Abstract of Dissertation

Keyword : US Healthcare Facilities; SWOT Analysis; EHR; Healthcare Facilities

Objective : • To identify and analyze the pressing issues faced by the healthcare facilities in the United States. • To study the recent healthcare reforms/legislations released in terms of interoperability, to address the issues faced by the US healthcare facilities. • To understand and estimate the benefits of interoperability towards achieving the optimum utilization of Health IT across EHR systems. • To conduct a SWOT analysis of interoperability. • To conduct a comparison of various EHRs on basis of their respective interoperability quotient.

Background : In recent years, Healthcare Systems have seen a paradigm shift in its delivery as well as how the complete workflow system works. Adoption of an appropriate EMR system is one such advancement, which has changed the face of Healthcare delivery and the optimum utilization of the available resources with overall improved quality of the complete work process flow. As of 2014, EMR systems started sharing data in various forms among themselves as well as across other systems also. However, interoperability proved to the major obstacle universally to realize the true potential of Healthcare I.T. and its effective use. In order to make the facilities compliant to the upcoming regulations and mandate the “meaningful use” (MU) pre-requisites, the CMS came up with various regulations and amendments. This paper presents the impact of the interoperability in the US healthcare system. Moreover, other purpose of this analysis is to identify the current state of ease of interoperability among major EHRs prevalent across US healthcare. For the analysis and study of interoperability have relied on the use of different sources, mostly items related to the study of interoperability in different areas. We will analyze some technical aspects of these and some of their major implications, both positive and negative. The use of Healthcare IT will not only improve the overall quality of care and reduce the cost incurred in the process, but also waive off the total out-of-pocket expenditure for healthcare in the United States. The study aims to rule out the issues crippling the hospital workflows and the germane federal regulations initiated to bring about a diversion from volume-based care to value based payment. Factors like Financial Challenges, Government Mandates and Patient Safety & Quality would be considered in the study and the same would be crucial in outlining plans for a consulting firm to gauge the requirements of a healthcare organization and aid in strategizing forthcoming implementations.

Methodology : • Study Design: Secondary data review and analysis • Setting: Deloitte USI, Bengaluru • Duration of Study: 3 months (6 February 2017 to 6 May 2017)

Recommendations :Lack of interoperability among EHR systems limits overall wellness and prevention initiatives. Not just that but in the absence of advanced level interoperability, providers, payers and patients have had to incur huge revenue dips and bear escalating costs accordingly. Interoperability has the potential to decrease costs and improve care coordination. With more open systems, data sharing should improve, aiding wellness and prevention efforts. Hospitals have put enough and more to overcome interoperability barriers through the use of interfaces and HIEs but they are, at best, costly workarounds and, at worst, mechanisms that will still need much more to get the coun¬try to true interoperability. While standards are part of the solution, they continue to need specifications, effective enough to make them truly work. Clearly, much work remains, not forgetting initiatives by the federal government to support advances in interoper¬ability. Until that happens, it is a long way before patients across the country will reap the benefits of truly connected care.