Patient Data Exchange and ADT Notifications

The ability of a hospital to share ADT data throughout the care community is critical, and now required, for improving interoperability and transitions of care for patients. These types of alerts to providers will empower them to proactively monitor their patients throughout the entire continuum of care, significantly improving patient outcomes and care continuity, while reducing preventable readmissions.

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“Interoperability is the cornerstone of Summit Healthcare. Our technology and service teams have implemented numerous methods of communicating with physicians to support hospital’s coordination of care processes. As the CMS Ruling deadline approaches, Summit Healthcare’s Provider Alert solution seamlessly address the Admission, Discharge, and Transfer Event Notification requirements. Summit is proud to be on the leading edge of this initiative with implementations of the solution already in our client base.”

– Matt Baker, Technical Product Manager at Summit Healthcare

According to the new CMS Rule

Admission, Discharge, and Transfer Event Notifications: CMS is modifying Conditions of Participation (CoPs) to require hospitals, including psychiatric hospitals and CAHs, to send electronic patient event notifications of a patient’s admission, discharge, and/or transfer to another healthcare facility or to another community provider or practitioner.

The CMS Rule went into effect May 1, 2021. Failure to comply results in loss of certifications and reimbursements.

Implications for Hospitals

What ADT Notifications are Required?

Events Notifications for Patient’s admission, discharge or transfer.  Specifically, notifications on a patient’s:

  • Inpatient
  • Emergency department
    • Presented
    • Discharged
  • Observation admission/registration
  • Transfer
    • From outpatient to inpatient
    • Unit Transfers are not required
  • Discharge

Who Should ADT Notifications be Sent to?

Notifications must be sent to providers for the purposes of:

  • Treatment
    • Primary Care Practices (PCP)
    • Accountable Care Organizations (ACO)
    • Federally Qualified Health Centers (FQHC)
    • Physician Organizations (PO)
    • Independent Physician Associations (IPA)
    • Multi-specialty Practices
  • Care coordination
    • Post-acute care service providers and suppliers:
      • Skilled Nursing Facilities
      • Home Health Agencies
      • Hospices
  • Quality improvement
    • Practitioners, identified by the patient as primarily responsible for his or her care

           

Who Must Comply?

  • Hospitals Participating in Medicare and Medicaid
  • Psychiatric Hospitals
  • Critical Access Hospitals

The facility must have an EMR or Administrative system with the ability to send notifications

Meet the CMS ADT Notification Requirements with Summit Provider Alert

Summit All Access for Provider Alert is a web and mobile-based solution that utilizes our powerful integration technology to provide real-time notifications/alerting of critical patient events as they happen. Provider Alert facilitates proactive ADT notifications with in-network and out-of-network providers from a centralized, secure system. With this technology you will reduce re-admissions and improve patient care, as clinical events and risk factors are transferred seamlessly to case managers and providers at, and even before, discharge.

Take the Provider Alert solution a step further with the Summit All Access Platform, the one-stop-shop for strategically managing patient data availability throughout the entire healthcare enterprise. It is a more robust application offering fully audited, searchable, on-demand access to patient documents and reports.  Providers can choose to customize the solution with alerting preferences, user management, and enrollment features. In addition to ADT alerts, access to reports can include CCDs, lab results, radiology results, transcriptions, surgery schedules, and more.

For more information on the ADT requirements, and solutions available to you, contact us today!

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There are a number of industry drivers which are compelling hospitals, providers, payers, and care teams to improve how, and when, they’re sharing patient event information and communicating in support of transitions of care. Topping the list is the new rule recently finalized by the CMS affecting all Hospitals participating in Medicare and Medicaid, including psychiatric hospitals and critical access hospitals:

The Interoperability and Patient Access final rule (CMS-9115-F)

Keep reading…