Interoperability
Interoperability
Also referred to as health information exchange (HIE), has become front and center with the new 21st Century Cures Act and CMS Interoperability and Patient Access Final Rule. Both of which expand interoperability requirements between different healthcare stakeholders, including payors, providers, HIE’s and health information technology developers, to improve coordination of care and ensuring patients are at the center of our healthcare system.
According to section 4003 of the 21st Century Cures Act, the term 'interoperability,' with respect to health information technology, means such health information technology that:
Sharing patient clinical information is not new. Before health information networks, health care providers and health plans exchanged information directly by hand, fax, telephone or e-mail. These methods are more expensive, time consuming and not secure. In other words, communication was at the center, not the patient.
Most health care providers are now using electronic health records (EHR). However, when a patient goes from one provider to another (i.e. Primary Care Physician referral to a Specialist), these EHRs are not the same. Health information networks allows these providers to share information, essentially allowing their EHRs to “talk to one another.” Communication is much more efficient this way so your physician can put the patient the center.
Health care providers can submit a single request through a health information network, such as the Tiger Institute Health Alliance, to obtain electronic records from other members. The provider must have sufficient personal information about a patient to prove they have a treatment relationship before the network will allow access to patient information.
The Tiger Institute Health Alliance can help its members achieve their interoperability goals and assist with navigating the evolving regulatory landscape. For more information about participation in the Tiger Institute Health Alliance, contact us.
This brief video provides an overview of the interoperability challenges facing the healthcare industry.
Valuable Interoperability Resources:
HealthIT.gov - https://www.healthit.gov/topic/interoperability
21st Century Cures Act Overview - https://www.healthit.gov/curesrule/overview/about-oncs-cures-act-final-rule
21st Century Cures Act Final Rule - https://www.federalregister.gov/documents/2020/05/01/2020-07419/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification
CMS Interoperability and Patient Access Final Rule - https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index
Press:
Seamless Exchange a next step for Cerner interoperability 11/9/20 - https://searchhealthit.techtarget.com/news/252491785/Seamless-Exchange-a-next-step-for-Cerner-interoperability
How a Rural Hospital Leveraged Health IT to Combat COVID-19, EHR Intelligence 6/18/2020 - https://ehrintelligence.com/news/how-a-rural-hospital-leveraged-health-it-to-combat-covid-19
How Patients Benefit from DoD, VA Health Information Exchange, EHR Intelligence, 5/18/2020 - https://ehrintelligence.com/news/how-patients-benefit-from-dod-va-health-information-exchange
Epic, Cerner and others reveal just how their EHRs are interoperable, Healthcare IT News 4/5/2019 - https://www.healthcareitnews.com/news/epic-cerner-and-others-reveal-just-how-their-ehrs-are-interoperable
Why Interoperability for Health Care Means More than a Number, 8/21/2017 - https://www.cerner.com/perspectives/why-interoperability-for-health-care-means-more-than-a-number
Podcasts/Presentations:
A step forward in improving health care for Service members and Veterans, 5/14/2020 - https://www.cerner.com/perspectives/a-step-forward-in-improving-health-care-for-service-members-and-veterans
Dignity Health's Sean Turner on Leveraging HIEs for Disaster Preparedness, 7/3/2018 - https://www.cerner.com/perspectives/episode-82-sean-turner
Cerner's Dr. David McCallie on TEFCA, USCDI and Interoperability, 2/27/2018 - https://www.cerner.com/perspectives/episode-61-david-mccallie
Tiger Institute’s Michael Seda joins Mike Carter, Mass General Brigham and Healthcare IT News Senior Editor, Kat Jercich in a presentation on Optimizing EHR Workflows to Promote Interoperability, 8/16/21 - https://www.himsslearn.org/optimizing-ehr-workflows-promote-interoperability