News | October 01, 2014

Survey Says Accountable Care Organizations Struggling With HIT Interoperability

HIT, information technology

October 1, 2014 – Although most accountable care organizations (ACOs) have the health information technology (HIT) to improve clinical quality, poor interoperability across systems and providers remains a barrier, according to an ACO survey conducted by Premier Inc. and the eHealth Initiative. Access to data from external organizations was challenging for 100 percent of respondents. 

 

The survey, fielded in July-August of 2014, collected responses from 62 ACOs, including members of Premier's PACT Population Health Collaborative. Compounding the challenge of accessing and sharing data is the fact that 88 percent of the ACOs face significant obstacles in integrating data from disparate sources, and 83 percent report challenges integrating technology analytics into workflow - barriers that become more acute as ACOs add new platforms or build on their expansive network of medical settings. As ACOs collect data from more sources, they also report concerns about interoperability and data management. Interoperability of disparate systems is a significant challenge for 95 percent of organizations using HIT, and could be limiting the abilities of ACOs to exchange data. 
 
Reflecting the provider frustration with interoperability problems, the cost and return-on-investment of HIT has become a crippling concern for organizations today, cited as a key barrier to further implementations by at least 90 percent of respondents. 
 
"While accountable care organizations are providing quality care for many patients, even more could be accomplished if interoperability issues were addressed," said Jennifer Covich Bordenick, CEO, eHealth Initiative. "However, the cost of interoperability can be prohibitive for many organizations." 
 
Using technology, at least half to two-thirds of ACOs reported improvements in clinical quality (66 percent), preventive screenings and vaccinations (63 percent), chronic disease management (59 percent) and health outcomes (55 percent). 
 
While the diversity of HIT systems and data sources available vary across organizations, the majority of surveyed ACOs pull information from fewer than 10 different data platforms. However, as ACOs pull data from more sources, they also report lower abilities to leverage their HIT infrastructure to support care coordination, patient engagement, physician payment and contract adjudication, population health management and quality measurement. 
 
"Even when ACOs have successfully adopted and merged HIT systems, they aren't able to effectively leverage data and analytics to derive value out of their investments given the pervasive issues with data quality, liquidity and access, as well as issues with integrating data from disparate sources," said Keith J. Figlioli, Premier's senior vice president of healthcare informatics and member of the Office of the National Coordinator's Health IT Standards Committee. "The survey proves this is a pervasive problem among ACOs, and it could stymie the long-term vision for ACO cost and quality improvements if not addressed." 
 
The majority of survey participants report having an HIT infrastructure that can support quality measurement, population health management, and physician payment and contract adjudication. Core HIT components include an electronic health record (86 percent); a disease registry (74 percent); a data warehouse (68 percent); and a clinical decision support system (58 percent). Most ACOs reported advanced deployment of patient-facing tools that can improve efficiency and reduce administrative bottlenecks such as tethered patient web portals (94 percent), e-prescribing capabilities (70 percent) or patient reminders (61 percent). However, few ACOs report patient-facing tools that could increase access to care, such as self-service scheduling (33 percent), phone-based telemedicine (28 percent) or video-based telemedicine (24 percent). ACOs are even less likely to offer patients self-management tools such as remote monitoring devices (26 percent), untethered personal health record (17 percent) or smartphone apps (15 percent). Given that a quarter of the ACOs contracting with the Centers for Medicare & Medicaid Services are forming in rural and/or underserved areas, it is concerning that organizations may be unable to leverage telemedicine or mobile applications to overcome access challenges or better manage populations in remote geographic areas. 
 
"Increased use of mobile and smartphone applications and patient-facing engagement tools could bring care to the next level," said Bordenick. 
 
The majority of respondents had been operating for at least 18 months. Thirty-five percent were in mature stages of operation (more than two years), 20 percent were in advanced stages of operation (between 18 and 24 months) and 20 percent were in intermediate stages of operation (12 to 18 months). 
 
Nearly all responding ACOs were of a medium to large size with between 101-500 physicians (39 percent) or more than 500 (41 percent) physicians. ACOs are largely comprised of primary care clinics and practices (90 percent), specialists (84 percent), acute care hospitals (57 percent) and health systems (53 percent). Surveyed ACOs primarily serve between 10,000 to 100,000 patients, the majority of which are on Medicare, and are primarily funded and administered by a health system (33 percent), medical group (16 percent) or independent practice association (12 percent). 
 
For more information: www.premierinc.com.

Related Content

FDA Clears iCAD's ProFound AI for Digital Breast Tomosynthesis
Technology | Mammography | December 07, 2018
iCAD Inc. announced clearance by the U.S. Food and Drug Administration (FDA) for their latest, deep-learning, cancer...
YITU Releases AI-Based Cancer Screening Solutions at RSNA 2018
News | Artificial Intelligence | December 06, 2018
Chinese artificial intelligence (AI) healthcare company YITU healthcare released two brand-new products, Intelligent...
Veterans Integrated Service Network 19 Implements System-Wide Radiation Dose Monitoring
News | Radiation Dose Management | December 04, 2018
Agfa HealthCare announced it has collaborated in delivering a system-wide DoseMonitor automated software implementation...
ScreenPoint Medical and Volpara Partner to Bring AI to Breast Imaging Clinics
News | Computer-Aided Detection Software | December 04, 2018
ScreenPoint Medical has signed a memorandum of understanding (MOU) with Volpara Health Technologies. Volpara will...
Infervision Introduces AI Capabilities for Chest CT Reading
Technology | Computer-Aided Detection Software | November 30, 2018
Big data and artificial intelligence (AI) company Infervision announced the launch of InferRead CT Chest, a new product...
University of Utah Health Radiologists Select Philips Illumeo for Adaptive Intelligence
News | Artificial Intelligence | November 30, 2018
At the 2018 Radiological Society of North America (RSNA) Annual Meeting, Philips announced radiologists at the...
NeuroLogica and MaxQ AI Announce Distribution Agreement
News | Stroke | November 30, 2018
Clinical diagnostics intelligence platform company MaxQ AI and Samsung NeuroLogica announced a distribution agreement...