Virtual Community
Collaboration ( ADT Compliance )
Only 5% of healthcare CIOs believe their provider organizations are very prepared to comply with the new rules, according to a recent study.
ADT Interoperability Compliance
ADT Interoperability
Compliance
The new CMS interoperability rule requires healthcare organizations to adopt modern enabling technologies to share data from major patient events such as admission, discharge and transfer (ADT), with community providers and post-acute care teams.

The rule was finalized by CMS in March 2020 and was published to the Federal Register on May 1, 2020. The new requirement will go into effect on May 1, 2021. This new provision also adds to the list of CoPs hospitals must meet in order to maintain their CMS certification and continue to receive CMS payments.

How Andor Health Can Help

Andor Health’s mobile collaboration platform, ThinkAndor™, provides 100% full compliance with the CMS Interoperability rule.

ADT Patient Event Notifications
  • E-Notifications for patient’s admittance, discharge, or transfer event
  • Support for delivery both credentialed and non-credentialed clinicians
  • Digital Preference settings for clinicians
Patient Consent for Consultation
  • E-Notifications for patient’s admittance, discharge, or transfer event
  • Support for delivery both credentialed and non-credentialed clinicians
  • Digital Preference settings for clinicians
Team Collaboration & Consults Between Attending and Primary Care Physician
  • Real-time collaboration via chat, conference call and video
  • Complete integration into Microsoft Teams
  • AI and natural language processing for note and task creation
Unfortunately, many hospitals are not prepared for this new ruling:
  • Only providers that pay to participate in HIEs get patient event notifications, but the new regulation states that health systems need to notify ALL providers
  • HIEs are unable to gather discharge and transfer data efficiently to send notifications, creating significant risk for non-compliance
  • These approaches don’t close the loop with patients

Why are CoPs significant?

CMS sets the minimum requirements required to provide safe and effective treatment to patients and focuses on improving quality of care. These CoPs address many aspects of hospital operations and set policies and procedures related to patient rights, clinical documentation, staffing, infection control and compliance with legislation, to name a few.

State Survey Agencies and Accreditation Organizations use the CoPs to guide their audits during surveys. These surveys may be unannounced and deficiencies often lead to certification termination.

Additionally, lack of compliance will invoke of time sensitive corrective action procedures. These corrective actions must be addressed by the established deadlines or certification and payments will cease. Given that Medicare patients typically represent approximately 40% of a hospital’s payer-mix and Medicaid patients generally represent 20% of a typical payer-mix, this is a significant threat.

What are the consequences of non-compliance?

Surveys or compliance audits are unannounced and can either be conducted by the designated State Survey Agency or a CMS-approved Accreditation Organization. Hospitals are assessed for all CoPs as one entity for compliance purposes. Refusal to participate in a survey may lead termination certification.

Andor Health customers are already 100% compliant with the new CMS ADT notification rules. Forward-looking organizations like Orlando Health have already moved aggressively to comply by implementing the ThinkAndor™ platform.
Let us help you ensure compliance to the new ADT notification rules — we 100% guarantee it!
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“Our partnership with Andor not only guarantees compliance, but it also enables last-mile connectivity to community clinicians. The Andor platform will be an essential component of our strategy beyond our HIE and clinical communication systems to comply with these state and federal regulations.”

Novlet Mattis
Chief Information Officer, Orlando Health

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