encounter notification service (ens) overview · microsoft word - ens overview final[1].docx...

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EncounterNotificationService(ENS)Overview

WhatisENS?TheEncounterNotificationService(ENS)providedbyHealthShareExchangealertssubscribingproviderparticipantsabouttheirpatients’admissionsanddischargesfromtheemergencydepartments,hospitals,andpost-acutecarefacilitiesthatareHSXmemberorganizations.Notificationsaredeliveredasasummarylistorinreal-time,perpatientmessages.

Subscribingparticipantscanchoose:• whattheywanttobenotifiedabout(e.g.,admissionsonly,dischargesonly);• howoftentheyreceivethenotifications(e.g.,realtime,daily,twiceaday);• andhowtoreceivenotification(e.g.,directsecuremessage,SFTP).

WhoiscurrentlyeligibletosubscribetoENS?• accountablecareorganizations• clinicallyintegratednetworks• healthplans(healthinsuranceplans)• primarycareproviders• specialtycareproviders

WhyshouldIsubscribetoENS?Providersandhealthplansareoftennotcontacted,ornotcontactedinatimelymanner,whentheirpatientsareadmittedordischargedfromafacility.Medicalserviceareasthathaveanencounternotificationsysteminplacehaveexperiencedimprovementsincarecoordinationacrosstheircommunities.

Whatdoesthesummarylistofnotificationslooklike?Seetemplatebelow.

HowoftendoIneedtosubmitmypatientorenrolleeroster/panel?Ataminimum,patientorenrolleerosters/panelsneedtobesubmittedonceamonthbysubscribingproviderparticipants.Subscribinghealthplansarerequiredtosendrosters/panelsmorefrequently.

HowdoesHSXmatchtheinformationthatitreceivesfromitsmemberhospitalsandotherfacilitieswiththepatientsintheproviderpanels?HSXcombinespatientdemographicinformationreceivedfromitsdataprovidersintoaMasterPatientIndex(MPI)andusesatested,weightedalgorithmtomatchpatients.HSXmonitorstheMPIandconductsqualityassurancetoverifytheaccuracyofthepatientdataitmaintains.AsmoreinformationisprovidedtoHSXfrommoredatasources,HSXcontinuouslyimprovesitsmatchingalgorithm.

revised11.20.17 2

WhatdoIdoifIreceiveanotificationaboutsomeonewhoisnotmypatient/enrollee?PleasenotifyHSX’sprivacyandsecurityofficerimmediatelybycalling1-855-479-7372orbysendinganemailtoconcerns@hsxsepa.org.Pleasedonotincludeanypatienthealthinformation(PHI)intheemail.

DoIneedtonotifymypatientsorenrolleesthatIamasubscribingparticipantwithHSX?Yes.PatientnotificationisrequiredpertheHealthShareExchangeENSPolicy.Notifyingpatientsisasimple,straightforwardstep.HSXcanprovideeachparticipatingsubscriberwithsuggestedlanguageandstepsfornotifyingpatient/members,ifneeded.

ExampleofEncounterNotificationSummary:

TojointheHSXmembership,email:

info@healthshareexchange.org