How can Practitioners, Care Teams, and PACs Prepare for the Proposed CoP Requirements?

Practitioners, care teams, and PACs can take steps to prepare for the proposed hospital e-notification CoP requirement which CMS is finalizing. While these requirements only directly impact qualifying hospitals, they do have important implications for practitioners, care teams, and PACs in accelerating their ability to receive information on shared patients. We’ll outline some suggested steps below as a way to support organizational readiness.  

Identify Hospitals With Strong Referral Patterns and/or High Utilization

Practitioners, care teams, and PACs should identify those hospitals that are strong referral partners and those that see high patient utilization. Because eligible practitioners, care teams, and PACs can request e-notifications on shared patients from any CoP impacted hospital, knowing the scope of hospitals will be important. Practitioners, care teams, and PACs should consider local hospitals as well as other highly utilized or specialized hospitals where patients seek care that may not be in the immediate geographic region.

Understand Options to Receive E-notifications

Eligible practitioners, care teams, and PACs will need a mechanism to receive e-notifications as a necessary precondition to make e-notifications requests from hospitals or from a hospital’s selected intermediary. Practitioners, care teams, and PACs should assess available options that best match their needs. Options may include a third-party portal, setting up an EHR integration, using Direct messaging, or leveraging a hospital’s API.

Consider Implementation and Workflow Impacts

Eligible practitioners, care teams, and PACs should consider how e-notifications will be used effectively across the organization. Workflow and staffing considerations should be taken into account as planning for e-notification gets underway. Because e-notifications are intended to support care coordination activities, organizations should consider change management needs to help optimize the impact of e-notifications.

Plan for E-notifications Based on Panel or Census Changes

Eligible practitioners, care teams, and PACs should determine how often their patient panels or census change and how such changes will impact their desired e-notification scope. To receive e-notifications on a complete list of patients, eligible practitioners, care teams, and PACs may need solutions to facilitate daily or weekly e-notification request changes. As practitioners, care teams, and PACs plan for e-notifications, they should consider how they can receive e-notification on their desired set of patients.