Delivery Monitoring

Monitoring practices allow you to confirm alerts are reaching your system and being processed without delay.

Use the following practices to maintain delivery visibility:

• Monitor endpoints: Log inbound alert deliveries, response status codes, and timestamps to confirm successful receipt.
• Review retry behavior: Observe retries or delivery failures based on your configured delivery method and endpoint response behavior.
• Confirm acknowledgment handling: Ensure your system returns appropriate responses for received alerts and records delivery outcomes.

Delivery monitoring verifies transmission behavior only. It does not determine which alerts are generated.

Volume Expectations

Alert volume reflects patient enrollment scope and document-driven clinical activity observed across national health information networks.

You influence alert volume primarily through enrollment decisions and by understanding which types of document activity qualify for alert generation.

• Design enrollment intentionally: Use limited group enrollment when alerting applies to a defined population or program. Use all-tenant enrollment when alerting applies broadly.
• Understand qualification boundaries: Alerts are generated only for document-driven clinical activity that represents meaningful care. Administrative, financial, scheduling, or eligibility-related documents do not generate alerts.
• Expect document-based suppression: Alerts are not generated when documents are incomplete, malformed, or lack sufficient clinical content.

Enrollment design and qualification rules establish alert volume expectations.

Downstream Handling

Downstream handling describes how your system processes, routes, and acts on alerts after delivery.

Apply the following practices to support consistent handling:

• Implement idempotent processing: Deduplicate alerts using patient identifiers, encounter identifiers, and event timing.
• Route by workflow: Direct alerts to appropriate care teams, queues, or operational workflows based on your internal rules.
• Log failures separately: Track failed deliveries and retries for diagnostics and operational review.

Clinical Alerts provides notification context. All workflow execution, error handling, and reconciliation occur within your system.

Ongoing Validation

Ongoing validation helps you confirm that alert delivery and downstream handling continue to align with operational expectations over time.

Use the following checks as part of routine operations:

• Review enrollment alignment: Confirm that enrollment reflects current care programs and intended patient populations.
• Verify delivery health: Confirm that delivery endpoints remain reachable and continue to receive alerts successfully.
• Confirm feature access: Ensure Clinical Alerts remains enabled and operational for your tenant.

Validation confirms observed behavior over time and supports operational awareness.