EVENT NOTIFICATION SERVICE
STAY INFORMED WITH THE EVENT NOTIFICATION SERVICE (ENS)
When a patient is admitted to and/or discharged from a participating hospital or emergency department, GNOHIE sends real-time alerts to relevant community providers and care managers. Discharge summaries and Continuity of Care Documents (CCD) share diagnoses, procedures, vitals, medications, and lab results so that the primary care physician may perform immediate transitional care management without waiting for records to be queried and sent from the originating facility.
A BUSINESS CASE FOR TRANSITIONAL CARE MANAGEMENT (TCM)
The Centers for Medicare and Medicaid Services (CMS) incentivizes transitional care management (TCM) services for Medicare enrollees by increasing reimbursement when a primary care provider contacts their recently hospitalized patient within 2 days of discharge and schedules an appointment within 7-14 days depending on condition severity. GNOHIE’s event notification system (ENS) enables members to act immediately upon notification of hospital discharge to satisfy the TCM requirements, improve health outcomes, and obtain an additional $71.50 per patient reimbursement from CMS.