HealthInsight Nevada and the HealthHIE Nevada HIE are using Cognosante's SmartStream, an Intelligent Health Information Delivery system.

1. How HealthInsight Nevada and HealtHIE Nevada are
Benefitting from Using SmartStream™ for Transitions of Care
This confirmed to Erick Maddox, HIT Manager for HealthInsight Nevada, that his
organization was on the right track. HealthInsight Nevada, manages the HealtHIE Nevada
HIE, the first private, non-profit, community-based HIE in Nevada, who just went live with
a project to study the effectiveness of using alerts to improve transitions of care.
48 States. 25+ Years. Unsurpassed Experience.
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At an ONC meeting in January 2014, a question arose, “How do we
make alerting from a Health Information Exchange (HIE) a reality
within our community?”
Customer Story
Current Challenges
In January 2013, CMS issued guidelines to
improve Transitions of Care and to reduce 30-
day hospital readmissions. These guidelines
render eligible physicians to receive incentive
payments through timely follow-up with patients
after discharge from the hospital or emergency
room. This ensures a seamless transition of
care. The barrier to physicians receiving the
incentives is that they are often not aware their
patients were discharged from the hospital which
makes it challenging for follow-up. Additionally,
current alert capabilities stop short of workflow
integration thus making them less usable for
physicians.
SmartStream
for Transitions of Care
HealthInsight Nevada and the HealtHIE Nevada
HIE are using Cognosante’s SmartStream, an
Intelligent Health Information Delivery system.
This allows physicians to move beyond simple
notifications and instead receive actionable
information in real time. Unlike other solutions
available on the market, SmartStream includes
workflow enablement features allowing
HealthInsight Nevada to focus on physician
efficiencies throughout the transition of care
process for a patient.
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For more information on Cognosante’s SmartStream
solutions, contact us at SmartStream@cognosante.com.

2. 48 States. 25+ Years. Unsurpassed Experience.
®
Customer Story
HealthInsight Nevada also serves as the Regional Extension Center and the
Quality Improvement Organization in the state. With their vast knowledge of
clinical and administrative processes, and experience in deploying quality
initiatives, they understood that providing notifications of significant events was
simply not enough. HealthInsight Nevada began working with Cognosante to
design a system to bring significant value to the physicians they serve. Armed
with input from their clinical team, the project team designed a solution with
the physician’s workflow in mind.
How it Works
When a physician’s patient is discharged from the hospital, SmartStream™
extracts data from a real-time feed provided by the HIE. Using this data,
SmartStream then generates and sends notifications to physicians by
Direct secure message. Simultaneously, the physician is notified by text or
by unsecured email with a link to the physician’s Direct secure account. A
key advantage is the physician will immediately know if there is important
information in his/her Direct secure account.
After receiving an alert, physicians are asked to acknowledge what action
was taken. Using this control feedback mechanism, SmartStream tracks
action taken and sends reminders, as needed, from the time of discharge to
completion of the follow-up appointment.
Dashboards are available at any time to view the volume of discharges
versus alerts sent out, how physicians responded, and within what time
period. Reports providing historical information are available, and are critical
in evaluating the effectiveness of the system and how it can be optimized.
Implementation Success
The pilot project went live in early January 2014 at five hospitals in the Las
Vegas area. The expected benefits of deploying the SmartStream Transition
of Care solution are:
• Increased Compliance meeting CMS guidelines regarding patient follow-up
after discharge
• Increased Revenue Generation helping physicians qualify for CMS
reimbursement. Additionally, the Transition of Care solution helps hospitals
avoid costly CMS penalties
• Increased Quality of Care ensuring proper follow-up upon patient discharge
• Reduced Costs automating and streamlining manual processes currently
employed by hospitals and physicians to coordinate care and prevent 30-day
hospital readmissions
• Increased Operational Efficiency pushing critical patient information
to physicians in real-time using a closed loop system to manage tasks
throughout the Transition of Care process
• Increased HIE Usage bringing the data in the HIE alive at the point of care
“The physicians participating
in the study are excited. This
excitement has sparked interest
from other physicians who want
to be included”
Chuck Dorman said,
HIT Project Coordinator -
Physician Liaison.
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For more information on Cognosante’s SmartStream
solutions, contact us at SmartStream@cognosante.com.

3. ®
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For more information on Cognosante’s SmartStream
solutions, contact us at SmartStream@cognosante.com.