Health information exchanges (HIEs) are connecting nation­wide to seamlessly deliver patient health information across state lines and across health systems, improving the patient experience by making their health information available when­ever and wherever their care occurs.

The Patient Centered Data Home (PCDH) is a cost-effective, scalable method of exchanging patient data among health information exchanges (HIEs). It’s based on triggering episode alerts, which notify providers a care event has occurred outside of the patients’ “home” HIE, and confirms the availability and the specific location of the clinical data, enabling providers to initiate a simple query to access real-time information across state and regional lines and the care continuum.

PCDH is an initiative of the Strategic Health Information Exchange Collaborative (SHIEC) that puts into practice the vision that clinical data should be available whenever and wherever care occurs and “centered” around the patient to improve patient care. In this model, all clinical data becomes part of the comprehensive longitudinal patient record in the HIE where the patient resides, called the Patient Centered Data Home.

17 HIEs
Total event notifications exchanged Patients in PCDH regions Planning to participate

PDDH Member Map

Download the PCDH Fact Sheet


How PCDH Works

Step 1: Share patient encounter “alert” (from “non-home” to “home” HIE) based on ZIP code look up tables
Step 2: Non-home HIE queries home HIE for clinical data to aid provider at the time of treatment
Step 3: Home HIE alerts treating non-home HIE if there are records. Simultaneously, the home HIE alerts patient’s usual “home” doctors
Step 4: If records exist at home HIE, non-home HIE issues a query for records for the home HIE to respond to
Step 5: Non-home HIE delivers records to treating care team and shares post-encounter summary to “home HIE”

Patient Centered Data Home Features

  • PROVIDES A VEHICLE to close the loop on care when a patient is seen outside their normal care area>

  • ENABLES NATIONWIDE ACCESS to patient information that follows the patient and facilitates better treatment

  • LINKS EXISTING COMMUNITIES OF TRUST established by health information exchanges

  • PRESERVES local governance

  • PROTECTS local stakeholders

Why is PCDH Needed?

  • PCDH is organized around patients and where they live  States

  • Gives patients control of data where ever and whenever they receive care

  • Serves as data trustee to pull together data regardless of who or where the patient is

    • Other attempts fail because they are organized around

    • Individual organizations

    • Convenient geographies (e.g., states)

    • Single EHR vendors

    • Single Payers

    • PCDH can prove the value that HIEs bring to healthcare