Success with accountable care demands that payers and providers work collaboratively towards common goals. Forward momentum of health information exchange is a critical component, but as payers look beyond claims data to leverage clinical data from providers, they face significant challenges to semantic interoperability.
Because the healthcare industry lacks a universal terminology standard, inevitable conflicts regarding terminology intake, management and distribution will exist when data is exchanged. This presentation will provide insight into the information-sharing journey of two health plans and the critical role of data normalization to support mapping between local and standard terminologies for enhanced clinical information sharing.
Key Learning Objectives:
Discuss the critical role of clinical information exchange between payers and providers within healthcare’s accountable care framework.
Evaluate the successes and challenges encountered by two health plans in their journey to bi-directional information exchange with providers.
Design a strategy that incorporates data normalization as a solution to terminology management challenges to support information sharing and analytics initiatives.
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