From primary care offices to a broad range of specialists, HealthShare Exchange (HSX) offers services to assist in providing quality and timely information that benefits patients and providers.

Currently, there are more than 120 independent ambulatory practices utilizing a variety of services to increase efficiency in the office setting and improve patient satisfaction and outcomes.

Whether it’s being notified that a patient has just been discharged from a HSX-member hospital or receiving information about a newly referred patient prior to the patient’s visit, HSX can improve the value of each patient encounter that comes with the sharing of data at the right place and time.

Service Descriptions

Direct Secure Messaging

Utilizing the national Direct Project standards, HSX helps members send and receive confidential patient health information by Direct Secure Messaging. This service transmits secure, electronic messaging between providers directly into their Electronic Health Record (EHR). If an organization’s EHR cannot support direct, HSX can provide a secure portal for organizations to use. Webmail, a web-based platform, allows providers to receive any type of clinical information including but not limited to Continuity of Care Documents, Encounter Notification Service or Referrals.

Provider Directory (PD)

Our Provider Directory (PD) contains over 15,000 direct addresses for clinical providers who actively participate with HSX. Members can utilize our directory to send secure messages regarding patients including Continuity of Care (CCD) Documents to other providers on the patient’s care team. Through our PD, members can securely communicate beyond their organization with other HSX member-based providers and participants regarding patient care.

Automated Care Team Finder (ACTF)

In an effort to support patient Transition of Care visits, HSX routes CCDs containing important discharge information to a patient’s Primary Care Provider. The service identifies patients through their healthcare insurance identification to quickly determine providers involved in medical care and automatically deliver pertinent clinical information through direct secure messaging.

Encounter Notification Service (ENS)

Supporting transitions of care, HSX members can subscribe to their patient populations and receive notifications when these patients have had encounters across the healthcare continuum. This would include an admission or discharge notification for hospitalizations including the emergency department, or post-acute care facilities. HSX’s external network connections support this service and provide patient access to this critical data across Delaware, New Jersey and Pennsylvania. This data can be delivered through a variety of delivery mechanisms and sent real-time or as a summary list.

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

Clinical Activity History (CAH)

HSX integrates with patient insurance providers to receive recent claims history. The patient’s insurance claims data is compiled into a Continuity of Care Document and is sent to requesting healthcare providers. Healthcare providers can access centralized clinical information through our Clinical Data Repository or in their Electronic Health Record via Direct Secure Messaging.

Clinical Activity History (CAH) 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.

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

Service Offerings HSX
Basic
HSX
Plus
HSX
Select
HSX
Accelerate
Direct Secure Messaging (Direct)
Provider Directory
Encounter Notification Service
Access through Direct, Secure File Transfer
Access through ENSahre Real Time Notification Tool
Inclusive of Hospital/ED and Long-Term Care/Skilled Nursing Facility data
Clinical Data Repository
Access through Query Portal
Clinical Data Repository
Access through EHR Integration

*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.