HSX has initially based its technology approach on the DIRECT technology framework, which sends encrypted health information to known, trusted recipients over the Internet.  This framework was originally conceived as part of the DIRECT Project, an open government initiative started by the Department of Health and Human Services’ Office of the National Coordinator (ONC) for health information technology.  HealthShare Exchange’s intent is to evolve its initial technology services from secure messaging to robust query exchange with local, state and, federal entities within a few years.



A unique attribute of HealthShare Exchange is the participation of providers and health systems as well as health plans in securely sharing patient information.  This “enhanced” Direct approach to exchange will facilitate the sharing of relevant patient claims and activity information (through health plan information) with diagnosis and treatment information (through provider and health system information).  This model seeks to deliver a comprehensive view of patients’ clinical histories as they interact with various levels of care and various entities in the healthcare system.  This enhanced view is designed to contribute to better transitions of care, and consequently, better healthcare outcomes.

HSX’s technology approach in implementing health information exchange is to use, as much as possible, existing and “commodity” industry solutions based on existing and emerging standards.  In this sense, HSX is “technology agnostic” or more specifically, does not assume a “build” approach for its core components. Also, alignment and support for the PA eHealth Collaborative is core to HSX’s strategy.  This direction assumes that data and information exchange in support of the business use cases is the differentiator versus the tools used to connect end users for HSX — with the effort also seeking to achieve the goals of federal and state health information objectives.

HSX works to create intraoperability between health information systems of its member systems by permitting exchanged clinical data to be accessed within each organization’s native work environment, regardless of the proprietary nature or vendor source of each organization’s information system.  In this effort, HSX collaborates with its members to make adaptations necessary for regionally exchanged health information to be readily incorporated in the each member’s and user’s in-house workflow environment.



The Strategy Roadmap...

  • Scaled Deployment of Direct, Use Cases, ENS
  • All Member Connections Complete
  • PA Certification Complete
  • Financial Sustainability Model Approved
  • Participation Agreements (PARs) Signed
  • Multiple FQHCs on boarded
  • Begin Consumer Awareness Campaign
Quarter 3, 2015
  • City Health Clinics on-boarded
  • CDR Service Deployed
  • Connect to P3N (Commonwealth of PA)
  • HealtheWay Connection
  • Neighboring HIE Connections- NJ, DE
  • ACO Member On-boarded
  • Recruitment of New Members
  • Emergency Response Service
Quarter 4, 2015
  • 15,000 Providers Strong
  • Robust Clinical Data Repository
  • Lab Results
  • Multiple Services Offerings – Push and Pull
  • Population Health Services – Reports and Analytics
  • New Use Cases and Explore Shared Services
  • Research Initiatives - Support Grants