Data Flow in Healthcare

Healthcare Data Finally Freed

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

On this episode I talked to Jay Sultan, Vice President of Strategy, Healthcare, LexisNexis Risk Solutions, who arrived into healthcare as a technologist and software. His intersection with healthcare started out with personal frustration and disbelief of the lack of sharing of information and systems thinking that was pervasive. The great news is that for a $4.3 Trillion industry and small incremental improvements are going to have a big impact.

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We discuss the Final Interoperability rule published by (CMS Interoperability and Patient Access Final Rule) that comes with some standards (including FHIR v4, and USCDI to name a couple) that addresses 40% of the the marketplace with patient consent allowing access to

“a highly standardized data set that is broad, that is deep and It’s very rich, and be able to do so in a remarkably consistent way across 300, roughly 350 different payer organizations that are governed by and regulated by this rule”

With the Federal Government’s as the largest payer in the world, by both dollars and many other measures you have the power of the purse, but also the power of regulation, and they are using both of those in this instance, to compel change.

We discuss the significance of the publication of the interoperability API in the CURES act and why and how the federal government has brought about change while building on existing standards and capabilities such as EDI and claims processing that has long since used interoperability that will allow data to flow freely where and how it is needed, while respecting the privacy and control that individuals should have.

Listen in to hear how the remaining 60% of the industry will follow suit and why and Jay’s deep dive into this data and what you need to know about the future of data sharing, the standards involved and how to integrate this into your healthcare system. Don’t miss the details behind one of the most significant dates for any hospital coming up – January 1, 2023 and why.

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.