Interoperability is a complex topic that can be challenging for quality and risk adjustment teams. Numerous obstacles have impeded progress to date, including but not limited to legacy infrastructure, stakeholder alignment, provider buy-in, and managing multiple vendors. However, with the advent of the Trusted Exchange Framework and Common Agreement (TEFCA) and the Centers for Medicare & Medicaid Services (CMS) recently finalizing the Interoperability and Prior Authorization Final Rule, the entire healthcare industry has a significant incentive to rapidly invest in interoperability within the next few years.
For payers, true clinical data enablement is a multi-step process that includes data acquisition, ingestion, standardization, and integration with downstream applications. Clinical data enablement requires a long-term strategy and a comprehensive team composed of interoperability, informatics, and regulatory experts.
Read our latest white paper as we define the key steps and provide guidance for payers to build and execute a high-performing interoperability program, including best practices to consider when working with both internal and external partners.
You’ll learn the critical elements of:
- Acquiring data from providers and data partners
- Ingesting data and performing normalization and enrichment
- Executing data standardization and storage
- Integrating data with downstream applications
Don’t miss this opportunity to learn the fundamentals of a high-performing interoperability program to empower your organization’s risk adjustment and quality improvement programs.
