Pesquise para saber mais sobre produtos e soluções da InterSystems, oportunidades de carreira e muito mais. Os resultados incluem conteúdos da nossa comunidade de desenvolvedores, documentação de produtos e sites de educação, além de InterSystems.com.

Healthix Improves Care Coordination with HealthShare & Real-Time Clinical Alerts

Smiling female doctor

CUSTOMER: Healthix

CHALLENGE: Deliver critical health status information to known providers even if a patient has not yet signed a consent form.

OUTCOME: Essential Alerts comply with privacy regulations while helping providers coordinate and deliver the best care

In every healthcare system, there is a profound tension between the need to protect the privacy of personal health information and the need to share it for better care. In New York State, health information exchanges such as Healthix, in the greater New York City area, must have written consent from patients before clinicians can access their information.

Providers or facilities that share data with Healthix usually obtain consent during a patient’s visit. But what happens when the patient is admitted to an emergency department where he has not signed a Healthix consent form, and is unable to? What happens if he cannot convey critical information about his heart condition, for example?

Information Needed for Better Care Coordination

Healthix — the largest public health information exchange in the U.S. — uses InterSystems HealthShare® to gather and maintain a unified health record for more than 16 million individuals, share data with more than 600 healthcare organizations, connect more than 6,000 sites, and send more than 7 million Clinical Event Alerts per year to providers.

Healthix system statistics show that important, actionable health information in this and many other cases often cannot be sent — nearly 6.5 million times in the year studied — for lack of a signed consent form. Clinicians, care managers, and patients may be missing an opportunity for better care and care coordination.

Dr. Sarah Nosal, MD, FAAFP, Institute for Family Health CMIO and Healthix user

Essential Alerts

The State of New York has strict laws and policies governing health information exchanges exchanges, which includes patient consent and patient consent for information sharing. Recognizing that broader sharing of health information improves patient safety, care coordination, and care outcomes, the state recently amended their policies for cases where a physician already has a care relationship with a patient, but the patient has not yet signed the Healthix consent form. With this change, Healthix used HealthShare to quickly create a new information sharing program called Essential Alerts.

Essential Alerts inform clinicians that have an existing relationship  with a patient about emergency department and many other types of changes to their patients’ care status in real time, while conforming to the state’s strict patient consent policies.

For example, a physician overseeing a patient’s care could be notified that the patient has been admitted to the emergency department of nearly any hospital in the New York City region with a complaint of chest pain, even if the patient has not yet given explicit permission on a Healthix consent form to share that information. The Essential  Alert provides a limited set of important and actionable information to the physician compared to what can be provided with consent. This information includes patient identity, location, date, and time of the event, chief complaint, initial diagnosis, and an indication that laboratory or other results will be available once the patient gives consent.

A Boon for Care Managers

Providers and health care organizations participating in an Accountable Care Organization (ACO) or Performing Provider Systems (PPS), for example, can provide Healthix with a list of their high-risk patients or those with chronic conditions. With real-time data feeds from more than 180 organizations across the region, it’s likely that these patients are already part of the Healthix unified health record. When a patient of interest interacts with the healthcare system, Healthix recognizes the status change and can send an appropriate alert to the providers and care managers that need it.

Tom Check, Healthix President and CEO

Realizing the Full Value of Your Investment in Health Information Technology

The promise of electronic medical records (EMRs) is that all of the information needed to deliver the best, most coordinated care will always be available. But the reality is different. A typical Medicare patient, for example, sees an average of two primary care providers and five specialists, from four different organizations each year1. For a panel of patients with four or more chronic conditions, primary care physicians need to coordinate care with 86 physicians in 36 different practices2.

For all patients, health information becomes dispersed among the different EMRs used by different clinicians, care delivery systems, and medical, social, and behavioral care practices. Healthix complements the EMRs in use across the New York City region by creating a unified, full and aggregated patient record with HealthShare for better care coordination and patient safety.

 


1 New England Journal of Medicine. March 15, 2007. Care Patterns in Medicare and Their Implications for Pay for Performance. Hoangmai H. Pham, M.D., M.P.H., Deborah Schrag, M.D., M.P.H., Ann S. O’Malley, M.D., M.P.H., Beny Wu, M.S., and Peter B. Bach, M.D., M.A.P.P. http://www.nejm.org/doi/full/10.1056/NEJMsa063979

² Ann Intern Med. 2009 Feb 17; 150(4): 236–242. Primary Care Physicians’ Links to Other Physicians through Medicare Patients: The Scope of Care Coordination. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3718023/

Outras Histórias de Sucesso Que Você Pode Desfrutar

Jun 16, 2022
Person interacting with a tablet screen.
Banco Global de Investimentos
Um dos maiores bancos de investimento do mundo migrou sua principal aplicação de gestão de comércio de ações para a tecnologia da plataforma de dados InterSystems.
Jun 03, 2022
Scalability_IDN_HIE-1200-1024x538.jpg
Para os grandes sistemas de prestação de cuidados de saúde, a escalabilidade do software é fundamental. À medida que as organizações crescem, precisam de dados que circulem sem problemas pelos seus sistemas de TI de saúde para fornecerem um registro unificado de cuidados, e para análises que abranjam cuidados contínuos. No entanto, muitas iniciativas de compartilhamento de dados de primeira geração não conseguem resolver os desafios técnicos fundamentais, incluindo o acesso, a escalabilidade e o desempenho.
Jun 02, 2022
Businessman wearing dark suit looking at his phone
Broadbridge Financial Solutions
O Desafio Broadridge Financial Solutions, um líder mundial da fintech que lida com US$7TN de rendimento fixo e transações de títulos de ações por dia, precisava de uma melhor forma de gerir e distribuir volumes crescentes de dados.
May 25, 2022
Woman in warehouse taking inventory on tablet
Organizations recognize the importance of an optimized supply chain to business success, but data and application silos, complex partner ecosystems, and periodic market disruptions make it challenging to achieve in practice.
May 19, 2022
Scalability_IDN_HIE-1200-1024x538.jpg
Para grandes sistemas de prestação de serviços de saúde, a escalabilidade do software é fundamental. Conforme as empresas crescem, elas precisam de dados fluindo perfeitamente através da TI em saúde para fornecer um registro unificado de cuidados e para análises que cubram o espectro de atendimento. Entretanto, muitas iniciativas de compartilhamento de dados de primeira geração não conseguem lidar com desafios técnicos fundamentais, incluindo acesso, escalabilidade e desempenho.
May 06, 2022
2 older doctors wearing masks looking at a tablet
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.
Apr 20, 2022
Businessman wearing dark suit looking at his phone
Broadridge Financial Solutions
O Desafio A Broadridge Financial Solutions, uma fintech líder mundial de US$ 5 bilhões e US$ 7 trilhões de transações de títulos de renda fixa e ações por dia, precisava de uma maneira melhor para gerenciar e distribuir volumes crescentes de dados.
Apr 06, 2022
Physician pointing to tablet screen
O diretor médico de um grande plano de saúde da costa oeste dos Estados Unidos pediu visibilidade completa de quem está no hospital a qualquer momento. Dado o trabalho que o plano de saúde já estava fazendo com a InterSystems e a troca de informações de saúde, o diretor de dados e análises corporativas respondeu confiante: "Sim, podemos fazer isso". "Você pode fazer isso em seis meses?" perguntou a CMO. A resposta? Afirmativo também.
Nov 23, 2021
Hospital Doctor With Digital Tablet Talks To Male Patient
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.
Nov 23, 2021
group of doctors looking at images
When Hunterdon Healthcare joined forces with a larger neighboring health system, they knew they had the opportunity to lower costs and improve care for patients in western New Jersey. The two organizations opened a collaborative radiology imaging center that promised to cut wait times and bring high-quality services to more patients in their shared community.