Revere’s issues are typical of healthcare organizations across the country, said Ron Shapiro, Vice President and Chief Technology Officer for Qvera. “These issues deal with the fact that although we have healthcare standards, like HL7, they are interpreted differently by vendors. Therein lies the crux of the interoperability challenge. Interface engines, in general, help map those messages to the vendors’ standards.”
Interface engines also take complex challenges and simplify them for the end user. Shapiro recalled another large multispecialty clinic in which patient referrals were intentionally booked out by days because it took that long for staff to request and receive critical patient health records from outside sources. “Using QIE, we created a process to get access to that information within minutes, so now they can do same-day appointments. Among other positive outcomes for the patient, the clinic can serve more patients in the community.”
In addition to no longer depending on outside consultants, and having both more control and flexibility with its integration projects, the team at Revere Health is learning to innovate and improve workflows so clinicians can access data as they need it.
QIE can accommodate all connectivity standards and data formats used by health information exchange (HIE) platforms, by data repositories, and by immunization registries as well as EHR, and hospital and laboratory systems. This has allowed Revere Health to work more closely with systems such as the Utah Health Information Network (UHIN), which operates a regional HIE comprising some 500 data sources representing 5 million unique lives and 53 million records.
Prior to implementing QIE, “Revere Health was able to contribute data for quite a while to our health information exchange,” said Matthew Hoffman, MD, CMIO for UHIN. “Now we feel like we’re able to give back and push information directly to their systems, which is valuable to their physicians and other members of their communities.” For instance, Hoffman said, a recent data quality review showed UHIN had 30 percent more HIE data on blood pressure than Revere Health.
“We’ve worked with states’ departments of health to feed their registries,” said Keller, the Revere Health Director of Data Analytics and Development. “Recently, though, we’ve been able to better exchange health information and get discrete data from documents and labs from these organizations directly into our EMR and build a better picture of patient care.”