Report: Poor EHR Interoperability Inhibits Value-Based Care Models

November 5, 2014 in News

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

The report was prepared for ONC by Robinson Associates Consulting LLC (Slabodkin, Health Data Management, 11/4).

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 (“Health IT Buzz,” 10/31).

Report Findings

The report found that while EHR adoption is increasing, interoperability issues persist among ACOs.

The report 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 (Health Data Management, 11/4).

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., ONC report, October 2014).

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