Who We Serve / Hospitals & Health Systems
Hospitals & Health Systems
From acute-care and critical-access hospitals to hospital-owned ambulatory networks, emergency departments, and hospital labs — SCeHA gives your clinicians a real-time view of what happened before your patient walked through the door, and alerts your care team the moment they show up somewhere else.
Who this is for
If your organization admits, discharges, or transfers patients — or operates ambulatory sites downstream of those events — SCeHA is the shared infrastructure that ties it together.
The value case
These outcomes come from more than a decade of peer-reviewed HIE research and from operational experience across national HIE and HDU peers.
Real-time ADT alerts let care managers intervene within hours of a discharge or an ED visit at another facility — the highest-leverage moment for readmission prevention.
Providers see outside results at the point of care through InContext or the Provider Portal, avoiding repeat CTs, MRIs, and lab panels.
ED clinicians instantly see prior encounters, medications, allergies, and prior imaging from every SCeHA participant and the national networks.
AMIA / NIH review →ADT-based encounter notifications satisfy the CMS Conditions of Participation requirement for admissions and discharges.
One SCeHA connection replaces many EHR-to-EHR interfaces — reducing your EHR vendor interface bill and freeing IT capacity.
Via CRISP Shared Services and the eHealth Exchange QHIN, your hospital connects to Carequality, CommonWell, and the broader TEFCA network with the same agreement.
eHealth Exchange →What you use
Standard hospital participation is bi-directional: you contribute ADT, CCDs, and external labs, and your clinicians and care teams access the full statewide and national record.
| SCeHA service | How you use it |
|---|---|
| Provider Portal / InContext | ED and inpatient clinicians see a longitudinal record aggregated from Direct Connect, the Member Network, and National Network in one view. |
| Encounter Notification Service | Templated ADT alerts to your care managers when attributed patients are admitted, discharged, or transferred at any SCeHA participant. |
| Query & Retrieve | EHR-initiated queries pull records into your inpatient or ED workflow without provider portal login. |
| Population Explorer (CEND) | Portal-based analytics view of encounter history — readmission risk, high-utilizer cohorts, discharge follow-through. |
| Direct Secure Messaging | Encrypted, standards-based referral and transition-of-care messaging. |
"Access to a longitudinal patient record across care settings reduces medication errors, avoids duplicate testing, and improves care coordination for hospitalized patients."
Adapted from AMIA Annual Symposium Proceedings, PMC/NIHParticipation & pricing
Under the 2026 SCeHA HIE Fee Schedule, hospital participation is priced per staffed bed as reported to AHD.com. Larger organizations qualify for negotiated cost-saving tiers.
Fees shown are 2026 rates. Larger organizations qualify for tiered discounts. Full detail in the current SCeHA HIE Fee Schedule.
| Participant type | 2026 subscription |
|---|---|
| Hospital | $167 per staffed bed / year |
| Hospital-owned physician practice (per provider) | $292 per provider / year |
| Optional: ADT Alert Feed | One-time build fee plus annual maintenance |
Evidence base
Systematic reviews of HIE research find consistent benefit in duplicate-test avoidance, care-coordination quality, and ED decision-making.
AMIA / NIH review →Net U.S. value of advanced HIE is estimated at $33.7B annually to providers — driven largely by hospital-based efficiency and avoidable-utilization impacts.
POCP Payer Toolkit →CMS finalized event notification requirements for hospitals participating in Medicare — HIE-based ADT alerts are the standard solution.
CMS interoperability rule →Ready to participate?
Tell us about your organization and a SCeHA representative will walk you through the participation agreement, technical onboarding, and go-live plan. Standard onboarding activates within 60–90 days.
Start the sign-up process →Prefer to talk first? Contact SCeHA directly.