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ADT Notifications 2016 Summit Series:

West Michigan

Tuesday, August 16

ADT NOTIFICATIONS Steve Spieker

Manager, Solution Support

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Drew Spoelstra

Solution Specialist

MEET ERIN

• Erin is a 29 year old woman

• Lives in Ann Arbor

• Visiting her friend in Kalamazoo

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UHOH

• Erin gets in a car accident

• She’s admitted to Ascension Health Borgess ER

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MEET DR. JANE EXAMPLE

• Erin’s PCP is Dr. Jane,

who practices in Ann

Arbor

• How will she learn

about Erin’s ER

admission?

• When?

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ADT NOTIFICATIONS

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• GLHC offers providers real-time notification of

inpatient and emergency admissions and

discharges

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ADT NOTIFICATION FEATURES

• Securely delivered

• Include critical information

• Simple to implement and manage

• Free for participating physician offices!

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BENEFITS

• Timely Communication

• Enhanced Patient Experience

• Improved Care Quality

• Statewide Network

• Incentive Qualified

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FATHER

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BEHIND THE SCENES…

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THE ADT MESSAGE

• HL7 Message (TBD speak definition)

• Includes patient demographic information

• Provides important information about trigger

events (Admissions, Discharges, Transfers)

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A01 - Admit/visit notification A18 - Merge patient information A35 - Merge patient information - account

only

A02 - Transfer a patient A19 - QRY/ADR - Patient query A36 - Merge patient information - patient ID

and account number

A03 - Discharge/end visit A20 - Bed status update A37 - Unlink patient information

A04 - Register a patient A21 - Patient goes on a "leave of absence" A38 - Cancel pre-admit

A05 - Pre-admit a patient A22 - Patient returns from a "leave of absence" A39 - Merge person - patient ID

A06 - Change an outpatient to an inpatient A23 - Delete a patient record A40 - Merge patient - patient identifier list

A07 - Change an inpatient to an outpatient A24 - Link patient information A41 - Merge account - patient account num

A08 - Update patient information A25 - Cancel pending discharge A42 - Merge visit - visit number

A09 - Patient departing - tracking A26 - Cancel pending transfer A43 - Move patient information - patient

identifier list

A10 - Patient arriving - tracking A27 - Cancel pending admit A44 - Move account information - patient

account number

A11 - Cancel admit/visit notification A28 - Add person information A45 - Move visit information - visit number

A12 - Cancel transfer A29 - Delete person information A46 - Change patient ID

A13 - Cancel discharge/end visit A30 - Merge person information A47 - Change patient identifier list

A14 - Pending admit A31 - Update person information A48 - Change alternate patient ID

A15 - Pending transfer A32 - Cancel patient arriving - tracking A49 - Change patient account number

A16 - Pending discharge A33 - Cancel patient departing - tracking A50 - Change visit number

A17 - Swap patients A34 - Merge patient information - patient I A51 - Change alternate visit ID 18

ADTs Used for Notifications

• A01 – Admission

• A03 – Discharge

• A04 – Patient Registration

• A06 – Change an Outpatient to Inpatient

THE ADT MESSAGE

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PROCESS OVERVIEW

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PROVIDER MATCHING

• All ADT is matched on provider

• ADT messages often capture multiple provider

roles:

– Primary Care Provider

– Referring Provider

– Attending Provider

• If a provider is listed anywhere in an ADT

message, we will send them an ADT Notification

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BENEFITS TO PROVIDER

• Early post-hospitalization follow-up qualifies

providers for increased reimbursement

• CPT code 99496:

– communication (direct contact, telephone, or

electronic) with the patient and/or caregiver within

2 business days of discharge,

– medical decision-making of high complexity during

the service period, and

– a face-to-face visit within 7 days of discharge.

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BENEFIT TO HOSPITALS

• CMS estimates hospitals will pay $420m in

readmission penalties in FY 2016

• Clinical trials have found that early follow-up

with PCPs after hospitalization can reduce

likelihood of readmission from 21% to as low as

3%

• ADT Notifications facilitate early PCP follow-

up

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ENHANCING WITH VIPR

• ADT Notifications alerts you to an admission or

discharge

• VIPR (Community Health Record) contains full

clinical information for the encounter

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ENHANCING WITH VIPR

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ADT NOTIFICATION IMPLEMENTATION

• Free!

• Contact your Implementation Consultant to

start the process

• Two-week implementation time

• Easy to install, easy to use

• List of Hospitals sending ADT Notifications is

available on our website

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QUESTIONS?

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THANK YOU! Steve Spieker

Manager, Solution Support

Sspieker@gl-hc.org

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Drew Spoelstra

Solution Specialist

Dspoelstra@gl-hc.org