Overview

The emids client is a leading national medical group with over $5 billion in revenue. They provide a wide array of healthcare services, including physician-led services, ambulatory surgery center management, post-acute care and medical transportation. Their physicians, advanced practice providers and support teams are responsible for more than 30 million annual patient encounters across the U.S.

As a strategic partner for over two years, emids streamlined its clinical data exchange with 1,100+ point-to-point connections to support data acquisition. With over 600 sites reporting MACRA/MIPS data via a paper-based abstraction process,  this was unsustainable for the customer growth journey. A primitive clinical data exchange mechanism also led to revenue leakage due to delayed billing caused by incomplete data and minimal to no internal checkpoint on data feeds, leading to data quality issues.

emids Solution

Our team adopted a ​consulting-led approach to identify key stakeholders, conducted interviews, understand as-is state of data acquisition and data ingestion process, clinical flows, technology and integration tools. We carried out a detailed assessment of Health Information Exchanges (HIE), Epic App Orchid, Cerner Hub and other data sources as identified by the client.

Based on our analysis, we defined a new strategy for real-time data acquisition and a data acquisition roadmap detailing data feeds. We recommended a structured format of EHR data for acquisition such as Epic APIs and the Epic App Orchard and FHIR based implementation strategy, HL7 for Cerner HUB and CCD-based strategy for HIE’s.

Results

Our team designed a highly scalable FHIR-based interoperability solution hosted on the AWS platform to overcome multiple P2P connections, hence reducing effort and saving on operational costs.

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