HealthShare Exchange (HSX) is the Philadelphia region's health information exchange (HIE). HSX is a non-profit 501(c)(3) organization making secure electronic patient-care information available throughout the area’s medical systems. HSX links data across hospital systems, healthcare insurers and other healthcare organizations as a service to HSX members and participants. The HSX platform allows medical centers, insurers and practice offices to share clinical records to make patient care more informed by providing patient histories and event notifications throughout the system. Such exchange is part of the health information future for providers, payers, and consumers seeking better, more cost-effective care. Electronic HIE promotes continuity of care, reduces the need to transmit or transport medical information by fax or in-person by the patient, and helps to reduce duplicate services.
HSX was established in May 2012, and their Board and Governance was formed in January 2013. The HIE is governed by a seventeen (17) seat Board of Trustees representing five hospitals, five health plans and seven members at large. Decisions are made through the HSX committee structure and governance process. Committees have member and external stakeholder representation. The Executive Committee is very involved in HSX’s operation.
The geographical area served by HSX is the city of Philadelphia and surrounding counties: Montgomery, Delaware, Chester, Bucks and Philadelphia. HSX coverage is primarily metropolitan; there are more than five million patients in HSX’s Master Patient Index (MPI). Participant entities include forty hospitals, seventy independent ambulatory practices, two behavioral health organizations, five health plans, and two accountable care organizations (ACOs). There are more than eight thousand practitioners in the HSX Provider Directory.
Pamela Clarke, Senior Director of Member Services, Policy & Privacy for HSX was interviewed on the topic of using HSX for public health capabilities.