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    Six healthcare interoperability barriers to watch


    2. The growing number of data sources

    JonesJonesSixty million fitness, activity, and sport trackers will be sold in 2016. That number could increase to 187 million devices by 2020, according to the CCS Insight's Global Wearables Forecast released in February 2016.

    Providers are still wrestling with the relevance of patient-generated health data from wearable health technology and smartphones. But as the market continues to grow, finding ways to store, share, and use data from patients with chronic conditions, elderly patients, wellness programs, and from remote patient monitoring will be a key interoperability issue. Yet, many health systems lack interfaces that can interact with the emerging technology.

    Creating fuller health records that can gather this medical information, and also payment and behavioral information, is a future application that requires more layers of interoperability, says Leroy Jones, CEO of GSI Health, a cloud-based healthcare software company. “Other information that is important to the care plan, such as behavioral health and psychosocial information is not the same nature as medical information. Integrating this information into new sources is an emerging challenge,” Jones says.

    3. New partnerships that increase complexities

    CrislerCrislerAs larger hospital systems acquire smaller practices, getting all of the IT systems to work together can be a budget buster, says Beverly Crisler, director of service delivery for Peak 10 Atlanta data centers. “When IT staff is figuring out how to integrate records into a larger system, it can be time consuming. These systems include scheduling, call center management, and possibly paper records. It can be cumbersome, but it’s a necessary part of an acquisition that isn’t always considered,” she says.

    Crisler suggests a thorough audit of a potential acquisition’s IT system—not just by the CIO, but a taskforce that includes IT staff and system users. “It doesn’t need to be intrusive, but you need to know what you are buying before signing the dotted line.”

    Crisler says an interoperability game plan with a reasonable timetable should be a crucial part of the buying decision. “The CIO can have a business conversation about the areas of concern and ways to respond. The more IT staff is involved in acquisitions, the better for practitioners and patients,” Crisler says.

    Next: Payer participation challenges



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