Why develop an IG for Notifications?
In today’s healthcare environment, care teams are frequently distributed across organizational boundaries – a primary care physician or consulting specialist may not be on the staff of a hospital where care is initially delivered. Likewise, payers and care managers may have relationships with the patient but may have not be formally aligned with the inpatient facility where an encounter takes place. In order to facilitate more effective coordination of care team activities, the CMS Interoperability and Patient Access rule recently established a Condition of Participation for the Medicare program for Hospitals, Emergency departments, Critical Access Hospitals, and Psychiatric Hospitals to send notifications to other care team members for Admissions, Discharges, and Transfers (ADT). Today, many hospitals do this utilizing third-party solutions, most of which offer Direct Secure Messaging as an approach to delivering notifications into the workflow of providers. While the Direct Standard™ is one of the most common mechanisms for this delivery, there is no standard for the contents of messages or for workflow expectations in sending and receiving systems. This project will establish content and workflow standards for Direct Secure Messaging between inpatient facilities and downstream providers, as well as subscription services that act as intermediaries in this flow. In order to ensure effective interoperability and to limit burdensome workflows, standardization of these messages is essential.