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Points of Light 2023 Case Study 10 Points of Light 2023 Case Study 10
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Points of Light 2023 Case Study 10
Modernizing Interoperability to Improve Data Exchange across the Care Continuum

author - Boyd Stewart
Author
Boyd Stewart
author - Aurene Wilford
Author
Aurene Wilford
 
April 14, 2023 | Read Time: 1  minute

Having an incomplete view of their patients’ or members’ health journey is a challenge that payer and provider organizations share. To modernize interoperability and improve data exchange for both parties, the collaborators in this case study designed, developed, and implemented a software solution that bidirectionally exchanges accurate, up-to-date information on patient risk scores, medication adherence, and care gaps, making this information available within the EMR workflow. The automation has improved patient care and satisfaction and reduced the administrative burden for both the payer and provider.

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Key Findings:

  1. Executive Summary
  2. The Collaborators
  3. Points of Friction—Challenges to Be Solved
  4. Action Plan—How the Collaborators Worked Together to Reduce Friction
  5. Points of Light—Outcomes Achieved through Collaboration
  6. Lessons Learned—What Best Practices Can Other Organizations Replicate?
  7. What's Next?—Vision for the Future
author - Elizabeth Pew
Writer
Elizabeth Pew
author - Jess Wallace-Simpson
Designer
Jess Wallace-Simpson
author - Joel Sanchez
Project Manager
Joel Sanchez
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.