Accountable Care Organization Interface Services

Population Based Collaborative Health Information Exchange

Accountable care organizations (ACO's) are groups of health care providers who voluntarily come together to provide high quality, coordinated care to a group of patients. The goal of this coordinated approach is to ensure that patients receive the right care, in the most appropriate care setting. This can often avoid unnecessary tests, prevent duplication of services, and prevent medical errors. The participating providers in an ACO receive an incentive, in terms of shared savings, when this care is provided in a cost effective manner.

An important aspect of an ACO is gathering the data necessary to report the quality measures that are used to manage the care of patient groups. VITL collects this information from participating provider’s electronic health record (EHR) systems and delivers the clinical data to the accountable care organization. The ACO uses this data to manage the health of their member patients. The goal is to provide better care while meeting or exceeding 33 quality measures. 

ACO Participating Provider Connectivity

If you are a participating provider in an Accountable Care Organization, you can connect your electronic health record (EHR) system to the Vermont Health Information Exchange to transmit clinical data to the ACO for population health analytics.

ACO Participating Provider Interface Types:

In order to send clinical data to the ACO, your electronic health record (EHR) system must be connected to the VHIE to send Patient Demographics and Patient Clinical Summaries. Your EHR may have other interfaces to the VHIE for other purposes.

Patient Demographics – Admit, Discharge and Transfer (ADT)

Demographic data are used to uniquely identify a patient, and may include data elements such as name, date of birth, and address. Demographic data is sent from the health care organization to VITL in an Admit, Discharge or Transfer (ADT) message. Patient demographic data are used to facilitate the aggregation of a shared community health record, and may also be forwarded to other registries, such as the Blueprint Clinical Registry, at the request of the sending organization. Hospitals are senders of ADT messages.

Clinical Summary - Continuity of Care Document (CCD) 

A clinical summary generally contains recent patient data such as a problem list, medications, allergies, immunizations, lab results, patient notes, and other summarized data. Clinical summaries are transmitted as a Continuity of Care Document (CCD). A clinical summary is used to convey patient information at a specific point in time, and is not a complete medical record. CCD's are sent from a health care organization to the Vermont HIE and are can be routed to registries, such as the Blueprint Clinical Registry, allowing a Blueprint Community Health Teams to assist with management of a patient population.

How to Get Connected

If you are interested in connecting your primary care practice to the Vermont HIE, please fill out a contact form and select "Connect my organization to the Vermont Health Information Exchange (VHIE)" as the reason for your inquiry.

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