Audacious Inquiry (Ai) is a health information technology and policy company that is making healthcare more connected. We facilitate the exchange of health information to deliver care coordination solutions. Our software is designed to be efficient and cost-effective, our nationally-recognized team-members provide tactful strategic consulting, and our services rethink how health information is shared, managed, leveraged, and protected.



The Industry Leader in Real-time Clinical Event Notifications

Ai’s Encounter Notification Service® (ENS®) is used by health information organizations and hospital associations to unite primary care providers, payers and others accountable for coordinating care for patients by providing access to clinical summaries in real-time. ENS is a cost-effective communication solution that bridges the gap between care teams, resulting in more efficient transfers of care, and leads to reduced readmissions.

Since 2013 the application has delivered actionable patient data to eight states and the District of Columbia (through seven HIOs, and one hospital association). Ai's ENS powers CRISP’s Encounter Notification System, WVHIN's Encounter Notification Service, FLHIE’s Event Notification Service, DHIN’s Encounter Notification System, HSX’s ENShare, Tennessee Hospital Association's ConnecTN, Minnesota Department of Human Services' Encounter Alert Service, Manifest Medex' MX Notify.

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Ai's cloud-based software solutions leverage open APIs and accredited interoperability standards


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ENS Helps Organizations:

Improve Care Coordination

Clinicians and care managers can receive timely ENS notifications about hospitalizations, act promptly, and direct patients to the most appropriate care settings.

Reduce Avoidable Utilization

Whether you are a PCP who needs to know when, where, and why a patient is hospitalized, or a treating physician who needs insight into a patient’s relationships, ENS enables the necessary engagement to make proper clinical decisions and dispositions

Optimize Financial Performance

ENS’ ability to improve care coordination and reduce avoidable utilization is necessary to achieve your financial goals under value-based contracting—bundles, ACOs, PCMH programs—or through enhancing Transitional Care Management (TCM) revenue

Improve Patient Satisfaction

ENS notifications improve communications, and streamline workflows between care providers and case team managers – this leads to greater patient engagement and satisfaction.

Meaningful Use Compliance

Enables the automatic routing of discharge summaries from hospitals in a manner compliant with MU requirements for Transitions of Care.



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Mark Jacobs, CIO at Delaware Health Information Network (DHIN)

"DHIN is thrilled to meet our strategic goal of providing encounter notifications to our customers in Delaware. This go-live marks the beginning of a longer term strategy to provide hospital encounter notifications to all payers and providers in Delaware.”

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Martin Lupinetti, Excutive Director of Healthshare Exchange (HSX)

“ENS provides a major opportunity to modernize transition-of-care processes related to hospital visits. We are continuing to build a robust and scalable technology platform to deliver to physicians and other healthcare providers — and to insurers — useful and timely hospitalization alerts and discharge data that will improve point-of-care services, follow up, and disease management. We look forward to working with a respected company such as Ai.

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David Klebonis, Chief Information Officer (CIO), Palm Beach Accountable Care Organization LLC

"ENS has tremendous potential to increase care coordination with hospitals and physicians. We are now able to coordinate care at admission, reduce hospital length of stay and reduce readmissions through PCP transitional care management. We are fortunate that Florida is one of the first to offer this technology.”

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Elizabeth Dudek, Secretary, State Of Florida's Agency For Health Care Administration (AHCA)

"ENS has made great progress in opening up the lines of communication between hospitals, health plans and other treatment facilities. Having additional organizations join the service to provide their members and patients with improved care coordination will lead to better health outcomes for Florida families.”

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Frank Campbell, Director of Informatics, Cigna-Healthspring

"[Encounter Notification Service®] improved care coordination, resulting in fewer, or no ER visits, or Inpatient Admissions.”

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Dr. Joshua Sharfstein, Former Secretary, State Of Maryland, Department of Health And Mental Hygiene

"The exchange of data has really opened the doors to population health. It starts with basic notifications the doctors can get when their patients are in the hospital ED that instant, registering, and doctors can get a notification about their patient… Providers can get an up-to-the-minute dashboard of all their patients’ hospitalization use.”

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David Horrocks, President, Chesapeake Regional Information Systems For Our Patients

"CRISP considers ADT data, processed and delivered through ENS, to be very valuable for care coordination. Working with Maryland and DC hospitals we have seen how providing real-time encounter information allows PCPs and care coordinators to better engage their patients and reduces costly hospital readmissions."

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Dr. Jan Lee, CEO, Delaware Health Information Network

"This is a great example of how technology can help bring doctors closer to their patients."

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Dr. Karen S Scole, Chief Medical Information Officer, Crozer-Keystone Health System

"Successful participation in population health management and achieving the desired outcomes for all patients will be totally dependent on the ability to securely exchange information about patients outside of any physician's hospital, network or practice. ENS notifications are a critical first step to making that happen."