The alerts, which do not require written patient consent, enable providers involved in the patient’s care to intervene and follow-up with their patients, with the aim of ensuring effective and cost-efficient care management.
The subscription list only includes patients who have consented to receive treatment or care management services from the subscriber – as evidenced by the fact that the provider or plan has previously sent the patient’s identity to Healthix in an ADT message or enrollment roster, explained Tom Check, CEO of Healthix.
“Although Healthix does not require the patient to sign a separate written consent for the provider or plan to receive full clinical data from Healthix, Healthix does require that the patient has entered into a relationship with the provider or plan for treatment or care management,” Check said.
“The data that Healthix sends in the alert is limited to the patient identity; the nature, place, date and time of the event; and the chief complaint or initial diagnosis. Further clinical data would require the patient to sign a separate written consent for the provider or plan to receive clinical data from Healthix.”
Once a provider or care manager receives an alert, they can log into Healthix to view the clinical data from the event if the patient has granted consent, contact the facility where the event occurred, or contact the patient directly.
“There are a number of goals for this process – to provide information to the facility where an emergency department visit occurs, to prevent an unnecessary inpatient admission, to call the patient and/or schedule an office visit, and to follow up on the episode to make sure the patient receives appropriate care to prevent an exacerbation of the patient’s condition,” Check explained.
Providers working with the Essential Clinical Alerts program have said based on their experiences with the program they see improved care by ensuring appropriate care and as a result improved patient outcomes, Check said.
During the past year, Healthix has generated more than 7.3 million alerts for more than 180 organizations and 16 million-plus patients in its system.