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    Poor EHR interoperability inhibits value-based care models

    The Advisory Board Company – Daily Briefing November 5, 2014

    ACO participants lack access to reliable claims data

    A lack of interoperability among electronic health record (EHR) systems used by participants in accountable care organizations “inhibit[s] progress” toward a value-based care environment, according to a new report  from the Office of the National Coordinator for Health IT (ONC).

    ONC report outlines industry-wide interoperability issues

    According to an ONC blog post, health IT is “crucial to successful value-based payment arrangements.” For example, EHRs:

    • Allow providers to access patient data and evidence-based treatment guidelines to make informed decisions; and
    • Help providers use population health management and registry tools to address high-priority patients

    EHR adoption rising, but issues persist

    The report—which was produced for ONC by Robinson & Associates Consulting—found that, while EHR adoption is increasing, interoperability issues persist among ACOs.

    Specifically, it found that:

    • Few ACO participants have access to reliable claims data;
    • Inconsistencies caused by different methods of implementing quality measures may result in extra manual work for providers or the use of translational software at the organizational level when reporting; and
    • Providers have trouble with taking consistent clinical quality data from EHR systems for the purpose of creating reports on EHRs in accountable care.

    100% of ACOs have interoperability problems

    The report concluded that there is a “gap between the needs of the health care sector and the readiness of vendors in the health IT market to meet those needs” (Robinson et al., ONCreport, October 2014; Slabodkin, Health Data Management , 11/4; “Health IT Buzz,” 10/31).

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