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The Value of Interoperability in Care Management Platforms
21st Century Cures Act and Interoperability: Healthcare information exchanges can help with optimizing the health of individuals and populations
Ann Dolan, Practice Leader, IQVIA Healthcare Solutions
Nov 17, 2020

It is an all-too-common occurrence: A Medicaid patient living in Cleveland goes to a provider in Columbus, Ohio, and the provider and health systems are unable to share the patient’s data. This situation creates gaps in care and prevents the exchange of data that is important to the healthcare professionals providing patient care.

What if there were a better way?

Sharing data

The goal of any care management program is to improve patient health. A successful program will allow for improvements in care, coordination of care, and the ability to share data. In the scenario above, if the Ohio providers were able to share data, the physician in Columbus could make better and more immediate decisions about how best to address the individual’s healthcare needs.

Interoperability allows different information systems, devices, and applications to access, exchange, integrate, and use data in a coordinated manner, within and across healthcare organizations, regions, and national and international boundaries. It provides for the timely and seamless transfer of information, enabling organizations and health professionals to detect, diagnose, treat, monitor, and develop the best possible care plan for a patient, ultimately optimizing and improving the health of individuals and populations.

Interoperability, as outlined in the 21st Century Cures Act (Cures Act), makes care management platforms and healthcare more efficient. Interoperability allows various software languages to talk to one another in a standard format to share data, making the care management process more efficient, with the potential of reducing redundancies. Having data more readily available makes for more informed provider decision-making and reduces errors.

By eliminating barriers to interoperability through standardization, we increase communication and productivity, reduce errors, and, therefore, allow access to data and information to improve care and the patient experience with better outcomes. In order to seamlessly share data about an individual and improve the overall coordination and delivery of care, standardization enables providers, clinicians, labs, hospitals, health systems, pharmacies, and patients to share data regardless of the application or supplier.

Interoperability allows an opportunity to create increased awareness that the data belongs to the patient. Information is knowledge and knowledge is power for patients to make better choices related to their own health. Most importantly, interoperability achieves the triple aim objectives of lowering costs and improving the outcomes of quality care and patient engagement.

The goal of interoperability is to work together: providers, payers, communities, and patients, along with the health system, to advance the effective delivery of care. It’s a shared vision by all to improve patient outcomes and engage patients in their care.

More information about Cures Act

For additional information on the 21st Century Cures Act, download IQVIA’s whitepaper Cures Act: Getting Ready for the Implementation of TEFCA and Healthcare Interoperability Standards.

Are you ready to speak with a solutions expert to help your organization prepare for interoperability in population health? Let’s talk!

doctor and patient reading tablet

Cures Act: Getting Ready for the Implementation of TEFCA and Healthcare Interoperability Standards

In this white paper, IQVIA experts walk through the 21st Century Cures Act and the set of final rules mandating regulatory compliance for healthcare information exchange.
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