HealtHIE Georgia has joined Georgia’s Care Management organizations (CMOs) and HI-BRIDGE HIE in delivering ADT Alerts to its members.
ADT, which stands for Admission, Discharge and Transfer, are near real-time electronic notifications that a patient has been admitted to or discharged from a hospital, or transferred to another facility. The alerts are sent to a patient’s primary care physician and other members of the patient’s care team to help ensure ongoing care coordination and follow-up as well as prevent unnecessary hospital readmissions and other avoidable gaps across the care continuum.
“With ADT Alerts, we can immediately identify members who have higher risks, timely and appropriately in real time, without the wait for a prior authorization or processed claims received as far out as 30 to 90 days. Within the same day in some cases, ADT provides notification of the visit where we are able to determine the care our members need and take immediate action,” explains Ariel Esteves, APRN, ENP, FNP-BC, Vice President Clinical Operations-Georgia Market at CareSource.
“For example, if a member presents to the Emergency Department with a behavioral health concern, we learn through ADT the crisis the member is experiencing and can begin collaborating with the member, family, facility and community resources on inpatient and outpatient options right away,” she continued. “Or perhaps they require medications or a wheelchair or other equipment; we can ensure they receive resources and there are no unmet needs.”
CMOs work with Medicaid members who are inherently among the most under-resourced population in Georgia. The ability to follow up with members is critical to delivering needed care and services. At CareSource, care management teams are comprised of registered nurses, Master's prepared social workers, licensed professional counselors and community health workers who live in the communities they serve, and they coordinate care for this vulnerable population, Esteves says.
“ADT Alerts are key to achieving better outcomes, better health and better quality of life,” she adds.
Since October 2022, 6.5M Alerts have been received by members. Contributors include:
- Children's Healthcare of Atlanta
- Grady Health System
- Harbin Clinic
- HealtHIE Georgia
- Wellstar Health System
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