Case Profile: Achieving Bi-Directional Data Exchange Between…
A leading nonprofit health plan serving 1.4 million members is scaling bi-directional data exchange with 27,000 participating providers to advance the “quadruple aim” of improving care quality, patient experience, provider engagement, and care efficiency. According to webinar materials, the plan is implementing a phased roll-out and specific technical architecture to create a unified source of digital truth, overcoming fragmented data siloes that typically hinder clinical information sharing.
Why is data liquidity critical for healthcare providers?
Data liquidity, a standard already common in the travel and finance sectors, is described as the most promising strategy for simultaneously meeting the four goals of the quadruple aim. Current clinical information often remains trapped in separate plan and provider data siloes due to technical challenges unique to the healthcare industry.
The nonprofit health plan aims to resolve these fragments by integrating data from disparate formats and standards. This process allows for the timely sharing of plan insights directly within preferred provider workflows.
How is the plan integrating with EPIC EHRs?
A primary focus of the initiative involves connectivity with providers using EPIC Electronic Health Records (EHRs). The plan is developing strategies and requirements to share key information and insights at the point of care specifically within these EPIC ecosystems.
By leveraging bi-directional data exchange, the plan seeks to improve care coordination and close existing gaps in care. This approach uses a phased roll-out to generate quantifiable impact while the organization continues to work toward longer-term digital aims.
What may happen next with bi-directional data exchange?
The plan’s phased approach may serve as a blueprint for other health plans attempting to scale similar architectures. Further integration of disparate data formats could potentially lead to more widespread adoption of real-time insights at the point of care.
If successful, this model is likely to increase the number of providers capable of accessing unified digital truths, which may further reduce the gaps in care coordination across large provider networks.
Frequently Asked Questions
What is the “quadruple aim” in healthcare?
It is the simultaneous improvement of care quality, patient experience, provider engagement, and care efficiency.
How many providers are involved in this data exchange initiative?
The nonprofit health plan is scaling this exchange with 27,000 participating providers.
What specific EHR system is being targeted for connectivity?
The initiative focuses specifically on connectivity with providers using EPIC EHRs.
Do you believe data liquidity in healthcare will eventually match the efficiency of the finance and travel industries?