title: Event detection: a clinical notification service on a health information exchange platform.
abstract: Notifying ambulatory providers when their patients visit the hospital is a simple concept but potentially a powerful tool for improving care coordination. A health information exchange (HIE) can provide automatic notifications to its members by building services on top of their existing infrastructure. NYCLIX, Inc., a functioning HIE in New York City, has developed a system that detects hospital admissions, discharges and emergency department visits and notifies their providers. The system has been in use since November 2010. Out of 63,305 patients enrolled 6,913 (11%) had one or more events in the study period and on average there were 238 events per day. While event notifications have a clinical value, their use also involves non-clinical care coordination; new workflows should be designed to incorporate a broader care team in their use. This paper describes the user requirements for the notification system, system design, current status, lessons learned and future directions.
authors.affiliation: NYCLIX, Inc., New York, NY 10018, USA. tmoore@healthix.org
authors.forename: Thomas
authors.initials: T
authors.lastname: Moore
authors.forename: Jason S
authors.initials: JS
authors.lastname: Shapiro
authors.forename: Luke
authors.initials: L
authors.lastname: Doles
authors.forename: Neil
authors.initials: N
authors.lastname: Calman
authors.forename: Eli
authors.initials: E
authors.lastname: Camhi
authors.forename: Thomas
authors.initials: T
authors.lastname: Check
authors.forename: Arit
authors.initials: A
authors.lastname: Onyile
authors.forename: Gilad
authors.initials: G
authors.lastname: Kuperman
mesh_terms: D003195:Computer Communication Networks; D063025:Health Information Management; D006760:Hospitalization; D006801:Humans; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized; D009519:New York City; D010346:Patient Care Management / Q000458:organization & administration*; D058007:Physicians, Primary Care