decisionhealth Newsletters, Part B News - 2015 Issue 7 (July)
OIG looking at whether shared savings groups exchange data to coordinate care
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Article Overview
This piece covers an HHS Office of Inspector General inquiry into whether accountable care organizations and other shared-savings participants are exchanging patient information effectively to coordinate care. It discusses broader issues around electronic health record use, interoperability barriers, vendor limitations, health information exchange access, and security concerns. The article is relevant to providers, ACO participants, health IT leaders, compliance teams, and organizations evaluating care-coordination workflows.
Why This Topic Matters
Care coordination in shared-savings environments depends on timely access to patient information, and interoperability gaps can affect workflow efficiency, duplication of services, and data-sharing readiness. The article also highlights why providers and vendors may face scrutiny around EHR capability, exchange practices, and security.
Article Sections
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Accountable care organizations
Introduces the shared-savings and care-coordination context and frames the OIG’s interest in how providers exchange information. It also sets up the discussion of EHR use and interoperability.
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Vendors’ role in interoperability
Reviews how vendor systems, health information exchange access, provider workflows, and security issues affect interoperability. The section also addresses broader implementation challenges for organizations participating in coordinated-care models.
What You Will Learn
- How the OIG is approaching its review of care coordination in shared-savings settings
- What kinds of EHR and interoperability issues can affect information sharing across provider organizations
- Why vendor support and health information exchange access matter for coordinated care
- What broader operational and security concerns are associated with EHR interoperability efforts
Who Should Read This
- Health care providers
- Accountable care organization participants
- Health information management professionals
- Compliance and audit teams
- Health IT and EHR administrators
- Revenue cycle and practice operations leaders
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