Reducing hospital readmission rates means knowing your high-risk patients, having the right information at the right time, and close communication among the care team. But how is this possible when patients see multiple physicians or go to multiple hospitals, each with different electronic medical record systems and workflows?

The Rhode Island Quality Institute (RIQI) is answering this question and reducing readmissions with “CurrentCare,” its statewide health information exchange based on InterSystems HealthShare® software. RIQI is reducing readmissions in populations of high-risk patients using automated alerts sent to the entire care team when:

  • A patient is seen at an emergency room or admitted or discharged from a hospital
  • A prescription for a medication has not been filled
HealthShare gives RIQI the analytics needed to target cost savings and provide a level of quality-of-care feedback that physicians can’t get by looking only at their own records.

Gary Christensen, COO, CIO
Rhode Island Quality Institute

Using HealthShare, RIQI is able to aggregate and normalize consented patient data from hospitals, physicians, labs, and pharmacies across the state in near-real-time. RIQI then uses HealthShare active analytics to analyze the data and automatically alert providers to take action that makes a difference in care. In fact in one trial involving a population of diabetics there was a double-digit reduction in the readmission rate, comparing patients of care teams receiving alerts to those that did not.

“HealthShare is giving providers across the state the information they need to deliver the best care,” says Gary Christensen, RIQI’s chief operating officer and CIO. “And HealthShare gives RIQI the analytics needed to target cost savings and provide a level of quality-of-care feedback that physicians can’t get by looking only at their own records.”