Overview

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Meditech serves over 2,300 healthcare organizations including community hospitals, critical access hospitals, and integrated delivery networks. Known for its robust inpatient and ambulatory EHR solutions, Meditech provides comprehensive clinical, financial, and administrative systems for hospitals that value reliability and long-term vendor partnerships. Stream Health's Meditech integration delivers comprehensive patient data consolidation and care gap identification for hospital revenue growth across inpatient, outpatient, and emergency department settings.

With Meditech's recent cloud migration (Meditech Expanse) and ongoing support for legacy systems, Stream Health provides flexible integration options that work across all Meditech platforms—from Meditech Magic and Client/Server to the latest Meditech Expanse web-based system.

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Key features:

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• Multi-Protocol Connectivity: Stream Health connects to Meditech via HL7 interfaces, direct database connectivity, FHIR APIs (Meditech Expanse), or Meditech's Data Repository (DR) access. Our integration team works with your Meditech implementation to determine the optimal connectivity method based on your specific Meditech version and IT infrastructure.

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• Inpatient & Outpatient Coverage: Comprehensive data retrieval across all Meditech modules including ADT (admissions/discharge/transfer), clinical documentation, lab results, radiology reports, medications, nursing assessments, and ambulatory encounters. Stream Health provides complete hospital patient visibility across all care settings.

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• Hospital Revenue Optimization: Identify inpatient and outpatient care gaps including missed secondary diagnoses for DRG optimization, undercoded procedures, incomplete chronic condition documentation affecting risk adjustment, and preventive services eligible patients haven't received. Revenue integrity teams receive actionable reports tied to specific patient encounters and DRG codes.

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• Quality Measure Tracking: Hospital-specific quality measures including HCAHPS patient satisfaction, readmission prevention, sepsis core measures, and Joint Commission quality indicators. Stream Health identifies patients at risk for readmission, tracks care transitions, and monitors compliance with core measure protocols.

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How it works

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Stream Health connects to Meditech via HL7 interfaces for real-time ADT feeds and clinical results, or through direct Data Repository access for comprehensive historical data retrieval. For Meditech Expanse customers, we leverage FHIR APIs for modern, standards-based connectivity. Our integration retrieves patient demographics, encounter data, clinical documentation, lab results, diagnostic reports, medications, and nursing assessments.

We consolidate Meditech hospital data with external patient records from referring physicians, transferring facilities, post-acute care providers, and previous hospital admissions at other health systems. This creates a complete longitudinal patient record that reveals care gaps and clinical context invisible when viewing only Meditech data.

Our AI analysis engine, validated by licensed Nurse Practitioners, identifies hospital-specific revenue opportunities including: missed secondary diagnoses that impact DRG assignment and reimbursement, undercoded procedures requiring physician query for clarification, incomplete chronic condition documentation affecting Medicare Advantage risk adjustment, care gaps requiring inpatient intervention (diabetes management, cardiac risk assessment), and discharge planning opportunities to prevent readmissions.

Consolidated patient summaries and care gap alerts are delivered to hospital care teams via Meditech integration, appearing in physician documentation workflows, case management dashboards, and revenue integrity reporting systems. Quality and performance improvement teams receive detailed analytics on care gap closure rates, readmission risk stratification, and quality measure compliance.

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Benefits of integrating Meditech with Stream Health

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• Complete Patient Visibility: Eliminate information gaps that lead to adverse events, medication errors, and duplicative testing. Hospital clinicians see consolidated patient histories including outside hospital admissions, specialist consultations, previous diagnostic imaging, medication histories from retail pharmacies, and chronic disease management from primary care providers—providing complete clinical context for informed decision-making.

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• DRG Optimization: Identify missed secondary diagnoses and comorbidities that impact MS-DRG assignment and hospital reimbursement. Stream Health's NP review identifies clinical documentation gaps requiring physician clarification through the query process, improving case mix index and appropriate hospital payment.

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• Readmission Prevention: Predict and prevent hospital readmissions through comprehensive care transition planning. Stream Health identifies high-risk patients based on social determinants, medication adherence patterns, previous readmission history, and incomplete discharge instructions—enabling case managers to intervene proactively and avoid CMS readmission penalties.

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• Quality Measure Compliance: Systematic tracking and improvement of Joint Commission core measures, CMS hospital quality programs, and HCAHPS patient satisfaction scores. Stream Health provides real-time alerts when patients are non-compliant with sepsis protocols, venous thromboembolism prophylaxis, or other core measures—enabling immediate intervention before discharge.

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• Risk Adjustment Accuracy: For hospitals participating in Medicare Advantage or ACO risk-bearing contracts, Stream Health ensures complete chronic condition documentation for accurate risk adjustment coding. Our platform identifies patients with known chronic conditions (diabetes, CHF, COPD, CAD) lacking supporting documentation in the current encounter, prompting physician documentation to support appropriate risk scores.

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• Revenue Integrity: Hospital revenue cycle teams receive detailed reports of charge capture opportunities, undercoded services, and missed revenue tied to specific patient encounters. For a 200-bed community hospital, Stream Health typically identifies $3-5M in annual revenue improvement opportunities through better documentation, DRG optimization, and care gap closure.

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• Legacy System Support: Unlike vendors that only support the latest Meditech Expanse platform, Stream Health integrates with all Meditech versions including Magic, Client/Server, and legacy systems. This ensures hospitals can benefit from Stream Health's capabilities regardless of their Meditech migration timeline.