Mostashari Talks ROI and Sustainability in HIE
The business value for providers and patients is what will drive health information exchange forward, even though most discussions typically center on the technology involved. And different uses for exchange will require different technologies.
That was the sentiment of many organizations that are already exchanging information and shared what made their exchanges tick and what barriers stood in their way at a Jan. 29 joint hearing of the federal advisory Health IT Policy and Standards committees.
Farzad Mostashari, MD, the national health IT coordinator, noted that Camden Coalition’s director, Sandy Selzer, described how the Camden, N.J., health information exchange (HIE) has managed a sustainable return on investment because their costs are low, and they have found a way to add value, through simple ADT (admissions/discharge/transfer) transactions messages, with their existing business relationships within that community.
The competitive hospitals there want to reduce their readmissions and find their frequent flyers, many of whom are uninsured, and get them better care, he said.
“In all the different contexts, whether you’re in a community that has a lot of pay-for-performance or ACOs evolving or readmissions reductions or Medicaid managed care evolving, there are all sorts of different use cases, but on the whole, they are trending toward care coordination, trending to the arc of payment, trending toward value not volume,” he said.
“That is going to be imperative, not just for the private sector, not just for the states and Medicaid, but for the federal government as well,” Mostashari added.
ONC has recently ramped up its convening activities around health information exchange,including hosting an online listening session on concerns related to rules of the road and policies between exchanging organizations and published research to support HIE sustainability.
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