Skip to content
Search to learn about InterSystems products and solutions, career opportunities, and more. Results include content from our developer community, product documentation and education websites in addition to InterSystems.com.

Northwell Health Leverages a Billion Data Points for Innovations in Care and Care Coordination

Northwell Health, based on Long Island, New York, is one of the largest private health systems in the United States. Its growth has been simplified by leadership’s decision to avoid the disruptions of “ripping and replacing” the different EMRs used by acquired organizations. Instead, Northwell uses InterSystems HealthShare® to aggregate, integrate, store, and use information from the disparate EMRs and other clinical systems across its 23 hospitals, 655 outpatient facilities and more than 18,500 affiliated physicians.

Using HealthShare’s unified health record, Northwell now has at its disposal a healthcare database holding over 1 billion data points. This includes eight million patients and hundreds of millions of diagnoses, observations, results, and other information. Northwell has deployed HealthShare and used this data to improve care delivery, care coordination, outcomes, and business performance.

 
 

CUSTOMER: Northwell Health

CHALLENGE: Pull together all the data from multiple sources to improve care coordination and outcomes, identify cohorts for population health and clinical trials, and manage risk.

OUTCOME: Better, more informed care through a unified health record, and faster, more innovative uses of the data.

 
 

CUSTOMER
Northwell Health

CHALLENGE
Pull together all the data from multiple sources to improve care coordination and outcomes, identify cohorts for population health and clinical trials, and manage risk.OUTCOMEBetter, more informed care through a unified health record, and faster, more innovative uses of the data.

Piloting the Path to Innovation

Northwell was introduced to HealthShare through a pilot project with Healthix, the nation’s largest public health information exchange, which also uses HealthShare. The project tested the premise that shared health information can improve care coordination and outcomes for women with high-risk pregnancies. For Northwell this was a test of HealthShare, as well, as it required the sharing of obstetrics information across a community of more than 100 providers using three distinct outpatient EMR instances, two different inpatient EMRs, and two prenatal imaging centers with their own ultrasound reporting systems.

Jim Heimen, Northwell Health

The pilot succeeded on several fronts. Critical information followed the patient wherever she encountered the healthcare system. For example, when a high-risk expectant mother was admitted to an emergency room, the system automatically notified her obstetrician and primary care doctor while providing the emergency room physicians with instant access to her aggregated medical history. If lab results indicated a problem for mother or baby, the admitting physician received an alert in the form of an indicator on the Labor and Delivery EMR.

Expanding Care Coordination and Raising Efficiency

With the success of the pilot project, Northwell adopted HealthShare to take advantage of its unified health record and connected applications. For its first major project, Northwell used HealthShare as the foundation for a rule-based care coordination application called Care Tool. Care Tool identifies high-risk patients, assesses needs, shares care plans across providers and locations, supports efficient workflows, and provides quality metrics for continuous improvement. In its initial assessment, Northwell found that the use of Care Tool resulted in:

  • Six percent fewer readmissions for cardiac valve replacement patients
  • Eighteen to 28% more patients discharged to home instead of a skilled nursing facility
  • Lowered risk of infections
  • Up to 56% greater use of in-network home care, enabling better quality control
  • Greater patient satisfaction

A Bimodal Approach to Innovation Protects EMRs

With its now-proven capabilities for aggregating data and improving care coordination, Northwell saw the opportunity with HealthShare to take a “bimodal” approach to innovation. This approach ensures that Northwell’s mission-critical EMR systems remain up, stable, and secure, while their data is captured by HealthShare in real-time for use in other, value-added systems. The organization established the Center for Health Information Technology and Innovation with HealthShare at its core, and began creating new systems to:

  • Target gaps in clinical workflows not typically covered by EMRs
  • Simplify management of risk in at-risk contracts
  • Automate establishment of patient cohorts for population health management and cohort analytics

The Center for Health Information Technology and Innovation has developed workflow optimization capabilities by pushing the boundaries on patient identity management, cohort stratification, event notifications, clinical dashboards, and smart light-weight applications. At the same time, Northwell has built out a technology backbone where external solution vendors can integrate with these innovations through application programming interfaces (APIs) to test and optimize their complementary products.

Download the PDF

Other Success Stories You Might Like

Jul 27, 2022
doctor with kid and mother
New York City's health agency enlisted Healthix, a longtime InterSystems HealthShare® partner, to collaborate on several other projects designed to keep school children healthy.
Jul 27, 2022
group of doctors looking at laptop
Healthcare organizations are moving quickly to satisfy new interoperability rules from CMS and ONC. For some, the regulatory requirements serve as a springboard to exceed expectations, creating data-driven experiences for members.
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.
Dec 07, 2021
Physician pointing to tablet screen
The Chief Medical Officer at a major west-coast health plan in the U.S. asked for complete visibility into who’s in the hospital at any given moment. Given the work the health plan was already doing with InterSystems and health information exchange, the director of corporate data and analytics answered confidently, “Yes, we can do that.” “Can you do it in six months?” the CMO asked. The reply? Also affirmative.
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.
Jun 21, 2021
woman using laptop and tablet
At Baystate Health in western Massachusetts, they have a phrase for when innovation works behind the scenes to help patients: “Things are automagically happening.”

Take The Next Step

We’d love to talk. Fill in some details and we’ll be in touch.
*Required Fields
Highlighted fields are required
*Required Fields
Highlighted fields are required
** By selecting yes, you give consent to be contacted for news, updates and other marketing purposes related to existing and future InterSystems products and events. In addition, you consent to your business contact information being entered into our CRM solution that is hosted in the United States, but maintained consistent with applicable data protection laws.