EHRs as Platforms: Has The Time Come?

EHRs as Platforms: Has The Time Come?

With electronic health record (EHR) adoption in the U.S. nearing 100 percent among hospitals and ambulatory providers, the industry is increasingly turning its focus from adoption to optimization. While other sectors have seen technology transform the way they do business, even turning long-established business models on their head, the healthcare system has in many ways failed to achieve the transformation promised when EHR systems were first introduced. The development of modern, RESTful application programming interfaces (APIs) — predominantly FHIR — are setting the stage for the possible dramatic transformation, but will “Platform-as-a-Service” EHRs be the next big thing? If the answer is yes, how can healthcare organizations capitalize on this movement?

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HIE.Next: Building an API-centric Infrastructure for Health Information Exchange

HIE.Next:  Building an API-centric Infrastructure for Health Information Exchange

The Health Information Exchange (HIE) landscape is perhaps more diverse today than it’s ever been.  Since the winddown of federal HITECH funds several years ago, HIEs have had to become more creative, nimble, and responsive to the unique needs of their service area in order to thrive. 

So how do HIEs, health systems, and other like-minded organizations go about freeing the valuable data they hold?   Regardless of an HIE’s business model or service offering, the answer may be APIs. 

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What would PDMP look like if you designed it yourself?

Chances are, the Prescription Drug Monitoring Program you always imagined would borrow many key ideas from the world of health information exchange, or HIE. In fact, the PDMP Training and Technical Assistance Center at Brandeis University recently identified the alignment of PDMPs and state HIEs as an emerging best practice that can help drive adoption and impact. Here are six ways that the core concepts of HIE can benefit your PDMP:

  1.  Use open APIs to deliver data in workflow-friendly ways, without being held hostage  by vendors looking to monetize every click

  2.  Incorporate complementary datasets into PDMP presentation, for more impactful clinical decision-making

  3.  Bring the power of machine learning and artificial intelligence to better predict risk

  4.  Leverage established interstate sharing agreements for both clinical and PDMP data

  5.  Capitalize on 90/10 Medicaid matching funds from the federal government for sustainability

  6.  Partner with organizations in the public and private sector to drive a range of new use cases, from real-time overdose notifications and fatality reviews