InterSystems Healthcare Action Engine

Developers of digital health solutions face significant challenges when trying to integrate clinical or business logic into healthcare workflows. The task is complicated by the presence of hundreds of different Electronic Health Records (EHRs) and other clinical and business systems. Recent healthcare interoperability standards such as HL7® FHIR®, SMART, and CDS Hooks™ are helpful, but they still require developers to keep up with these evolving standards and manage differences across vendors and sites - all while managing their core code and steering development of their product.

The InterSystems Healthcare Action Engine™, an alert and notification workflow orchestration engine, simplifies these challenges with:

With InterSystems Healthcare Action Engine on top of InterSystems IRIS for Health, a comprehensive digital health development platform, developers can streamline development, reduce integration complexity, and quickly add healthcare interoperability, data management, analytics, and AI features into their applications. InterSystems IRIS for Health provides many of the capabilities required to implement data intensive, real-time, digital health applications in a single platform, eliminating the need to implement, integrate, and maintain dozens of different technologies. Developers have fewer pieces to learn and integrate, and can build on a robust, highly scalable, and fully interoperable platform. This accelerates the time to value, and also enhances the overall efficiency and effectiveness of digital health solutions, allowing developers to focus on innovation and delivering high-value features to their customers.

The InterSystems Healthcare Action Engine is a FHIR-enabled, EHR-agnostic alert and notification workflow orchestration engine designed to deliver real-time actionable insights. It provides a single application to create and manage knowledge artifacts, triggering events, alert messages, and system configuration settings. It combines a no-code healthcare-specific rule builder with end-to-end intelligent alert management to easily generate meaningful patient-centric insights for a variety of applications.

InterSystems Healthcare Action Engine leverages CDS Hooks, a powerful interoperability standard published by Health Level Seven® (HL7®) International to integrate real-time, actionable Clinical Decision Support (CDS) into EHRs and other clinical systems.

CDS Hooks provide a standardized way for EHRs to communicate with external applications, allowing for rapid development, agile iteration, and continuous improvement. Developers can create robust, context-aware solutions that enhance clinical workflows without the need for extensive custom integration. This significantly reduces the time and complexity associated with developing and deploying new features and updates.

By leveraging CDS Hooks, the Healthcare Action Engine frees developers to focus on what they do best: creating innovative applications that deliver real value to healthcare providers and patients. Whether it’s integrating patient-specific recommendations, streamlining clinical workflows, or enhancing decision-making processes, the Healthcare Action Engine empowers developers to build and deploy impactful solutions swiftly and effectively.

To enable timely interventions, such as providing CDS guidance, identifying patients for clinical trials, or intervening for those with specific conditions, digital health solutions need a streamlined process to define events or activities that necessitate intervention, execute the relevant logic, and seamlessly connect with the EHR.

Integrate Patient-Specific Decision Support into the Clinician’s EHR Workflow
Displaying real-time, actionable data within a clinician’s native environment can be very difficult, especially when the data or logic comes from outside the EHR (like claims and national/HIE data and systems). The Healthcare Action Engine can operate with any of that data, allowing the resulting messages to be seamlessly delivered to any system that supports CDS Hooks, including EHRs and dedicated applications. This ensures versatile and effective clinical decision support across various platforms.

Clinician alert fatigue is a huge issue, and it’s important to reduce it by modifying or deleting low performing rules to ensure that only high-quality, effective information is being displayed to the right person at the right time. The Healthcare Action Engine tracks alert performance and clinician responses, allowing for the refinement or removal of ineffective rules. This can also be fed into analytics, workflows, and your own application logic using facilities in InterSystems IRIS for Health.