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.
   • The HSX PD contains more than 10,000 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 practices can engage with Direct in a meaningful way.
2. Automated Care Team Finder (ACTF)
   • Leveraging the Provider Directory and Health Plan provider attribution, HSX uses its ACTF to route continuity of care (C-CDA) documents, containing discharge information, from participating HSX-member hospital to patients’ primary care providers.
   • Currently, more than 3,000 C-CDA documents are delivered each month.
3. Encounter Notification Service (ENS)
   • ​Practices and Clinics 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.
   • Admission, discharge, transfer (ADT) feeds from more than 50 member facilities in the region support ENS today.
   • Encounter Notification Service (ENS) Overview
4. Clinical Data Repository (CDR)
   • Collects and retains medical-records data about patients, permitting a patient’s provider and/or care-team members to query for clinical information.
   • Ambulatory practices and clinics have the opportunity to access the CDR through the HSX query portal or through integration with an electronic health record (EHR) for their patients.
   • Clinical Data Repository (CDR) Overview
5. 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 provider.
   • Admission, discharge, transfer (ADT) feeds are needed from practices to trigger the clinical activity history document delivery.
   • Clinical Activity History (CAH) Overview
6.  CPC+ Performance Reporting Portal (PRP)
   • Practices participating in the Greater Philadelphia Comprehensive Primary Care Plus (CPC+) Program will be able to access quarterly performance reports derived from claims data.
   • Practices have the ability to review measures within the reporting period, view individual and practice level data and monitor trends over time.
   • Comprehensive Primary Care Plus (CPC+) Overview

*Access to the Performance Reporting Portal (PRP) is restricted to practices and providers participating in the Greater Philadelphia CPC+ Program. Participating practices contracting at any level will be able to access the PRP.