Value-Based Care Patient Profile


As patients move throughout a healthcare system, care teams often struggle to gain and maintain a complete picture of their health history,

Health Endeavors' value-based care health history solution delivers to the point of care (in the EHR) a comprehensive view of a patient’s health history using:


  • Claims data

  • Clinical data (HL7 lab, FHIR, QRDA)

  • Admit, discharge, transfer (ADT) encounters

  • Patient-generated data


In and out-of-network encounters

The health history follows a patient throughout their healthcare journey and for Medicare patients it automatically refreshes with new data every 7 days.  This health history is available regardless of where a patient received treatment, both in and out-of-network.


Medication reconciliations now take a fraction of the time as all data from all providers is instantly presented at the point of care, including prescriptions not picked up.


Upon admission, pre-certification, or new patient onboarding processes, the care team now has a complete diagnosis history, including COVID-19 diagnosis and vaccine status, diagnosing provider and location of service for such diagnosis.


Past surgical procedures are an important component of a health history as it lays the groundwork in determining future care plan success.


Provider information for diagnostic imaging such as MRI, CT and PET exams.

Emergency Visits

Redirect patients with avoidable emergency department visits to outpatient clinic settings.


Track emergency visits that lead to hospitalization or hospitalization that lead to a re-admission.

Primary Care and Specialist Providers

Easily locate all primary care and specialists involved in a patients care, the medications they have prescribed and frequency of encounters.

Home Health/Skilled Nursing Facility

After a patient is referred to a home health or a SNF, the nurses get quick access to a comprehensive patient history.



No longer rely on a patient's memory or wait on delayed record requests.

Care Coordination Using Value-Based Care Health History