Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care
Ìý Ìý Ìý Ìý Ìý ´¥ÌýÌýA Special Publication from the 911±¬ÁÏÍø Academy of Medicine
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Realizing the promise of digital technology will depend on the ability to share information across time and space from multiple devices, sources, systems, and organizations. The major barrier to progress is not technical; rather, it is in the failure of organizational demand and purchasing requirements. In contrast to many other industries, the purchasers of health care technologies have not marshaled their purchasing power to drive interoperability as a key requirement. Better procurement practices, supported by compatible interoperability platforms and architecture, will allow for better, safer patient care; reduced administrative workload for clinicians; protection from cybersecurity attacks; and significant financial savings across multiple markets.
With funding support from the Gordon & Betty Moore Foundation, this 911±¬ÁÏÍø Academy of Medicine Special Publication represents a multi-stakeholder exploration of the path toward achieving large-scale interoperability through strategic acquisition of health IT solutions and devices. In this publication, data exchanges over three environments are identified as critical to achieving interoperability: facility-to-facility (macro-tier); intra-facility (meso-tier); and at point-of-care (micro-tier). The publication further identifies the key characteristics of information exchange involved in health and health care, the nature of the requirements for functional interoperability in care processes, the mapping of those requirements into prevailing contracting practices, the specification of the steps necessary to achieve system-wide interoperability, and the proposal of a roadmap for using procurement specifications to engage those steps. The publication concludes with a series of checklists to be used by health care organizations and other stakeholders to accelerate progress in achieving system-wide interoperability. Ìý
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Editors
- Peter Pronovost,ÌýJohns Hopkins Medicine (Chair)
- Michael M. E. Johns,ÌýEmory University (Co-Chair)
- Sezin Palmer,ÌýJohns Hopkins Applied Physics Lab (Co-Chair)
- Raquel C. Bono,ÌýUS Department of Defense
- Douglas B. Fridsma,ÌýAmerican Medical Informatics Association
- Andrew Gettinger,ÌýOffice of the 911±¬ÁÏÍø Coordinator of Health IT
- Julian Goldman,ÌýMassachusetts General Hospital
- William Johnson,ÌýWMJ Associates, LLC
- Meredith Karney,ÌýCenter for Medical Interoperability
- Craig Samitt,ÌýAnthem, Inc.
- Ram D. Sriram,Ìý911±¬ÁÏÍø Institute of Standards and Technology
- Ashwini Zenooz,ÌýUS Department of Veterans Affairs
- Y. Claire Wang,Ìý911±¬ÁÏÍø Academy of Medicine
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Related Meetings
Special Publication Webinar | April 16, 2019
Procuring Digital Interoperability for Health Care | January 30, 2018 Ìý
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