Health information exchanges (HIEs) allow clinicians and patients to have secure access to electronic patient data across counties, states, and regions.
In 2019, there are still many obstacles. Many are now on their second HIE vendor, and vendors are consolidating in the market with payers or other data warehouse offerings. The shift from fee-for-service to value-based care means that HIEs must quickly establish themselves as self-sustaining organizations with genuine business value. HIE vendors must also prove able to deliver efficient exchanges in a timely, cost-effective, and standards-based way.
The Ideal HIE
Adoption must be supported by an HIE vendor who can deliver timely and affordable interfaces while also supporting a workflow back into the EMR. Adding another clinical portal does not necessarily drive adoption; many claim they can deliver standards-based interfaces and parse CDAs promptly, only to fall short. An ideal HIE embodies a seamless workflow that directly transfers data into the EMR with only the fundamental information on the patient.
With the rise of value-based care, it is recommended that state, regional, and local HIEs discuss if they will be participating in an ACO with their providers. An HIE can be an optimal infrastructure to support an ACO, and the shared savings can be used as part of the sustainability model. The purpose of HIEs is to drive efficiencies within a community, so it would make sense for the community to leverage analytics at scale within an HIE. HIEs present actionable insights at the point of care, which often requires more than parsed clinical data from a data repository in a web-based portal.
Having a holistic view of patient data results in better-coordinated care, improved quality, and reduced costs while feeding into analytics and reporting tools to support quality coverage for a population. We anticipate in 2020 that HIEs who can leverage both claims and clinical information with the ability to properly stratify patients into care coordination where needed will be the most successful.
For over six years in the population health management space, Lightbeam customers have generated more than $600 million savings and completed more than 60 global HIE installations by processing millions of feeds daily from 600+ connected hospitals, clinics, and labs. Lightbeam knew that the healthcare industry needed a solution that would enable communities to exchange data from disparate systems, allowing providers to have the most comprehensive, up-to-date patient information, delivered by an integrated patient’s record. Learn more about the Lightbeam HIE by visiting our website.
Alex Gorman is Lightbeam’s Associate Vice President of Business Development.