SHIEC’s Patient Centered Data Home Initiative Rolls out Nationally | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

SHIEC’s Patient Centered Data Home Initiative Rolls out Nationally

January 4, 2018
by Rajiv Leventhal
| Reprints

The Strategic Health Information Exchange Collaborative (SHIEC), a national collaborative representing health information exchanges (HIEs), has announced the organization’s Patient Centered Data Home (PCDH) initiative is now live and serving tens of millions more patients through the network.

PCDH is a secure health data exchange system that helps patients by proactively alerting their providers when they have a health event away from home, according to SHIEC officials who released the announcement this week.

Specifically, the PCDH network makes this possible by synchronizing patient identity records among the several HIEs whose participants are caring for the patient, as well as providing detail about where the patient record is located for easier, faster query and response. “For patients, this provides reassurance they can receive high-quality, personalized care regardless of where they are in the country,” officials note.

This national launch unifies three smaller regional implementations in which 17 HIEs worked together to prove the concept of inter-HIE information sharing and notification. These regional implementations (the western implementation, the heartland implementation and the central implementation, each which involved coordination among multiple HIEs spanning geographic areas and states) had been set up for months, and now the regions have all been connected to each other. Based on the success of the implementations, the participating HIEs have each agreed to a common, national agreement for participation, which set the stage for connecting the regional implementations together and rolling out the full-scale, national implementation, according to officials.

As SHIEC executives explained, at its core, PCDH is an inter-HIE notification and data sharing system that allows a patient’s records to follow them wherever they seek care. When a patient presents at a medical facility away from home, that facility will generate an admission, discharge, transfer (ADT) message. This message includes demographics about the patient; information such as the patient’s name, the patient’s location in the hospital, his or her address, phone number, gender, etc. By including ZIP code information in the ADT, PCDH can automatically detect when a patient is being treated within a ZIP code outside of their normal home area.

When these events occur, the “away” HIE alerts the HIE in the patient’s “home” area, and that home HIE, known as the patient’s “data home,” automatically lets the treating HIE know they have records for the patient so the treating HIE can generate a query to access those records. Once the treatment encounter concludes, PCDH also makes it possible for the “away” HIE to alert the patient’s home HIE that there are new records for their patient that the home HIE providers can access in order to better care for the patient on an ongoing basis. This new capability makes it possible for a patient’s comprehensive medical history to follow them wherever they seek treatment.

According to Dan Porreca, executive director for New York State-based HEALTHeLINK and chair of the SHIEC board of directors, “The HIEs working together to create PCDH built a powerful foundation for interoperability between HIEs—and we managed to do it using our current technologies. We’re very proud of this accomplishment and the milestone we’ve achieved. We also created and agreed to a national, legally-binding agreement, which laid the foundation for HIEs sharing data with each other across state lines and throughout communities.”

Other HIE leaders around the U.S. have reacted with great optimism regarding PCDH being rolled out on a national level. John Kansky, president and CEO of the Indiana HIE said in a statement, “This is a significant step toward national interoperability. Almost every single state has several healthcare markets that cross inter-state, inter-HIE lines; for example, northwest Indiana is suburban Chicago. PCDH now allows us to exchange data between HIEs for those markets, providing a huge benefit to our patients.”

Added Leigh Sterling, executive director, East Tennessee Health Information Network (eTHIN), “etHIN realized the benefits of PCDH from the outset. Through PCDH, not only do we receive data for patients living in this area who are treated elsewhere while traveling, we are now able to notify other HIEs when their patients are treated here. etHIN’s region contains the most visited national park in the country. Because visitors to our area often seek medical attention while they are here, we have medical data on patients living in all 50 states. PCDH is the best way to provide needed information to our local treating providers and to keep the patient’s hometown physicians informed of out-of-town treatment events.”

2018 Nashville Health IT Summit

Renowned leaders in U.S. and North American healthcare gather throughout the year to present important information and share insights at the Healthcare Informatics Health IT Summits.

June 28 - 29, 2018 | Nashville



Geisinger National Precision Health Hires Illumina Exec to Lead Business Development

Integrated health system Geisinger has hired a high-profile genetic counselor to head up business development for Geisinger National Precision Health, which was created to extend the Geisinger model on the national scene.

$30M VC Fund Launched to Spur Innovation in Cardiovascular Care

The American Heart Association, together with Philips and UPMC, has announced the launch of Cardeation Capital, a $30 million collaborative venture capital fund designed to spur healthcare innovation in heart disease and stroke care.

Epic Wins Labor Dispute in Closely Divided Supreme Court Decision

Epic Systems Corporation won a major labor-law ruling in the Supreme Court on Monday, centering around the extent of corporations’ right to force employees to sign arbitration agreements, and with a 5-4 ruling in its favor

Survey: Two-Thirds of Physician Practices Seeking Out Value-Based Care Consulting Firms

Most physician organizations are not prepared for the move to value-based care, and 95 percent CIOs of group practices and large clinics state they do not have the information technology or staff in-house needed to transform value-based care end-to-end, according to a recent Black Book Market Research.

Cumberland Consulting Buys LinkEHR, Provider of Epic Help Desk Services

Cumberland Consulting Group, a healthcare consulting and services firm, has acquired LinkEHR, which provides remote application support, including Epic help desk services.

Population Health Tool that Provides City-Level Data Expands to 500 Cities

A data visualization tool that helps city officials understand the health status of their population, called the City Health Dashboard, has now expanded to 500 of the largest cities in the U.S., enabling local leaders to identify and take action around the most pressing health needs in their cities and communities.