Ai’s ENS® (Adapted into the Event Notification Service for the Florida HIE) Provides ADT Notifications to Support Florida HIE Care Coordination

The Florida Health Information Exchange, or Florida HIE, provides three HIE services: Patient Look-Up (PLU), Event Notification Service (ENS), and Direct Messaging. The PLU service connects existing health care provider networks for the exchange of health information across a statewide information highway. The ENS provides alerts to health plans about their members’ hospital encounters which the health plan then provides to the patient’s primary care provider for care coordination. Direct Messaging is a HIPAA compliant email service that allows participants to send and receive messages and attachments containing a patient’s clinical data.

Since 2011, Audacious Inquiry (Ai) has teamed with Harris Corporation (Harris) as a subcontractor, to support the implementation of a statewide health information exchange (HIE) infrastructure in the state of Florida via a Florida Agency for Health Care Administration (AHCA) four-year, $19 million contract intended to improve the delivery and coordination of healthcare throughout the state. Through this work, the Florida HIE has expanded its ENS network in the past few years to include over 200 hospitals and four health plans.

Ai currently subcontracts to Harris Corporation as the vendor for the HIE’s Event Notification Service, powered by Ai’s ENS® solution. ENS allows health plans to receive timely and secure notifications from Florida hospitals regarding the admissions, emergency department visits, and discharges of their members. Health plans then provide this critical information to the primary care providers and patient care teams of their members. As of October 22, 2015 more than 1 million Floridians were covered by the ENS run by the Florida HIE.

“The Event Notification Service is a huge step toward opening up the lines of communication and streamlining the transition of care between hospitals, other treatment facilities and health plans,” said Agency Secretary Elizabeth Dudek.  “The introduction of this service benefits the patient by coordinating care, minimizing visits to the emergency room and shifting the focus to proactive and preventative care. It’s great to see a high level of participation in this service and we look forward to more partners joining by the end of the year.”

In deploying the service, Ai assisted Harris with the mapping and validation of HL7 feeds from over 200 hospitals across the state of Florida. Ai also provided subject matter expertise for Harris’ implementation and configuration of a Mirth Match master patient index (MPI) to support the overall ENS infrastructure.

Ai brings to the Harris team an intimate knowledge of best practices surrounding state-level HIE implementation and adoption through Ai’s extensive work with CRISP, Maryland’s HIE, as well as interoperability and EMR implementation experience with healthcare provider organizations. Ai has staffed the positions of Adoption and Outreach Coordinator and Deputy Program Manager on the Harris team. The solution implemented in Florida leverages CONNECT, the open-source, standards-based platform that Harris developed for the Office of the National Coordinator for Health IT, to facilitate connectivity to the Nationwide Health Information Network (NHIN). This approach will enable AHCA to efficiently adapt to changing health policies and technologies, while minimizing the total cost of ownership and building on existing regional investments in a connected Florida HIE.


About Audacious Inquiry: Ai leverages domain expertise in health information policy and technology to offer bold technology solutions that are leading the way to smarter delivery of healthcare. Ai’s implementation of master data management (MDM) tools to enable health information exchange has set the standard for state HIEs throughout the nation. Ai’s Encounter Notification Service® (Adapted into the Event Notification Service for the Florida HIE), provides reliable, real-time notifications and clinical summaries to primary care providers, payers and other healthcare stakeholders of patient hospitalizations. ENS technology sends hospital inpatient and ED admission, discharge, and transfer (ADT) event notifications securely, between participating hospitals and inter-state among connected HIEs (i.e. Maryland, Delaware, and DC exchange ENS events). Since its commercial launch in 2013, ENS has over 10 million hospital encounter notifications distributed securely to HIE organization subscribers in Florida, Utah, Delaware, and Maryland, as well as metro Philadelphia and the District of Columbia. ENS powers FLHIE’s Event Notification Service, DHIN’s Encounter Notification System, UHIN’s cHIE alerts, CRISP’s Encounter Notification System, and HSX’s Encounter Notification Service. To learn more click here follow us on Twitter @A_INQ and visit

About Harris Corporation: Harris is an international communications and information technology company serving government and commercial markets in more than 150 countries. Headquartered in Melbourne, Florida, the company has approximately $5 billion of annual revenue and more than 16,000 employees — including nearly 7,000 engineers and scientists. Harris is dedicated to developing best-in-class assured communications® products, systems, and services. Additional information about Harris Corporation is available at  In healthcare solutions, Harris provides enterprise intelligence solutions and services for commercial and government customers, including interoperability, imaging, managed services infrastructure, systems and cyber integration, and informatics. Harris products, systems, and services improve health outcomes by ensuring that the right information is delivered with security and privacy to the right person, on the right device, at the point of care. For more information on Harris Healthcare Solutions, please visit