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 2 specialty hospitals 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
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
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.
Encounter Notification Service (ENS) Overview
Clinical Data Repository (CDR)
Our Master Patient Index (MPI) serves as a database to patients in the HSX membership region. With sophisticated algorithms to accurately search and confirm a patient, HSX members can access significant clinical and claims data in one central location. Retaining information from our direct members, statewide through the P3N, and nationally from eHealth Exchange, our members can see encounters, patient problems, medications procedures, Continuity of Care Documents (CCDs), lab results and more robust clinical data. This information can be accessed in a variety of different ways to support provider’s existing workflow.
Clinical Data Repository (CDR) Overview
Quality Reporting
Data from HSX can help close gaps in quality reporting under programs such as HEDIS, MIPS, MACRA, and other risk-sharing agreements between providers and health plans. As a provider, you want to make sure the health plans you work with give you credit for all the care you’ve provided when calculating quality measures. Otherwise, your quality measure results may be impacted by missing data, negatively affecting your reimbursement rates.
HSX can help to ensure your health plan partners have up-to-the minute clinical data on procedures, test results, and vital signs observations that influence your performance on these measures. In contrast to payer claims data, which can lag by several months, HSX delivers data to your health plan partners in real time.
In a healthcare market as significant as the greater Delaware Valley region, doctors, hospitals, insurers, and others must work together to improve healthcare quality, lower costs, and improve satisfaction. One way that will happen is through innovation and by creating a superior health information exchange, such as HealthShare Exchange
Richard L. Snyder, MD (Chair)
Senior Vice President / Chief Medical Officer, Independence Blue Cross