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).
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.
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).