ENS® – Encounter Notification Service

The industry leader in delivering real-time clinical event notifications since 2012

What is ENS?

Audacious Inquiry’s Encounter Notification Service® (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. It is used by 13 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. 

During the COVID-19 pandemic, the ENS platform is delivering insights in support of biosurveillance, hospital utilization, and epidemiological assessment, so appropriate measures can be taken to manage care for COVID-19 patients. Learn more about how Audacious Inquiry supports the COVID-19 response through the Encounter Notification Service (ENS)

Leverage ENS For COVID-19 Response

Manage, track, and trace your COVID-19 patients.

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Get answers to your unique questions or schedule a demo.

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


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ENS Frequently Asked Questions

How ENS Helps Organizations

How Does ENS Work?

ENS receives messages from hospitals and compares them to patient lists provided by subscribers. When one of the listed patients receives care at a participating hospital or care facility, subscribers receive an alert containing details about the patient’s hospital encounter.

How and When Do I Receive Notifications?

ENS receives admit, discharge, transfer (ADT) messages from hospitals in near real-time and, if requested, can send notifications within moments of an encounter being recorded in the hospital’s own electronic medical record. Subscribers also have the option of receiving notifications once or twice daily in batch format. Notifications are delivered to subscribers via a number of secure methods: SFTP sites, Direct Messaging, and PROMPT.


Do I Need to Get My Patients’ Permission?

Yes, your organization will need authorization to access a patient’s health information before including that individual on your patient list for ENS. Patient authorization does not need to reference ENS specifically.

Is There a Cost for ENS?

ENS pricing varies, please contact an Audacious Inquiry representative for more information at sales@ainq.com

How Do I Sign Up for ENS?

To sign up for ENS, please fill out the form at the bottom of screen so an Audacious Inquiry representative can contact you!

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.

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

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.

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.

Program/Regulatory Compliance

ENS enables the automatic routing of discharge summaries from hospitals in a manner compliant with Meaningful Use requirements for Transitions of Care.


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.”

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.”

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.”

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.”

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.”

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.”

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 Audacious.”

Learn how ENS bridges the gap between care teams.

A member of our helpful team will contact you to schedule a demo and answer your questions.