The Book of Genesis tells the story of the Tower of Babel, where people speaking the same language begin building a city and tower with its top in the sky. In the story, God says: As one people with one language, nothing that they sought would be out of their reach. Along the same line, mankind would benefit from a universal healthcare information technology (HIT) language that is truly and completely interoperable.
ACOs continue to struggle with data integration from outside their organization in a meaningful way is no surprise. Building those data models and operationalizing them in workflows has proven to be a real challenge. The ACOs InnovAccer is working with are prioritizing core service areas identified by HEDIS measures. We are working to ensure that patients across all providers receive the minimum of what is defined as high value/quality care. Conditions involving high rates of hospitalization and readmission often top the list because of the potential savings. Moreover, the ability to positively impact that patient has been missed. The obvious challenge with using claims data is that it is three to six months lagged. Integrating clinical information from the EHR enables the approximation of a real-time data feed about what is happening with the patient on any given day. It allows to create a successful patient outreach program with a single point of contact and tracking system.
In terms of the EMR vendors, they are glorified data collection tools and they are well aware of the fact that the healthcare information is fragmented. It’s been over the place. There will always be information coming from a number of disparate sources, and there will always be a need to work with systems that handle that. It’s not just about data integration but then delivering that actionable intelligence back to the stakeholders that may not necessarily be on one EMR.
Outstanding improvements in health care will only come via standardization and integration, utilizing shared API’s with resulting tabulation and revelation of clinical outcomes according to all variables. That day, we can claim to have the full interoperability of EMR/EHR and billing systems. Wouldn’t it be great to know in disease, sex and age matched patients if Blue Shield Blue Cross, Inc Insured patients have better outcomes than UnitedHealthCare, Inc patients?
We at InnovAccer are focused and have built custom solutions for ACOs, HIE Hospital Systems, Payors and more because we believe they are the ones who have the real challenge. We have solved the ontology challenge of bringing the diverse clinical data into a relevant semantic structure that represents a context for a given health ecosystem. We see that as the foundation. Lessons learned from these players will eventually impact how the legislation and how the laws are designed to truly affect change across the healthcare system in the country.
Several stakeholders we met at HIMSS 2016 conference suggested a third-party organization might be best positioned to bridge the gap into health care. Third-party organizations are subject to less regulation, prone to less hierarchy, and are able to convene stakeholders in ways that are sometimes challenging for government agencies. Our mission at InnovAccer is to help by keep playing the role of an Integrator and improving the patient outcomes to drive more effective collaboration.