Views from the Top: Breaking Down Barriers to Interoperability and Value-Based Care

Unlocking better, safer, less costly care is the promise of value-based care, and interoperability is the key to delivering on this promise.

In an increasingly mobile society, it can be challenging for clinicians to manage patient information. Ensuring all members of a patient’s care team has access to a complete picture of their medical history lays the groundwork for the kind of holistic, well-informed and comprehensive care delivery that is central to a value-based care system.

While there’s nothing easy about interoperability, the fact is that providers and care managers across the country are quietly making interoperability a reality, from ambulatory encounters to home care and beyond. Organizations are improving care management for individual patients and large patient populations, including real-world examples from primary care, emergency care, and during transitions of care, because they have access to a timely view of a patient’s care at all stages of their journey.

No matter what your role in health information and technology — or what your challenges — HIMSS20 has you covered. Get inspiration from our world-class speakers and thought leaders.

The speakers:

Join these changemakers Wednesday, March 11, at their HIMSS20 Views from the Top, Breaking Down Barriers to Interoperability and Value-Based Care.

Melanie Marcus, Chief Marketing Officer Surescripts

Steven Lane, FAAFP, MD, MPH Clinical Informatics Director Sutter Health

Mariann Yeager, Chief Executive Officer, The Sequoia Project

We asked the speakers to share their inspiration for change.

How do you view the intersection of healthcare and technology?

Melanie Marcus: I’ve spent my career working with technologies aimed at making healthcare better. Today I’m more excited than ever about where that might take us. Doctors and pharmacists now have more information than ever at their fingertips. It is now possible for doctors to access clinical information about a patient from wherever that patient was recently seen. They also now have patient benefit information at their fingertips to allow them to take patient cost into account when writing a prescription. As these advancements continue at the intersection of healthcare and technology, it is incumbent on those of us providing the information to make sure that this information is secure, actionable and simple.

Dr. Steven Lane: In the 21st century it is technology that allows us to make healthcare more human. Access to comprehensive health data, both at the point of care for an individual or when managing the care of a population, allows us to make that care more holistic, person-centric, safe, and efficient. The evolving ecosystem of interoperability allows us to come ever closer to the goal of consistently having the right information, provided to the right individual, at the right time, in the right format, with the right supporting workflows.

Can you share one take-away from your presentation at HIMSS20? What will attendees learn that they can use in their work setting or on the job?

Melanie Marcus: While there’s nothing easy about interoperability, the fact is that providers and care managers across the country are quietly making interoperability a reality. I look forward to talking with our panelists about the work that is happening across the country. Real-world examples will be important to helping attendees consider how they can make information sharing happen in their own settings.

Dr. Steven Lane: The barriers to interoperability that we have struggled with over the past ten years are falling away. The continuing successes of data sharing networks, their integration through a trusted exchange framework increasingly supported by federal programs, and the rapid evolution of new data standards purpose built to support health data security and liquidity promise to dramatically change healthcare as we know it. Our challenge is to work collaboratively across stakeholder groups, engaging individuals, caregivers, clinicians, payers, public health, policy makers, technologists, health scientists and more to assure that the new tools and models support a broad and inclusive view of health and healthcare for the benefit of all.

What emerging trend do you see in your area of health information and technology in the next year?

Melanie Marcus: Value-based care, increased consumerism, patients with multiple chronic conditions and a very active regulatory environment will all be discussed in this session. TEFCA and 21st Century Cures will be particular focal points given the expertise of our panelists.

Dr. Steven Lane: The biggest change that we are likely to see in HIT over the coming year will be the impact of the final interoperability and information blocking rules from CMS and ONC. These rules, which will clarify and manifest the lofty goals of the bipartisan 21st Century Cures Act, will set the course for health information technology and interoperability for the coming years. The rules are expected to usher in a new era of secure, standards-based, data liquidity, opening up new opportunities for innovation in patient empowerment, care delivery and reimbursement.

Can you share a quote or reflection that inspires you every day in the work you do?

Melanie Marcus: Personal stories inspire me every day. A simple story happened when I moved to Washington DC three years ago. I had lived in a few parts of Boston over the years, so my medical records were spread across the city. I knew that my old health providers would likely not be able to electronically transfer my records to my new provider if they were using incompatible EHRs. So, before we moved, I dutifully visited each of my providers and obtained paper copies to bring to my new home. It’s 2020 – it’s time to fix that problem.

Dr. Steven Lane: Optimal care requires expertise, compassion, effort and time. Studies show that providers spend an average of 15 minutes or more outside the exam room for every patient encounter managing and coordinating care. This time, which can have tremendous value for the patient, is spent in documentation, managing reimbursement; accessing, reviewing, organizing, analyzing and curating data; accessing and leveraging decision support, making decisions, and communicating with the care team, caregivers and the patient. Every aspect of this process can be improved through innovations in the way we use information and technology.

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March 9 – 13, 2020 | Orange County Convention Center | Orlando, Florida

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