Quality Health Network (QHN) of Grand Junction Colorado receives real time HL7 ADT messages for urgent care, emergency department, and inpatient stays. Providers are offered the option of receiving the messages for all of their patients or can subscribe to a specific group of patients, e.g., diabetics to support population health management. QHN supports multiple methods for notification delivery, e.g., Direct messaging, secure file transfer, or forwarding the ADT messages. This enables QHN to support variations in provider workflow. In the second quarter of 2015 QHN provided over 23,000 alerts to 38 participating practices.

Great Lakes Health Connect (GLHC) has many sources of inbound HL7 ADT data from its participating hospitals. It also has the ability to route those messages to community providers based on the information contained within the ADT messages. However, most community providers do not know what to do with an HL7 message, as they are either unable or unwilling to integrate those messages into their EMR or do not have an EMR system. In order to meet the needs of these providers, GLHC uses its interface engine to create a .pdf formatted notification report pulling out the data from the raw HL7 message. Once completed, GLHC reformats the inbound HL7 ADT message to instead look like a standard HL7 Result message and attach the newly created report to it. GLHC uses their standard result delivery process to send those notifications to a GLHC inbox deployed within the office. Providers not otherwise able to get notifications can see -- in near real time -- patient who have been admitted and/or discharged from inpatient, urgent care, and emergency settings. This improves their opportunity for additional reimbursement and enhances the speed with which patients are scheduled into the office to ensure compliance with discharge instructions, resulting in reduced readmissions.

The Utah Health Information Network (UHIN) receives ADT messages for emergency room visits and hospital admissions and discharges statewide. Payers and providers can subscribe to these messages for their members and patients. Alerts are sent in real-time using Direct messaging or secure file transfer. Payers and providers can specify the patient cohorts for which they would like to receive alerts. Obstetricians are using the alerts to monitor discharges for maternity patients to support timely postpartum care. A payer uses alerts on ED visits by asthma patients to contact the patient to ensure that they have medication for the routine treatment of their chronic condition. Behavioral health providers receive alerts on hospital admissions for their high-risk patients to enable them to arrange care while the patient is in the hospital. UHIN sends over 12,000 alerts each month.

The Nebraska Health Information Exchange (NeHII) receives notifications of patient hospital admissions and discharges using HL7 ADT messages. These messages are used to generate notification to support PCPs, hospitals, and care givers from home health agencies. NeHII provides the Visiting Nurse Association (VNA) of Omaha with daily alerts of hospital admissions and discharges for their patients. VNA receives approximately 400 notifications per week for patients enrolled in their services. This service has increased the efficiency of intake processing, reduced time spent by VNA calling hospitals, and enabled more timely follow-up with patients.

Indiana Health Information Exchange supports a federated clinical data repository that provides a single point of collection for all clinical data provided by the participating providers. A resident of a long-term care or palliative facility may be transferred to a hospital for treatment or an outpatient procedure. Hospital staff admitting and caring for the patient can view information contributed by the long-term care or palliative facility. Contributed data includes advanced directives, allergies, medication lists, problem lists, and SBAR’s (Situation Background Assessment Recommendation). In these cases, hospital staff can access recent information regarding the patient’s medications, mobility, diet allowing them to better anticipate the patient’s needs. Similarly, the long-term care or palliative facility staff can follow the patient’s care while at the hospital so they can better anticipate the patient’s care while at the hospital so they can better anticipate his or her care needs when the patient is transferred back.

The Indiana Health Information Exchange (IHIE) captures 20 million admission and discharge records from 106 hospitals. This allows IHIE to track the current census, available beds, and types of beds available at each hospital. This information, used by emergency management personnel, helps identify available beds and dispatch ambulances to facilities with the capacity to provide care to the patient.

Funded by the California Healthcare Foundation, this eHI report examines how eHealth tools can support chronic disease management among socially disadvantaged populations. Four domains of technology are reviewed – telehealth, mobile health, patient web portals, and social media – in the context of heart disease, diabetes, and cancer.

Funded by the California Healthcare Foundation, this eHI report examines how social media tools and technologies are being utilized by adults to alleviate mental health conditions and prevent behavioral risk factors associated with chronic disease. The report examines the impact of social media and role of online communities in enhancing health promotion and behavior change efforts targeting wellness, healthy eating, and active living across a variety of settings, including occupational, behavioral, personal, clinical, public, and community health.

This document contains key findings from a national survey of Chief Information Officers and C-level executives across the country that was conducted by eHealth Initiative and the College of Health Information Management Executives (CHIME) to examine the use of data and analytics.