Value-Based Care (VBC) has been prevalent in the healthcare industry for more than a decade. The Department of Health and Human Services’ (HHS) efforts to foster its growth to reign in escalating healthcare costs has signaled the dawn of ‘patient-centric’ care. In 2021, the patient is at the center of their care process, and care providers scramble to improve care outcomes for a lesser cost.
However, it is not all rosy on the playing field. Many industry challenges persist that continue to impede the proliferation of VBC. Among them, the interoperability of health systems is the most significant one. The EHR system is the nucleus of the healthcare IT ecosystem, the patient health data it channels must reach various settings in the care continuum for clinicians, technicians and billing functions to synchronize to deliver high-quality care.
While interoperability currently remains a utopian concept, given the current state of healthcare technology, there are numerous avenues for care providers, payers and healthcare IT developers to explore in HIT development and implementation. We examine the essentials of healthcare interoperability services for 2021 and beyond.
For HIT Vendors
HL7 and IHE Enablement: Attune Your EHR systems with HL7 to standardize ePHI transfer. Coordinate it with other HIT systems through IHE.
FHIR and USCDI: Build and deploy HIT applications with complete control over user authentication. Customize FHIR APIs to diminish the cost of integration.
Erx, EPCS and SureScript Certification: Ramp up the effectiveness of PMB programs with robust EPCS mechanisms for your EHR system. Take it to the next level with Surescripts network certification.
NCPDP Script 2017: Get a leg over your competition by achieving compliance with the Script 2017 e-prescribing standard.
For Care Providers
Real-Time ADT Notifications: Comply with the upcoming CoP requirements on electronic patient event notifications. Align with EHR systems to interface with Trusted Data Sharing Organizations. (TDSO)
Information Blocking: Stay safe from the subjective interpretations of Information Blocking. Understand and adhere to the CoPs of the Cures Act Final Rule.
Patient-to-Patient Exchange: Acclimatize to the technical requirements of the Medicare PI program. Enable patients to access their health information seamlessly.
For Payers (MA, Medicaid and CHIP)
Payer-to-Payer Data Exchange: Gear up for the introduction of USCDI V1 as a layer over existing CDA standards. Empower members to switch payers easily with this mandated change.
Patient Access API: Furnish patient claims and encounter data via the patient access API. Connect members with instant access to care plans and coverage data.
Provider Directory API: Enable the discovery of associated care providers on your official website. Leverage USCDI and FHIR to comply with the upcoming July 2021 CMS deadlines for payers.
Healthcare IT services tailored to enhance the productivity and innovation of HIT developers will play a decisive role in determining the efficacy of their solutions in the months to come.