Audacious Inquiry (AI) is a healthcare information technology and policy consulting firm. Ai leverages domain expertise in health information policy and technology to offer bold solutions that are leading the way to smarter delivery of healthcare. Government, private and nonprofit organizations have turned to Ai to rethink how health information is shared, managed, and protected. Ai’s implementation of master data management (MDM) tools to enable health information exchange has set the standard for health information organizations and HIEs throughout the nation. Ai’s Encounter Notification Service® (ENS®) provides real-time hospital inpatient and ED admission, discharge, and transfer (ADT) event notifications and clinical summaries, to primary care providers, payers and other stakeholders of care. ENS can send secure alerts between participating hospitals, and inter-state among connected HIEs, in several ways (via secure web services connection, via Direct secure messaging technology, or via the ENS PROMPT user interface). ENS can rapidly drive measurable clinical improvements in quality and outcomes, and can be integral to initiatives around population health, transitions of care, and reduction of readmissions.