Project Notify

It is estimated that approximately 80% of serious medical errors involve miscommunication during patient transfers or hand-offs.  Automated notifications support providers’ ability to care for their patients and have been proven to improve care coordination and help contain healthcare costs.  In 2016, the Centers of Medicare & Medicaid Services (CMS) provided updated guidance on the availability of federal funding at the 90 percent matching rate for state expenditures on activities to promote health information exchange (HIE) and encourage the adoption of certified Electronic Health Record (EHR) technology by eligible Medicaid providers. DSS intends to use Project Notify to reduce preventable readmissions and improve care coordination for better health outcomes for Connecticut’s Medicaid beneficiaries, as well as engaging the provider community and care managers informed.

An “ADT alert” is a real-time notification of an admission, discharge, transfer encounter sent to a care coordinator or a primary care physician (PCP) that is used to effectively intervene in the care pathway.

In February 2018, the DSS went live with Project Notify with Yale New Haven Health System (YNHHS) being the first to provide real-time ADT messages.  Project Notify is a project through which relevant providers receive an alert notification when a Medicaid patient is either discharged or admitted into a hospital (Inpatient and ED). After the member is admitted and/or discharged, the member’s PCP (primary care provider) receives a notification of the discharge and/or admit event within their practice EHR.  The healthcare alerts can be delivered to the members’ primary care physician, case manager and other members of the care delivery teams. All messages are delivered using the Direct Protocol providing secure encrypted messages inside all EHRs.

Currently, Phase II (2018-19) work includes 1) onboarding additional hospitals and subscribing providers, 2) working with other state agencies for leveraging the notification engine, 3) integration with the Relation Registry, and 4) integration with the Medicaid HIE platform (HealthShare).  A shared alerts/notification technology solution can support the exchange of information to coordinate services and support better care for people.

If you would like additional information on this project or would like to leverage our technology, please contact Dr. Minakshi Tikoo at Minakshi.tikoo@ct.gov.

References:

https://www.healthit.gov/isa/sending-a-notification-a-patients-admission-discharge-andor-transfer-status-other-providers

https://ehrintelligence.com/news/onc-guide-shows-reduction-in-readmissions-with-adt-alerts

https://www.ncbi.nlm.nih.gov/pubmed/22189662

 

 

Updated 4/25/2018