Making Interoperability Work

Health Information Exchanges

By Dr. Nick van Terheyden aka Dr. Nick
Twitter: @drnic1
Host of Dr. Nick: The Incrementalist – #TheIncrementalist

On this episode I talked to Lisa Bari, Interim CEO for the Strategic Health Information Exchange Collaborative (SHIEC). Lisa started her career in the Bay area in digital marketing for Practice Fusion, and winding through CMS where she worked on the interoperability rules. Along the way discovering the incremental insight that for policy changes you need to find an open window for change:

Once you do something people realize it can be done

In the case of Interoperability you need enough people to be successful and once you have critical mass policy change is easier.

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The SHIEC organization has demonstrated this, successfully connecting 81 different Health Information Exchanges (HIE) across 45 states overcoming the decentralized status in our healthcare system and helping a bottom up approach to demonstrate the multiple use cases for HIE’s beyond the traditional clinical data sharing to population health, SDoH and, health analytics. As we discuss HIE’s not only decrease waste but improve care by removing wasteful repetition and preventing harm.

Listen in to hear how the COVID19 pandemic amplified the value of HIE’s with communities and states that had invested heavily in the HIE infrastructure were able to stand up essential information resources quickly including bed and ventilator trackers, combining longitudinal records of patients with COVID19 and now moving into tracking immunization programs, and being able to fill the gaps of missing information relative to health inequity helping improve the distribution to match the need driven by the established priorities. You can also hear Lisa discuss where healthcare might go with a public option and what we can expect to see relative to patient identifiers.

About the Show
For years Dr. Nick van Terheyden aka Dr. Nick, has served as a voice on the impact of new technologies on healthcare, earning a reputation as a leading authority on where the future of medicine is going. Combining powers of observation and real world experience, Dr. Nick has seen many predictions come true and makes the case that innovations in healthcare can be accomplished incrementally, not just by moonshot events. Tune in to hear Dr. Nick: The Incrementalist and his guests discuss what the future of healthcare looks like, how we will get there, and what it will take to improve healthcare for all.

This article was originally published on the Dr. Nick – The Incrementalist blog and is republished here with permission.