- The New York eHealth Collaborative (NYeC) will expand the use of admission, discharge, and transfer (ADT) notifications across the state through the Statewide Health Information Network for New York (SHIN-NY) to improve care coordination and reduce hospital readmissions.
SHIN-NY connects New York’s eight regional health information exchange (HIE) networks — called Qualified Entities — to enable seamless health data exchange and access between New York providers. Providers can use SHIN-NY to access EHRs of all patients who consent to participate in the exchange.
HEALTHeLINK, Healthix, HealthlinkNY, Hixny, NYCIG, Rochester RHIO, and Bronx RHIO are the eight Qualified Entities that make up SHIN-NY. The network-of-networks connects all hospitals and healthcare organizations across the state.
Enabling SHIN-NY participants to utilize ADT notifications and other real-time updates will allow for more timely interventions, improved planning for home care, and streamlined transitions of care.
"Electronic patient alerts to healthcare providers when their patients are admitted to or discharged from a New York State hospital is an important addition to the state's SHIN-NY capabilities, which will improve patient care," said Senator Kemp Hannon (NY-R), who is also the Chair of the Standing Committee on Health.
Before expanding its ADT notification services, providers part of SHIN-NY only received alerts from other providers within their own Qualified Entity. This newest initiative allows providers at different qualified entities and across regions to send and receive ADT notifications.
"If I'm somewhere across the state and end up in a hospital emergency room, I'd want my family doctor back home to get an alert," said Assembly Health Committee Chair Richard Gottfried. "In New York, we're building a strong electronic health information network based on patient consent."
In addition to facilitating transitions of care, ADT notification use can also save hospitals money.
When primary care physicians, care managers, and community providers share ADT notifications across the care continuum, providers can more easily communicate and track each patient’s movement and progress in a cost-effective way.
“As the SHIN-NY continues to expand and advance, we’re able to better support and create opportunities for patient-centered, coordinated care,” said NYeC Executive Director Valerie Grey.
“By alerting providers and care team members to critical moments in their patients’ healthcare, this statewide system and the eight QEs continue to develop an optimal, integrated network for healthcare delivery,” Grey continued.
ADT notification use by SHIN-NY providers has been on the rise in recent years, with the network-of-networks reporting a 95 percent jump in ADT notification use from 2016 to 2017.
NYeC — which runs SHIN-NY — highlighted this finding in a 2018 report based on research conducted in partnership with the Indiana University Richard Fairbanks School of Public Health and Weill Cornell Medical College. The preliminary report is part of a multi-phase study about the impact of Qualified Entity services on healthcare costs and patient care delivery.
"Alerting intelligence has proven incredibly valuable within and across our regions,” said HealtheConnections CEO and SHIN-NY Business Operations Committee Chair Rob Hack. “Providers and care teams actively use the service for improved and responsive care by proactively integrating it into their workflow.”
“Connecting the alerts statewide extends the value of the SHIN-NY across the regions of New York State,” he added.
SHIN-NY enables collaboration and care coordination between more than 80,000 participating healthcare providers and clinicians.
“By providing doctors access to their patients’ medical records across great distances, the SHIN-NY ensures continuity of care throughout New York State,” said New York State Health Commissioner Dr. Howard Zucker.
SHIN-NY is currently working to achieve the five objectives of its 2020 roadmap. Released in 2017, the roadmap details how the opt-in network-of-networks will support patient-centric, value-based care and expand interoperability and innovation.
The network-of-networks is aiming to achieve 100 percent hospital participation across New York, with all hospitals contributing comprehensive patient health data to the exchange by 2020. Additionally, SHIN-NY intends to require HITRUST certification for all qualified entities and NYeC by the end of this year.
The recent expansion of ADT notification services across qualified entities and regions marks one step closer to SHIN-NY’s goal of HIE service optimization.