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.