HIE Services

Alerts are sent to designated clinicians or individuals based upon a patient panel. A patient panel is a practice or payer provided list of patients/members they wish to track. Alerts can include:

• Inpatient Alerts
  Alert the organization that a specific patient/member has been admitted to or discharged from an inpatient facility.

• Emergency Department (ED) Alerts
  Alert the organization that a specific patient/member has been registered at or discharged from an emergency department.

• Ambulatory Alerts
  Alert the organization that a specific patient/member has been registered at an ambulatory facility or practice.

• Clinical Result Alerts
  Alert the organization when a specified type of clinical result or document has been received by the HIE for a specific patient/member. The actual result or document is attached to the Alert.

• Patient Centered Data Home ^TM (PCDH) Alerts
  Alert the organization that a specific patient/member has been admitted to or discharged from an inpatient facility or has been registered at or discharged from an emergency department outside of Arizona. A PCDH Alert uses zip code mapping to send the alert from an out-of-state HIE to the organization through Health Current.

• COVID-19 Lab Results – Arizona HIE participants can receive real-time COVID-19 Alerts for any patient on their patient panel.  This option sends all (positive and negative) COVID-19 lab results received by Health Current.

• Mental Illness Hospitalization Alerts – Notifications for admissions, transfers and discharges (ADTs) of patients from level-1 psychiatric hospitals.

Types of Information Available: Physical health information. May also include behavioral health information and with appropriate patient/member consent.

Direct Email is a HIPAA compliant, secure email account that provides the means for registered users to exchange patient protected health information with other DirectTrust-certified email accounts. Direct Email is often used to receive Alerts.

Types of Information Available: Physical health information. May also include behavioral health information and with appropriate patient/member consent.

The Portal provides secure web-based access that allows selected patient/member data to be viewed online. Examples include:

• Portal User associated with a healthcare provider organization would be able to view data from physical health providers and behavioral health providers that do not have a federally-recognized substance abuse treatment programs. Additionally, with a patient/member’s 42 CFR Part 2 Consent or with a licensed medical provider declaring a medical emergency, users would be able to view information from behavioral health providers that do have federally-recognized substance abuse treatment programs.

• Portal User associated with a health plan would be able view data from physical health providers and behavioral health providers that do not have federally-recognized substance abuse treatment programs. Additionally, these Portal Users would not have access to a patient’s “self-pay” information.

Types of Information Available: Physical health information. May also include behavioral health information and with appropriate patient/member consent, substance abuse treatment information.

Data Exchange involves electronic interfaces between patient tracking systems and the HIE. Data exchange services include:

• Unidirectional Exchange
  Electronic interface between patient tracking systems and the HIE with information flowing in only one direction.
  

• Bidirectional Exchange
  Electronic interfaces between patient tracking systems and the HIE with information flowing in both directions.

Types of Information Available: Physical health information. May also include behavioral health information and with appropriate patient/member consent, substance abuse treatment information.

A Clinical Summary is a comprehensive Continuity of Care Document (CCD) containing up to 90 days of the patient’s/member’s most recent clinical and encounter information. Clinical Summaries include:

• Automated Clinical Summary
  In response to the receipt of an Alert, Discharge or Transfer (ADT) transaction containing an inpatient admission, emergency department registration or an ambulatory encounter registration, a comprehensive CCD containing up to 90 days of the patient’s most recent clinical and encounter information is returned to the treating organization. May be patient panel triggered, too.

• Query/Response Clinical Summary
  In response to the receipt of a standard compliant machine-to-machine patient query, a comprehensive CCD containing up to 90 days of the patient’s most recent clinical and encounter information is pushed back to the requesting organization.

• Patient Centered Data Home ^TM (PCDH) Clinical Summary
  Similar to a Query/Response Clinical Summary, this summary pushes a comprehensive CCD containing up to 90 days of the patient’s most recent clinical and encounter information to requesting organization, including out-of-state information, as the result of a PCDH Alert (see above).

Types of Information Available: Physical health information. May also include behavioral health information and with appropriate patient/member consent, substance abuse treatment information.

Health Current integrated with the Arizona state Controlled Substances Prescription Monitoring Program (PMP) on August 17, 2017. This means that HIE participants who are connected to the HIE portal have a simple set up process to access the state PMP. Arizona providers who are not yet HIE participants will need to join the HIE and then be connected to the portal in order to access the PMP. Access to the PMP via Health Current can be an effective and efficient option.

For more information on the Controlled Substances PMP Program, click here.