MHC Encounter Notification Services (Alerts)

What is an Encounter Notification?

  • An electronic message sent to alert a health care provider or care coordinator that includes information about his/her current patient/member has received care at a different health care facility (acute/ambulatory).

What information is included in the notification message?

  • The electronic message includes relevant patient information about the patient’s care that occurred including:
    • Demographics
    • Facility information
    • Encounter description
    • Physician information
    • CCD of the patient encounter that identifies complaints, diagnosis and other clinical notes and discharge summary information

What are some meaningful and actionable use cases for Alerts?

  • Hospital admissions
  • Hospital discharges
  • Ambulatory Encounter
  • Post-Acute Care
  • Transitions of Care
  • Patient Expiration
  • Patient management for Value-Based Care or Risk-Based Contracts
  • Care Coordination Activities
  • Results Delivery

Who are recipients of Alerts?

  • Recipients of Alerts include anyone involved in a patient’s primary care or transition between care settings.
  • This can include Clinicians, Care Managers, Care Coordination Organizations, Post-Acute Care practitioners, Behavioral Health Organizations, etc.

Can Alerts be generated for any patient? 

  • All patients included in the patient index list within an EHR system provided to MHC can be included in the Alerting service.

How soon after an encounter will I receive an Alert?

  • MHC receives information from its Participants in real-time and delivers the alert within moments of an encounter occurring.

How do alerts work and how can I receive them?

  1. Patient has an encounter at a hospital/clinic
  2. MHC receives encounter ADT message from the treating provider
  3. MHC checks to see if the Patient is registered for an alert.
  4. MHC collects the Patient’s CCD and generates the alert message and content
  5. MHC sends the alert to the subscribing MHC Participant
  6. MHC Participant conducts the next meaningful and actionable patient follow up activity including care coordination or transition of care activity

 

IMPLEMENTATION

  • MHC will implement and deploy its Event Notification Services (ENS) into the Participant’s MHC environment. The deployment will utilize the existing patient index and query-based exchange infrastructure as well as implement the additional infrastructure required to deliver ENS.
  • MHC will enable Participant to set up subscriptions to receive Alerts when specified encounter-based events take place for the Participant’s patient population.
  • Real-time alerts will be pushed out to the Participant from MHC’s event notification module that is set to trigger an alert when certain patient encounter type data elements are discovered as determined by the Participant’s subscription settings.
  • MHC will send the alert to the Participant using a transport methodology that works best in the workflow.
  • Deployment time is estimated to be 4 – 6 weeks.

Do Patients provide consent to have their information shared in an Alert?

  • The current MHC Opt-In consent policy includes and covers the necessary patient consent for treatment, payment and operations related activities allowed under HIPAA.  All use cases for Alerts fall under these HIPAA allowed permitted uses.
  • The “P” in HIPAA. Portability of information is the very heart of health information exchange and Alerts are a prime example of how health information technology is empowering patients to have their protected health information be portable so their care providers can more effectively treat them.
  • The Alerts are a great way to help reassure patients that you will be kept informed about their care in a timely manner when they are treated elsewhere.

Can Alerts be generated for any patient? 

  • All patients included in the patient index list within an EHR system provided to MHC can be included in the Alerting service.

How soon after an encounter will I receive an Alert?

  • MHC receives information from its Participants in real-time and delivers the alert within moments of an encounter occurring.

What are the value propositions for providers to use Alerts?

  • Enables clinicians and care coordinators to receive real-time alerts when a patient has any type of encounter
  • In conjunction with MHC’s query-based exchange network, review medical records from your patient’s hospital stay or clinic visit
  • Receive summary of care, chief complaint, and discharge disposition
  • ENS notifications are delivered securely to providers via DIRECT email messaging or into an EHR system; whichever is best for the work flow.
  • Customizable solution.
  • Unlimited number of patient Alert subscription can be established
  • Unlimited number of individuals can receive any number of Alerts

What is the return on investment for organizations to use Alerts?

  • Low-cost, economical solution
  • Alerts can facilitate additional Medicare reimbursements by allowing TCM (Transitional Care Management) codes to billed – i.e., seeing your patients within 7-14 days after a discharge
  • Proactively coordinate your patients’ care and schedule any necessary follow-up treatment or visits to prevent hospital readmissions
  • Readmission Alerts: MHC can send and Alert when a patient recently discharged is readmitted to another hospital within 30 days.
    • Alerts can be sent to registration/ triage personnel when a patient who has just registered is a 30 day readmission from any other hospital
    • Preventing an avoidable readmission leads to less financial penalties for hospitals for readmissions.

 

Click here to learn more about MHC Alerts.

Click here to register for MHC Alerts.