Encounter Notification Service (ENS®) 

The Encounter Notification Service (ENS®) provides subscribers with timely notifications about their members’ healthcare encounters. 


How does ENS work?

ENS receives messages from over 400 hospitals in Florida and compares them to patient lists provided by subscribers. When one of the listed patients receives care at a participating hospital, subscribers receive an alert containing details about that patient’s hospital encounter.

How ENS Works

How soon after an encounter is a notification sent?

The Florida HIE receives admit, discharge, transfer (ADT) messages from hospitals in near real-time and, if requested, can send notifications within moments of an encounter being recorded in the hospital’s own electronic medical record. Subscribers also have the option of receiving notifications once or twice daily in batch format.

How do I receive notifications?

Notifications are delivered to subscribers via a number of secure methods: SFTP sites, Direct Messaging, and PROMPT.

Do I need to get my patient's permission?

Yes, your organization will need authorization to access a patient’s health information before including that individual on your patient list for ENS. Patient authorization does not need to reference ENS specifically. The Florida HIE does not mandate the use of any particular authorization form, but encourages organizations to consider using the Universal Patient Authorization Form developed by the Agency for Health Care Administration, if appropriate. Learn more by visiting florida-hie.net/patients.

Is there a cost for ENS?

ENS Subscriber pricing is set at a per-patient, per-year rate, based on subscriber type, and subscribers are billed quarterly for the service. For specific details on pricing and sample patient panel costs, please visit ENS Pricing Guide.

How do I sign up for ENS?

Please contact us at FLHIE_info@ainq.com and let us know you are interested. A Florida HIE representative will help you start the process.



Of acute care hospitals

Participating data sources


Of inpatient rehabilition hospital


Optimize Financial Performance

ENS’s ability to improve care coordination and reduce avoidable utilization is a useful tool to achieve financial goals under value-based contracting—bundles, Accountable Care Organizations, Patient Centered Medical Home programs—or through enhancing Transitional Care Management (TCM) revenue.

Meaningful Use Compliance

Enables the automatic routing of discharge summaries from hospitals in a manner compliant with MU requirements for Transitions of Care.

Improve Care Coordination

Clinicians and care managers can receive timely ENS notifications about hospitalizations, act promptly, and direct patients to the most appropriate care settings.

Reduce Avoidable Utilization

Whether you are a Primary Care Provider who needs to know when, where, and why a patient is hospitalized, or a treating physician who needs insight into a patient’s relationships, ENS enables the necessary engagement to make proper clinical decisions and dispositions.

Improve Patient Satisfaction

ENS notifications improve communications and streamline workflows between care providers and case team managers – this leads to greater patient engagement and satisfaction.

ENS helps health information organizations and hospital associations to unite primary care providers, payers and others accountable for coordinating care for patients.

Knowing when, where, and why patients are hospitalized provides actionable data to identify, intervene, and avoid unnecessary readmissions. Encounter Notification Service® (ENS®) is the clinical care coordination tool used by care teams to reduce readmissions.