Jane Sneed, M.D. – The Children’s Clinic, a primary care pediatrician in Jonesboro, Arkansas, shared a powerful example of how the SHARE Health Information Exchange (HIE), Arkansas’ only statewide HIE, plays a critical role in safeguarding vulnerable pediatric patients. This case involved a young child with complex medical needs: a history of prolonged hospitalization at Arkansas Children’s Hospital, short bowel syndrome, a central line for medications and nutrition, and an NG tube for feedings. The child comes from a young, resource-limited family with poor medical compliance—missed appointments, unreliable follow-up, and difficulty accessing necessary therapies and home health services.
Historically, this family only responded to outreach from the clinic and did not initiate follow-up care, even after being advised to do so by emergency departments (EDs). In situations like these, without a proactive system in place, critical follow-up care could easily fall through the cracks.
Fortunately, Dr. Sneed’s clinic is connected to SHARE HIE. They have a dedicated team member who reviews SHARE reports every weekday, receiving timely alerts on hospital discharges and ER visits for all their patients. On a Tuesday morning, the clinic received a SHARE alert indicating that this child had visited a nearby ER on Monday Night with a fever—a red flag for any patient with a central line due to the risk of bloodstream infections.
Upon reviewing the ER clinical summary through SHARE, Dr. Sneed noted that while the child had been diagnosed with an ear infection and discharged on oral antibiotics, the lab results included abnormal values and a pending blood culture. Based on this information, Dr. Sneed’s team immediately contacted the family and scheduled an urgent follow-up visit for that afternoon.
As part of their internal protocol, the clinic nurse checked the status of the blood culture shortly before the patient arrived—and discovered it had turned positive for infection earlier that morning. Despite this, the ER had not contacted the family to report the result or initiate follow-up care.
Thanks to the SHARE alert and proactive monitoring, Dr. Sneed’s clinic was able to act before the child became septic. He was immediately transferred to Arkansas Children’s Hospital, where he received IV antibiotics for two weeks and had his central line replaced due to infection. Early intervention prevented a potentially life-threatening situation.
This case highlights how SHARE enables providers to close dangerous gaps in care—especially for high-risk, medically complex, and socially vulnerable patients.
Benefits of Using SHARE HIE in Day-to-Day Patient Care:
- Real-Time Alerts: Providers receive timely notifications of hospitalizations, ER visits, and discharges, enabling proactive outreach and follow-up care.
- Comprehensive Clinical Summaries: Access to lab results, radiology reports, discharge summaries, and progress notes—even when care is delivered outside the clinic—supports more informed, coordinated care.
- Improved Care for Non-Compliant or High-Risk Families: SHARE enables providers to intervene even when patients do not follow through with post-discharge instructions or appointments.
- Enhanced Workflow: Clinical and support staff can quickly access needed documentation through SHARE, reducing the burden of chasing down records via fax or phone calls.
- Better Outcomes: Early identification of abnormal findings, as in this case, allows for timely treatment and prevention of complications such as sepsis.
- Collaborative Care: SHARE supports integration and communication among PCPs, specialists, hospitals, home health agencies, and behavioral health providers assuring everyone on the care team has access to the same information.
- Compliance with 21st Century Cures Act: Ensures data sharing requirements are met while advancing interoperability goals that benefit patients and providers alike.
Dr. Sneed’s experience is a clear demonstration of how SHARE HIE helps primary care-pediatrician providers deliver safer, smarter, and more responsive care, especially for the most vulnerable patients in our communities.
About The Children’s Clinic
The Children’s Clinic of Jonesboro was founded by Dr. Charles Kemp in 1959 and is one of the most longstanding pediatric clinics in the state of Arkansas. Over the years, the clinic has constantly grown and evolved to better meet the needs of the families they serve. The clinic has a daily walk-in clinic on Monday-Friday and on Saturday mornings. Additionally, they provide care to a large population of children with complex health care needs.
Learn more: https://jbrkids.com