Chilmark: HIE models have reached their limits

By Bernie Monegain
11:26 AM
Research firm said that the transition to value-based care is driving a need for diverse data flows and APIs to more effectively supply and consume data.   

As the healthcare industry continues its focus on value-based care and payments, data interoperability is becoming more critical than ever, Chilmark Research concluded in its most recent report.

Chilmark analysts said messaging-based and document-centric models of health information exchange have reached their limits.

Instead, value-based care is driving the need to assess risk across a population and effectively manage that risk across a distributed clinical care delivery network. This requires far richer, diverse information flows across a greater diversity of market participants, Chilmark researchers note.

[Also: Allscripts, Epic, Cerner signal more open EHRs ahead]

“The market for data interoperability is at a point where participants are more open to new approaches and technologies based on modern ideas about developing web scale and distributed applications,” Chilmark analyst Brian Murphy wrote. “There is a broad belief among most healthcare end-users that HIT can do a far better job of delivering data and providing functionality that is easier to use and more responsive to their needs.”

The industry is teeming with organizations beyond hospitals and clinics that could make this data more valuable if they had access, Murphy added.

Payer-provider collaboration models, for instance, are emerging in response to the economic and logistical challenges, he noted, adding that solutions hosted by convening organizations will allow health plans and providers to better leverage data for common applications.

Chilmark Research suggests leaving health data closer to where it was created and making it available to a range of diverse applications and users via APIs.

Organizations should also be able to provision data based on application need.

“This approach, widespread outside healthcare, represents a more effective way to supply and consume data,” Murphy wrote. “Such an approach will better support value-based healthcare and simplify what has evolved into notoriously complex implementation and maintenance efforts.”

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