How Does HSX Support the Journey to Value Based Care?

As a member-driven Health Information Exchange (HIE), HSX has always been a conduit for sharing clinical data among all parties engaged in each patient’s care—not only healthcare providers and health plans, but also the many community organizations and partners focused on population health, behavioral health integration and social determinants of health (SDOH).

outcomes cost quality

Achieving the Institute for Healthcare Improvement’s Triple Aim goals of achieving better outcomes through better quality care and at a lower cost requires that clinical data from across the continuum of care be broadly accessible in real time to everyone engaged in treating a patient or coordinating their care. Traditional HIE services like HSX’s Encounter Notification Service and Clinical Data Repository have helped for many years to move data where it’s needed at the point of care for individual patients.

While this is still critically important, the larger goal for health data interoperability is to enable data activation—to make high-quality, computable data available at scale to take actions that improve outcomes for everyone, especially those in high-risk and underserved populations. HSX is enabling services that help to care for the whole patient and improve health outcomes for the whole region:

  • Healthcare quality measurement at lower cost—HSX is an early recipient of the National Committee for Quality Assurance’s Data Aggregator Validation certification, enabling health plans and providers to use HSX’s clinical data as HEDIS® standard supplemental data in value-based care programs. This eliminates the need for primary source verification (PSV) for payers from certified sources.
  • Population Health programs improving care for groups with unique needs—HSX members can activate data for focused populations based on clinical conditions, demographics, or gaps in care. 
  • Public Health—HSX supports regional public health agencies on many fronts, from COVID response, enabling surveillance of communicable diseases, and supporting Community Health Needs Assessments. 
  • Health Equity—HSX is contributing to the national conversation on health equity with programs aimed at illnesses disproportionately affecting underserved populations and by working with our members to inform their care. In collaboration with other Pennsylvania HIEs, HSX is developing PA NAVIGATE, a closed-loop referral program to address patients’ needs related to Social Determinants of Health (SDOH). HSX is also a key source for our members for valid patient demographics, allowing stratification by race, ethnicity, language, and other individual characteristics.
  • Research activities enabling our members to engage their patients in clinical trials and other studies and obtain clinical data more cost-effectively.