Implementation Timeline



HSX has made great strides in implementing exchange technology through 2014 and moving quickly into 2015. Member hospitals/health systems are at a variety of stages of technology evaluation, testing, deployment, and clinical use of exchange capabilities.

Direct Secure Messaging

  • Health Information Service Provider (HISP) deployment continues (Penn Medicine; CHOP)
  • Discharge Information use case adoption scaled across HSX membership
  • Provider Directory Grows
  • Active Ambulatory Practice Participant Recruitment 
January 2015

Encounter Notification Services

  • Pilot for Encounter Notification Service (ENS) began in March 2015 
  • Hospital Data Feed Implementation continues to support use case
  • ENS scales across the membership
Available since April 2105

Clinical Activity History Use Case

  • Holisticly innovate client-centered niches rather than granular imperatives. 
  • Competently innovate world-class 
  • Efficiently parallel task magnetic strategie
Go live July 2015

Clinical Data Repository

  • HSX receives additional data feeds from members (e.g. CCDs, Labs, Radiology Reports, Transcribed Documents)
  • Query Portal Implementation begins
Coming Mid-Late 2015



During 2014, HSX has worked to provide Heath Information Service Provider (HISP) services, including Direct secure messaging to its members.  It has tested the Direct secure messaging service with two use cases: Hospital Discharge Information and Clinical Activity History.  Both of these use cases address the need for improved transitions of care in the five-county region and are in production as of Q4 2014.

In October 2014, HSX put out a RFQ (request for quotes) for Encounter Notification Services (ENS) and Query-Based portal services and plans to select a vendor(s) that best meet its needs in these service areas. 

Once the RFQ is complete and HSX contracts with an ENS vendor, it will begin to approach member organizations and end user Participants to subscribe to the ENS service, whereby Primary Care Providers (PCPs) and Care Teams will provide a list of active patients for whom they are interested in receiving admission and discharge notifications from HSX.  HSX will return a summary list of these encounter notifications back to the subscribing practice/organization.