Vocera Care Experience Solution

The Vocera Care Experience (VCE) solution optimizes patient safety and experience, operational quality and staff engagement. The VCE patient care rounding tool uses HL7 to integrate additional details from the EHR.

Rounding enables real-time capture of patients’ voice and feedback as well as family or visitor comments. Staff ask patients key questions designed specifically to drive improved outcomes. Answers are captured and used to measure and track progress in patient experience, identify best performers among staff, get ahead of service issues proactively, and pinpoint opportunities for improvement.

A VPN is established to acquire an HL7 feed from the EHR. The HL7 feed is then parsed to capture ADT data, as well as other useful information such as diagnosis, etc. VCE utilizes the data to populate the cloud-based user interface and provide reporting details for analysis.

Using the ADT-A03 Discharge Message with VCE

HL7 ADT messages carry patient demographic information for HL7 communications but also provide important information about trigger events (such as patient admit, discharge, transfer, registration, etc.). Some of the most important segments in the ADT message are the PID (Patient Identification) segment, the PV1 (Patient Visit) segment, and occasionally the MRG (Merge) segment. An ADT-A03 event signals the end of a patient’s stay in a healthcare facility. It signals that the patient’s status has changed to “discharged” and that a discharge date has been recorded.

In this HL7 sample, the patient is discharged from the facility, which creates an update event in the EHR. Vocera receives the EHR update in an HL7 message containing the ADT^A03 (discharge) segment and passes the data to the VCE application. This example includes the patient identification (PID), diagnosis (DG1), visit and insurance information (PV1). Depending on the facility's implementation, this feed may trigger VCE to initiate a Discharged Patient Experience round survey for the patient, or may result in individual staff recognition, as well as an update to the facility's reporting and analysis data.

MSH|^~&|EPIC|CC|GOODTOGO|CC|20200407024931|U0047989|ADT^A03|307638910466968535078934920993831287912|P|2.4
EVN|A03|20200407024931||ADT_EVENT|U0047989^L11^Test111^M2156|20200407024931
PID|1||MRNAUTO11001^^^CC^^^^HUB^CC^MRN||L2^AUTO_11001update^M2||19790424|M||C|main st^^MICHIGAN CITY^IN^46360^USA||765-744-1695^^7||ENG|S||VISITAUTO11001
PV1|1|I|4NCC^4NCC1026001^P|1|||^^|||ERM|||||||^^||VISITAUTO11001|MEDICAID||||||||||||||||||||||||20200407004931|20200407024931|||||VISITAUTO11001
PV2||Priv|||||||||||||||||||200|N||||||||||Y||||||Self
DG1|1|ICD-10|641.13^Fever307638910546196697593423875618790341736^ICD-10-CM|Fever307638910546196697593423875618790341736|20200407024931|^W