Provider Directories and Public Data Sources

Provider directories and other associated public data sources – such as the open payments data – are critical for helping to more widely inform the public about providers. Without provider directories, consumers would have even more limited information about potential providers; moreover, inaccurate information could lead to costly decisions being made with improper information – e.g., selecting a health plan that actually does not have one’s desired providers or going to a provider, believing they Read more…

The Promise of Public Data Sets

Many health plans and other consumer groups have advocated consumer empowerment in healthcare – i.e., there is a push to encourage consumers to take more control of their healthcare spending and interactions with the health system. The belief is that more consumer engagement and responsibility that exists, the more likely consumers are to make decisions that lead to a more efficient healthcare system.             For consumers, however, or anyone for that matter to exercise effective Read more…

Updating Some Common Provider Directories

As discussed in a previous post, we discussed provider directories and the gross accuracy issues that exist in them. Moreover, it was note that government has significantly increased the pressure on Medicare Advantage plans to better ensure accuracy by threatening plans with gross inaccuracies with bans on enrolling new members, marketing their plans, and fines up twenty-five thousand dollars per beneficiary per day. While the burden of auditing and paying for fines largely remains with Read more…

Provider Directory Accuracy and the Potential for Blockchain Solutions

Provider Directors – to the consumer – probably seem like an easy task to maintain and, essentially, a no-brainer. After all, all a health plan has to do is collect certain pieces of information from providers in its network and ensure that it is update frequently. It would, moreover, seem to be a task that one would want to maintain as a feature of basic customer service. That said, the problem is a lot more Read more…

CCDA Interfaces

Increasingly, healthcare organizations are being required to share data both to improve processes at the point-of-care and to improve administrative processes that enable better quality to be achieved at more efficient costs. Essentially, healthcare organizations are being tasked with expanding data sharing to better promote the Triple AIM. Previously, organizations involved in data sharing may have provided highly specified integrations such as sending billing data (typically CPT codes along with associated diagnose codes), or they Read more…

Integrating with NextGen

Those that have spent any time in the ambulatory EMR area are likely aware of NextGen. The vendor owns two EMRs – it’s flagship “NextGen” product and NextGen Clinic a cloud-hosted product for smaller organizations. The former – which will simply be referred to as NextGen – product is often used in larger specialty practices, multispecialty practices, or FQHCs. The latter is often commonly seen due to the product’s tight integration with a dental module; Read more…

Integrating with Allscripts Professional

Allscripts Professional is one of the more common EMR/PM systems in use in the United States, and it can be found in organizations of various sizes from small single provider practices to larger hospital system owned clinics. For those looking to capture a wide breadth of practices and specialties with an integration, Allscripts with a good initial target. Typically, if one wants to integrate with an EMR, lengthy discussions are entered into with the vendor Read more…

Integrating with HL7 2.x Interfaces

Despite the technology community’s persistent interest in that which is new, in healthcare a comparatively ancient integration technology is still used for many (possibly even most) integration projects: HL7 2.x. This interfacing technology has been used for a long period of time and is capable of transmitting large amounts of data in a format that is both relatively standardized and flexible. Information in such interfaces are sent in messages that are structured as segments of Read more…

Using DirectTrust

The Integration Challenge Anyone who has developed software in healthcare or managed healthcare integrations is well-aware of the challenges presented by such projects. There are cost concerns due to sometimes unfavorable licensing and maintenance arrangements with vendors or because of scaling issues that would necessitate building large numbers of interfaces to effectively implement a significant number of clients. If one were to implement their third-party application with an EMR via an ADT or CCDA interface Read more…

Why EMR Integration Projects Increase Heartburns

Why EMR Integration Projects Increase Heartburns 🙂             Anyone that has spent any significant time working on or around EMR integration projects is fully aware of what appears to be a lackadaisical attitude towards deadlines and common complaints around the seeming inability to repeat a project if it must be duplicated among difference instances of an EMR. Even those within Information Technology complain about and are aware of these issues. Unfortunately, it seems as if Read more…