InterSystems.com

Summary
CUSTOMER
eHealth Exchange national
health informationnetwork
CHALLENGE
Interconnect tens ofthousands of distinct
healthcare entities acrossthe United States
SOLUTION
Fast, reliable, and securedata exchange nationwide

eHealth Exchange + InterSystems

Ensuring High Availability, Performance,Security, and Scalability for the Leading
Nationwide Public Health Data Exchange
eHealth Exchange, the largest health information network in the UnitedStates, uses InterSystems solutions to power its massively scalable
eHealth Exchange Hub data platform. InterSystems cloud-hosted
managed service offerings help eHealth Exchange accelerate timeto-value and ensure outstanding performance and availability for its
nationwide data-sharing network.
eHealth Exchange facilitates over 21 billion secure transactions a year
and is known as the network of choice for public health and the federal
government. It provides connectivity for 60 regional and state healthinformation exchanges (HIEs), 75% of U.S. hospitals and health systems,
6 TEFCA national health information networks, 70,000 medical groups,
85% of dialysis centers, payers in 34 states, as well as countless urgent
care centers, surgery centers, and clinical laboratories. Public healthagencies nationwide, as well as five federal agencies, rely on eHealthExchange to share patient information with private-sector partners andamong each other. eHealth Exchange also connects to 35+ national healthinformation networks via Carequality.
eHealth Exchange is one of the inaugural electronic data-sharing
networks in the country to be designated as a Qualified Health
Information Network™ (QHIN™) under the Trusted Exchange
Framework and Common Agreement™ (TEFCA™). Created underthe 21st Century Cures Act, TEFCA establishes a universal governance,policy, and technical foundation for nationwide interoperability.
eHealth Exchange stands apart from other designated and approvedcandidate QHINs as the only network that connects healthcare providers
to five different federal agencies and supports the routing of electronic casereports (eCRs) to public health agencies in all 50 states.

Improving Patient Care and Public Health

Destination:
Spokane, WA

eHealth Exchange connects federal agencies and non-federal healthcareorganizations throughout the United States. The network dramatically
improves patient care and public health by ensuring tens of thousands oforganizations with disparate systems can share vital medical data—quickly,reliably, and securely.

“INTERSYSTEMSPROVIDES ALL THE
CAPABILITIES WE
NEED TO MEET OUR
BUSINESS DEMANDS,
During a trip to Spokane, WAINONE SEAMLESSHenry came down with pneumonia-likesymptoms.
ENVIRONMENT.”

Spokane Dept of Health queries for
additional clinical and administrative details(phone number to call patient for followup).

Henry's doctor electronically queries
and retrieves medical records from Virginia.

Notes he is diabetic.
COVID test comes backAnthony
Gillaizeau,
positive, and Henry is treated locally.

IT Manager, CFAO

Spokane County Dept of Health and theWashington Dept of Health are notified ofpatients positive COVID lab result and otherpatient data.

Henry Tucker
Alexandria, VA
Age: 52Diabetic

When he returns home, hisdoctors have electronic accessto his medical records from
Washington.

Destination:
Alexandria, VA

eHealth Exchange makes it easy for organizations with disparate systems toexchange healthcare information

A hub-and-spoke architecture lets eHealth Exchange participants
exchange patient data via a single connection, a single set of APIs, andone trust agreement for ultimate convenience, ease-of-deployment, andeconomics.

Accelerating the Pace of Innovation with InterSystems
Since 2019, eHealth Exchange has relied on a number of InterSystems
solutions including InterSystems IRIS for Health™ and InterSystems
HealthShare™ to power eHealth Exchange Hub, the centerpiece of its
electronic data-sharing network. InterSystems solutions help eHealthExchange efficiently connect diverse networks and entities, and reliably
exchange data at high scale with ultra-low latency.
InterSystems cloud-based, fully managed solutions help eHealthExchange accelerate time-to-market for new use cases, avoid upfront
capital equipment expenditures, and tightly align ongoing expenses withevolving business requirements. The solutions make it easy for healthcareorganizations to get connected and become TEFCA-compliant.
“With InterSystems we can support new data exchange use cases quickly
and cost-effectively to help our members expand information sharing
and keep pace with change,” explains Jay Nakashima, President at
eHealth Exchange. “InterSystems helps us reduce operations expense andcomplexity, and free up technical resources to focus on more strategictasks.”

InterSystems.com

InterSystems solutions support every healthcare data standard, including
HL7® FHIR®. They help eHealth Exchange optimize system performanceand availability, and lay the foundation for emerging FHIR projects. TheeHealth Exchange Hub underpins a variety of innovative public health dataexchange applications including a FHIR-based adverse events monitoring
application, an automated electronic case reporting application, and anationwide disaster preparedness and response application.
Automating Adverse Event Monitoring
eHealth Exchange Hub is the cornerstone of the U.S. FDA Biologics
Effectiveness and Safety (BEST) exchange platform, one of the firstnational-scale, FHIR-based public health exchanges in the world. Livein 46 states, the platform handles millions of FHIR R4 transactions
annually for the FDA’s adverse events reporting program. The AI-based
program automates inefficient manual processes and provides more robust
monitoring of adverse events, while minimizing the burden on providers.

FDA BEST Exchange Platform powered by eHealth Exchange and InterSystems

The BEST platform supports two distinct adverse event use cases: a “pushscenario” to intelligently detect and validate adverse event cases andreport them to the FDA via eHealth Exchange; and a “pull scenario” toautomatically gather patient data from provider EHR systems for validation
purposes by the FDA.
Streamlining Electronic Case Reporting
eHealth Exchange participants can automatically send eCRs to appropriate
local, state, and national public health agencies via eHealth Exchange’s
partnership with the Association of Public Health Laboratories (APHL),an eHealth Exchange participant. Many participants started leveraging
the solution to report COVID-19 cases at the onset of the pandemic. Today,providers can automatically share over 80+reportable diseases via eHealthExchange.

“WITH INTERSYSTEMS WE
CAN SUPPORT NEW DATAEXCHANGE USE CASESQUICKLY AND COSTEFFECTIVELY TO HELPOUR MEMBERS EXPANDINFORMATION SHARING AND
KEEP PACE WITH CHANGE.
INTERSYSTEMS HELPSUS REDUCE OPERATIONSEXPENSE AND COMPLEXITY,AND FREE UP TECHNICALRESOURCES TO FOCUS ON
STRATEGIC TASKS.”
WHEN RHODES GROUPJay
Nakashima,President,
RAN
INTOROADBLOCKSeHealth Exchange
GETTING ACCESS TO THE
REQUIRED LAB DATA, THECOMPANY TURNED TOHL7® FHIR.®

Empowering Clinicians at Disaster Sites
The Patient Unified Lookup System for Emergencies (PULSE) is anationwide health IT disaster response platform deployed at the city,
county, or state level to authenticate and empower volunteer clinicians atdisaster sites. With an eHealth Exchange connection, authorized volunteers
in makeshift “pop-up” clinics and elsewhere can use PULSE to retrieve
patient medical records and make well-informed decisions.

For More Information“INTERSYSTEMSPROVIDES ALL THE
CAPABILITIES WE
NEED TO MEET OUR
BUSINESS DEMANDS,IN ONE SEAMLESSENVIRONMENT.”
Anthony Gillaizeau,
IT Manager, CFAOInterSystems helps eHealth Exchange provide fast, reliable, and securedata exchanges nationwide. The QHIN-designated network works tirelessly
to advance interoperability through new use cases to serve the public
good, enhance workflows, and reduce administrative burdens. With
these efficiencies, eHealth Exchange is transforming care and improving
outcomes.
eHealth Exchange is using InterSystems solutions to streamline
information sharing for value-based care and to operationalize the HL7
Da Vinci Project, including a hub-and-spoke model for electronic priorauthorization and clinical data exchange (CDEX).
To learn how InterSystems can help your organization streamline
information flows and improve care visit InterSystems.com© 2024 InterSystems Corporation. All rights reserved. 042624