Seems like this week must be interoperability week on EMR and HIPAA after my post yesterday about HIE transport in meaningful use stage 2 and my post today on drivers of healthcare data interoperability.
I was looking through some past notes from a meeting at AHIMA that I had with Health Language Inc. It was a fascinating conversation with Brian F. McDonald, Executive VP and CFO and Marc A. Horowitz, Senior VP. I remember that these guys eat, drink and sleep medical terminology. One of the really interesting observations I took from talking with them was:
Meaningful use and ACOs are the drivers of interoperability in healthcare.
Months after first hearing this idea, it rings even more true. In meaningful use stage 2, ONC and CMS have made it very clear that they plan to use meaningful use as a motivating force behind the sharing of healthcare data. This includes sharing of healthcare data doctor to doctor and also doctor to patient. I expect meaningful use stage 3 will find these concepts at their core as well.
As we try and evaluate what an ACO would look like, some form of healthcare data exchange has got to be part of the solution. I don’t believe anyone will find a way to really improve health the way an ACO will need to improve care without an exchange of data between EHR systems. Considering the pay for performance days are short at hand, this will be an encouraging factor for EHR systems to start exchanging data.
I’ve often said the big problem with interoperability of data in healthcare is the financial aspects and the governance (ie. when to share data) aspects. I see ACOs and meaningful use pushing healthcare providers to figure out both problems.
If not these drivers, what else will get healthcare to start sharing data?
John,
Nice post. Agreed that the main challenge standing in the way of true EHR interoperability is the lack of financial incentive for vendors. What it will take to move interoperability forward is really up for debate. I can definitely see ACO as a potential driver as it will undoubtedly advance the need for data exchange. I have written a couple pieces on this concept recently as well. The first appeared yesterday on Health Management Technology http://bit.ly/HgKV3G and the second on my own blog http://bit.ly/HgKV3G. I would enjoy getting your take on some of the theories outlined in these pieces. Looking forward to checking back in with EMR and HIPAA more often.
Best,
Arjen
Hi Arjen,
Unfortunately, both links are hitting some nasty SQL error on the website. I’ll have to check them out later to see if the website is fixed.
Thanks for reading the site.
Hi John,
That is strange, it looks like HMT was down for a bit, but is back up now and oddly it looks like both links were to the article there. The blog post I was referring to is at http://bit.ly/zLX0BH on the http://www.vitalblog.com
Best,
Arjen