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
ADT NOTIFICATION FEATURES
• Securely delivered
• Include critical information
• Simple to implement and manage
• Free for participating physician offices!
8
BENEFITS
• Timely Communication
• Enhanced Patient Experience
• Improved Care Quality
• Statewide Network
• Incentive Qualified
9
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
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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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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THANK YOU! Steve Spieker
Manager, Solution Support
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Drew Spoelstra
Solution Specialist
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