Master Data Management as a Critical Component of Interoperability

Secure Exchange of Health Data is a Competitive Advantage

Healthcare organizations with best-in-class Interoperability have a competitive advantage because they can provide superior care, while streamlining member experience and reducing cost. With healthcare interoperability, MDM is a critical component of the overall Interoperability requirements due to the
management of many data sources with common types of data. The objective is to produce a single master record for each patient, provider, claims transactions, and more.

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The healthcare domain has been undergoing a fundamental change in its approach to delivering care as Information and Communication Technology has become an indispensable component of healthcare. Providers and patients face rising costs, incessant inefficiencies, and healthcare quality failures. To address these issues, one must understand the critical role that interoperability plays in data sharing and re-use among disparate healthcare applications and devices.

Interoperability and Consent Management Challenges in Healthcare

  • Data Standardization

When there are no enterprise data quality standards in place within an organization, consistency between data sources is nearly impossible. The major goal of standards in the healthcare domain is to improve patient care by allowing interoperability.

  • Complexity of Healthcare Domain

The healthcare domain is very complex because it involves many actors, such as doctors, radiologists, nurses, pharmacists, laboratory technicians. All must collaboratively participate in the treatment of patients.

  • Reference Data Management

Organizations must develop internal standards (or those mandated by CMS) before sending data to third-party vendors, payers, and CMS. Developing these internal standards can be challenging for organizations without a clear data governance strategy.

  • Incompatible Terminologies & Legacy Systems

Different systems may have separate definitions of the same medical concept. This incompatibility makes interoperability difficult. Outdated legacy systems make complete interoperability even more challenging.

How Infoverity Helps Customers Achieve Interoperability & Consent Management

Provider Master Data

Healthcare Networks are required by law to have a Master Provider Directory. If they do not, both Providers and Healthcare networks face the risk of being publicly reported by CMS for public information blocking. Fines and decreased patient enrollment could follow.

NPPES Accelerator

The Digital Contact Information policy requires all providers to list and maintain their information on the National Plan and Provider Enumeration System (NPPES). Providers will be reported if information is found to be outdated or incomplete.

Patient Master Data

Hospitals and Health Insurance Payers will have an increased demand for clean, standardized, enriched, validated, and centralized patient data.

Real-Time + Cloud Requirements

Hospitals and Health Insurance Payers are starting to require more real-time or “near real-time” inbound and outbound feeds. Healthcare clients will have an increased demand for cloud integration tools and will eventually retire legacy on-prem ETL tools.

Data Governance

Policies, Processes, and Procedures centered around Data Entry and Data Management will need to be established for healthcare organizations to meet compliance standards.

Enhance Interoperability by implementing MDM solutions

Contact us to know more about breaking down barriers to achieve interoperability in healthcare.

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