Overview

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Allscripts provides electronic health record and practice management solutions across ambulatory and hospital care settings, serving diverse healthcare organizations from small physician practices to large integrated delivery networks. With multiple product lines including Allscripts Professional EHR, Sunrise (hospital), and TouchWorks, Allscripts offers flexible solutions for various practice types and specialties. Stream Health's Allscripts integration enables comprehensive patient record consolidation and revenue cycle intelligence through API connectivity and CCD/CCDA document exchange.

Allscripts' commitment to interoperability and open platforms makes it an ideal partner for Stream Health's data consolidation and gap-in-care analysis capabilities. Our integration leverages Allscripts' robust API infrastructure to deliver complete patient visibility and actionable revenue optimization insights.

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Key features:

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• Allscripts FHIR API Integration: Secure, standards-based data retrieval using Allscripts' certified FHIR implementation and proprietary APIs. Stream Health connects via Allscripts Developer Program APIs, retrieving patient demographics, clinical encounters, problem lists, medications, lab results, immunizations, procedures, and clinical documentation across all Allscripts product lines.

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• CCD/CCDA Document Processing: Automated parsing and integration of Continuity of Care Documents (CCDs) and Consolidated Clinical Document Architecture (CCDA) files exchanged through Allscripts' care coordination platform. Stream Health extracts structured data from CCD/CCDA documents, consolidates it with Allscripts patient records, and identifies care gaps across the complete patient history.

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• Multi-Product Support: Unified integration across Allscripts Professional EHR, Sunrise, TouchWorks, and FollowMyHealth patient portal. Whether your organization uses one or multiple Allscripts products, Stream Health provides consistent data consolidation and gap-in-care analysis across all platforms.

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• Billing Intelligence: Care gap insights are correlated with CPT codes, payer-specific billing rules, and Allscripts' revenue cycle workflows. Billing teams receive reports showing specific billable opportunities, patient eligibility verification, and documentation requirements—integrated with Allscripts' practice management and billing systems.

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How it works

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Stream Health connects to Allscripts via FHIR APIs and Allscripts' proprietary integration framework, using OAuth 2.0 authentication for secure, HIPAA-compliant access. Our platform retrieves patient clinical data from Allscripts databases including encounters, diagnoses, procedures, lab results, medications, allergies, immunizations, vital signs, and clinical notes.

We then consolidate Allscripts data with external patient records from other healthcare providers, health information exchanges (HIEs), CommonWell Health Alliance, Carequality framework, hospital admissions from non-Allscripts systems, specialist consultations, and CCD/CCDA documents received through care coordination pathways. This creates a comprehensive longitudinal patient record spanning all care settings.

Stream Health's AI-powered gap-in-care engine analyzes the consolidated patient history against evidence-based care guidelines including HEDIS quality measures, USPSTF preventive service recommendations, CMS chronic care management criteria, Medicare Advantage risk adjustment requirements, and payer-specific quality programs. Every identified care gap undergoes licensed Nurse Practitioner review to validate clinical appropriateness.

Consolidated patient summaries, NP-validated care gap findings, and clinical recommendations are delivered back to Allscripts via API write-back, appearing in the patient chart, health maintenance module, clinical decision support alerts, and provider workflow queues. Revenue cycle teams receive detailed billing reports integrated with Allscripts' practice management system, showing specific CPT codes, estimated reimbursement, and patient eligibility status.

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Benefits of integrating Allscripts with Stream Health

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• Zero Workflow Disruption: Clinicians access enriched patient data, care gap alerts, and consolidated summaries directly within Allscripts' native interface. No context switching between systems, no separate portals to log into, no additional documentation burden—Stream Health insights appear where providers already work.

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• Revenue Optimization: $5M+ new annual revenue for a 5,000-patient practice through systematic care gap identification and closure. Stream Health identifies billable opportunities including: annual wellness visits (99387 for Medicare patients generating $174 per visit), chronic care management (99490 generating $42-60 per patient per month), remote patient monitoring (99457-99458 generating $50-100 per patient per month), transitional care management (99495-99496 generating $167-239 per transition), preventive services (immunizations, cancer screenings, cardiovascular risk assessments), and high-value diagnostic testing appropriate to patient conditions.

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• Complete Clinical Context: Providers see consolidated patient histories from all care settings, eliminating dangerous information gaps. Stream Health aggregates: hospital discharge summaries from non-Allscripts facilities, specialist consultation notes, emergency department visits at outside hospitals, diagnostic imaging reports, medication histories from retail and mail-order pharmacies, social determinant data affecting care delivery, and previous care episodes from prior insurance coverage. This complete context reduces diagnostic errors, prevents medication conflicts, and eliminates duplicative testing.

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• Value-Based Care Success: Improve quality measure performance in MIPS (Merit-based Incentive Payment System), HEDIS (Healthcare Effectiveness Data and Information Set), Medicare Advantage Star Ratings, and ACO (Accountable Care Organization) shared savings programs. Stream Health identifies underperforming quality measures, provides patient-specific recommendations with clinical evidence, tracks closure rates in real-time, and predicts year-end performance for proactive intervention—directly impacting value-based care bonus payments worth $50K-500K+ annually depending on practice size.

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• CCD/CCDA Intelligence: Unlike basic document management systems that simply store CCD/CCDA files, Stream Health extracts structured clinical data from these documents, identifies discrepancies with Allscripts records, highlights missing information requiring follow-up, and integrates external data into the longitudinal patient record. This transforms passive document receipt into actionable clinical intelligence.

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• Risk Adjustment Optimization: For practices participating in Medicare Advantage or value-based contracts, Stream Health ensures accurate chronic condition documentation supporting appropriate risk adjustment coding. Our platform identifies patients with known conditions (diabetes, CHF, COPD, depression, etc.) lacking current-year documentation in Allscripts, prompting providers to assess and document condition status during patient encounters—improving risk scores and capitation payments.

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• Specialty Practice Support: Tailored gap-in-care analysis for specialty practices using Allscripts including: cardiology (ASCVD risk assessment, antiplatelet therapy, statin management), endocrinology (diabetes retinal exams, nephropathy screening, A1c monitoring), women's health (cervical cancer screening, breast cancer screening, contraceptive counseling), and pediatrics (developmental screening, immunization schedules, well-child visits). Stream Health adapts to specialty-specific quality measures and billing opportunities.