What an ADT notification is
ADT stands for admission, discharge, and transfer. An ADT notification is the message a hospital system generates when one of those events happens. It usually travels as an HL7 ADT message, often routed through a health information exchange or a notification vendor. It carries at least the patient's name, the treating practitioner, and the sending hospital.
Since 2021, the Medicare Conditions of Participation at 42 CFR 482.24(d) have required it. A hospital whose electronic records system meets the federal content exchange standard must send these notifications. They cover inpatient admission, discharge, and transfer, plus emergency department registration, discharge, or transfer. Recipients include post-acute providers and the primary care practitioner or group the patient identifies.
A discharge alert starts the clock on transitional care management. TCM requires interactive contact with the patient within 2 business days of discharge. Rivvi is a HIPAA-compliant AI workspace where staff can upload a discharge list, sort it, and track follow-up. Its action layer can call or text those patients and log every outcome.