Interoperability—the ability of different information systems to securely access and exchange data electronically across the complete spectrum of care—enables care teams to make efficient and informed decisions at the point of care.
With the successful communication of relevant information, hospitals, post-acute facilities, primary care providers, health plans, and more can all operate from the same playbook on shared patients—leading to reduced costs, improved outcomes, and decreased administrative burden when it comes to complying with regulations.
1. Reduced Care Costs
The estimated cost of waste for patients with poor care coordination is estimated to be $45 billion per year, due to avoidable hospital admissions, test duplication, and unnecessary use of emergency services. Readmissions alone are estimated to cost the US healthcare system over $41 billion annually.
One study comparing health information exchange (HIE) utilization with emergency department (ED) length of stay (LOS) found that facilitating the flow of information through HIE adoption is associated with an over 10 percent reduction in ED LOS. This number grows to nearly 15 percent and 21 percent in cases with integrated health systems or previous patient visits.
Additionally, a Collective Medical analysis of 8,500 patients found that electronic notifications of care insights decreases unnecessary ED visits while increasing throughput and efficiency—enabling ED providers to see more patients and keep care costs down.
2. Improved Patient Outcomes
To support its broader care coordination initiative, Nebraska Health Information Initiative (NEHII)—an outcomes-driven health information exchange with both a public and private governance model that includes healthcare providers, payers, and the state of Nebraska—partnered with Collective Medical.
Earlier this year NEHII announced Unite Nebraska, a program leveraging local, community-based organizations to ensure individuals, families, and communities are able to access critical resources, including housing, employment, and nutrition services.
NEHII’s purpose is to achieve health care transformation through community betterment collaboration while protecting the security and privacy of medical information. By providing its participants access to additional technology tools through Collective’s platform, NEHII can drive positive outcomes for the Unite Nebraska program and beyond.
3. Complying With the New CoP
Beyond collaborating on clinical and financial outcomes goals, NEHII is committed to preparing its participants to meet the new Conditions of Participation (CoP)—part of the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access rule—which requires hospitals, including psychiatric and critical access hospitals, to send electronic notifications to a patient’s relevant healthcare providers relating to any admission, discharge, or transfer.
These new standards for interoperability ensure transparency and communication between hospitals, post-acute facilities, and primary care providers. With that communication comes an opportunity for meaningful collaboration. Jaime Bland, CEO of NEHII explains:
“Our decision to partner with Collective is about more than ensuring hospitals are fully compliant with the CMS ADT notifications CoP. As part of the NEHII population health utility, Collective also provides our participants with the tools necessary to succeed in driving clinical and financial outcomes for their most vulnerable patients.”
For Midwestern hospitals, this means being fully compliant while leveraging existing workflows, cutting down on administrative burden, alert fatigue, and high implementation and maintenance costs. It also means connecting care teams within communities and across the care continuum. Hospitals, clinics, post-acute and skilled nursing facilities, health plans, and other NEHII participants can use real-time data to collaborate on shared care plans and make educated clinical decisions.
Learn more about the benefits of becoming a NEHII partner via email at firstname.lastname@example.org.
Erin Van Zomeren