  • Assist in meeting Stage 2 Meaningful Use

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