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    5 reasons why your EHR isn't enough for success in value-based care

    We recently convened a convention room full of leaders from independent physician practices nationwide and asked them if they believed value-based care was here to stay. Eighty percent said yes.  With that in mind, we then asked them what was most likely to keep them up at night throughout 2018.  Their top answer: transforming their practices to better manage care quality and cost—the core requirement for value-based care success.

    While this level of focus and commitment is heartening, the reality is that most practices aren’t ready to deliver. Skills, staffing and workflow are all issues, and, understandably, the majority of practices are also . For their part, legacy electronic health record (EHR) vendors encourage the perception that their applications can remain the centerpiece of practice technology in the era of value-based care, as they often were during the days of Meaningful Use.


    RELATED READING: Physicians leaving profession over EHRs


    Not so. Keeping in mind that the core mandate of value-based care is shifting accountability to providers for the holistic quality and cost of the care they deliver, five shortcomings of legacy EHRs become apparent:

    1)     EHRs were built to automate a fee-for-service world. These applications specialize in documenting patient encounters in office settings and converting those interactions into billing codes. They often do not capture the information needed to report for the Merit-based Incentive Payment System and alternative payment models—such as comorbidities and progress against evidence-based care pathways.

    2)     Interoperability is poor. While EHRs tend to be the primary application at the point of care, they do not connect to emerging technologies that primary care physicians (PCPs) increasingly rely on to gain a holistic view of patient well-being. For example, integrating with other EHRs, care management applications, lab information systems, hospital feeds and pharmacies requires not only custom interfaces, but somewhere for the data to go in the form of new EHR fields and workflows.

    3)     EHR analytics are incomplete. Value-based care requires providers to benchmark and manage their populations in terms of quality and cost. Quality measure reporting from the EHR is limited by the volume of unstructured—or simply uncaptured—clinical data, while the payer claims data essential to calculating cost is absent altogether.

    Next: Patient portals do not equal patient engagement

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    • UBM User
      Congratulations to Mr. Saunders (he forfeited the title "Doctor" some time ago) for the most audacious pile of garbage I've read recently on Medical Economics. And that's saying a lot.

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