Event & Relation Registry iconHealthcare organizations struggle to harness data relationships and combine siloed, disparate systems to answer basic yet fundamental provider attribution and circle of care questions such as:

  • Who is on the patient’s care team for this specific visit?
  • Where do I send test results and critical information?
  • What occurred during a previous encounter?
  • Who is the patient’s PCP so I can share care transition information?

To be able to share and consume patient care data with the elements of what, where, when, why and by whom is a game-changer in data automation, management and interoperability.

NextGate’s Event and Relation Registry is an Enterprise Solution – meaning interoperable data connectivity across separate systems, individual EHRs and other record databases – to link patients to their provider care network, share patient information with the right providers during care transitions, and perform other tasks essential for care coordination. The Event and Relation Registry is seamlessly integrated with NextGate’s EMPI and Provider & Organization Registry. This connection to our master registries ensures the Event and Relation Registry assigns relationships and attributes to the correct patient and provider as represented in the enterprise.

Specifically, our relationship engine technology can offer an unprecedented level of interoperability to:

Define patient and provider relationships and link relevant data elements to each other through Patient and Provider Identity Management

  • Patient EUID
  • Emergency contact
  • ACO or insurer membership
  • Unique provider number
  • Hospital employer
  • State ACO affiliation

Automatically link and organize enterprise information into useable and insightful servings that can be injected directly into provider workflow

Correlate relevant patient, provider and event data elements from sources including messaging, user interface, or eligibility files

  • Inpatient, outpatient, emergency admissions
  • Discharge or bed transfer
  • Physician office visits
  • Laboratory, radiology results
  • Circle of care team mapping – consulting, admitting, attending and ordering

Our vendor-agnostic technology is compatible with any EHR or other record database and is ideal for:

  • HIEs
  • Medical practices
  • Individual hospitals

Patient’s Care Team

While existing System A sends data to Systems B and C (and each system consumes the data according to its data model), this external engine monitors the data traffic and makes associations and relationships between data elements.

For example, an HL7 message flowing from System A to System B might reveal that John is being treated by Dr. Yu. Another message flowing from C to B contains the information that John is also being treated by Dr. Brown and Dr. Hernandez. In a third message, John has received treatment from Dr. Clark. Looking in any of these individual systems, we would not see all of these providers related to John, because these systems do not keep track of the totality of data relationships.

The NextGate Event and Relation Registry makes these associations, making it possible to show in a patient’s medical record that John’s care team consists of all four of those doctors.

Clinical and Business Operations: Understand Patient Utilization to Reduce Readmissions plus ACO Identification

Because graph database technology captures the complex web of data and events surrounding a patient, it can relate and organize data meaningfully, so an ACO can perform patient utilization data analysis to learn and identify:

  • Patients who have been seen in the emergency department more than three times in one month
  • Patients who have been re-admitted with the same discharge diagnosis in the past 30 days
  • Medications assigned to patients during visits

Additionally, an ACO and its participants can quickly identify within the medical record which patients are members of the ACO, providing a unique data element that is readily accessible to the care team.

When a patient arrives at a hospital or doctor’s office to be checked in for a service — be it the emergency department, the hospital, or an outpatient procedure — the registration clerk would be able to see if the patient is enrolled in an ACO and, if so, which ACO. With this knowledge, the provider can make sure the ACO is notified of any clinical events for that patient, helping the ACO maintain an updated understanding of what’s going on with their members.

Create a Patient’s Provider Map

Finding out which doctors or team of doctors across the continuum are participating in the care of a particular patient is difficult to uncover quickly and accurately within an EHR.  The NextGate Event and Relation Registry pulls this information together based on accurate, de-duplicated patient and provider data, enabling organizations to dynamically create and access a care team map.

As data about an event occurs, new members of the patient’s care team can be added and related appropriately to that patient.

  • Any nurse or doctor who needs to know who is providing care to the patient can simply pull up the patient’s provider map.
  • They can see not only the names of the providers and the specific care events that link them to the patient but also:
    • Their roles
    • Where they practice
    • Their schedules
    • How to get in touch with them.

This transparency improves patient care and also has important implications for value-based reimbursement and bundled payments. The ability to clearly see all of the providers associated with a clinical event and to make sure bills and payments are appropriately allocated and submitted is crucial to fundamental clinical and business practices.

Patient’s Circle of Care Team

Consistent increase in HIE adoptability and usability amongst the community of HIE providers requires a continuous improvement mindset in the way data is entered, viewed and referenced. The RHIO initially achieved success of data record cleanup through the NextGate EMPI and Provider & Organization Registry, providing a clean database of patient and provider records to its clinical and administrative users.  By integrating Event and Relation Registry technology with the provider registry and patient records, the RHIO will be able to provide a dynamic timeline matrix of the patient’s relationships with providers, care team members and associated events for improved continuity of care across settings and transitions. Relying on the patient medical record database interacting with a database and registry of providers through the NextGate Event & Relation Registry maps and links information that is traditionally segmented. This comprehensive form of data connectivity supports their vision for broader population health management efforts across a patient’s entire care network.

When organizations have data that is accurate and mapped in real-time, the ability to perform meaningful analytics is realized, fueling positive change for patient care and quality outcomes.