Monetization of HIT interoperability

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Monetization of HIT interoperability

Monetization of HIT interoperability

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  • 1. Afik Gal, 2014 The newest version of this document can be found at
  • 2. • Interoperability refers to the architecture or standards that make it possible for diverse EHR systems to work compatibly in a true information network • Interoperability means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities • Healthcare data interoperability has been and still is a big pain in the development of Health IT
  • 3. • In certain scenarios, the value of interoperability can be tied to the value of the data and the level of interoperability (i.e. the ability to share it in a way that can preserve its value) • The value of the data is a function of: – Uniqueness – Ability to extract meaning from the data – Comprehensiveness (mash-ups of multiple data types) – Quantity – Quality DataCoup BBC Future - Value of Data
  • 4. 1. Financial (claims and etc.) 2. Lab 3. Imaging 4. Clinical encounters (codes vs. narrative) 5. Patient reporting (RWE) 6. Genomics 7. Digital Health (devices and etc.) 8. Biome Data types are ordered according to the ease of analyzing the data and creating monetizable value from it
  • 5. • Provider generated vs. Patient generated data? • Interoperability+ (abstraction layers, aggregation, processing) • HIMSS Classification 1. Foundational 2. Structural 3. Semantic 1. Integration of structured data 2. Meta schemas 3. Dictionaries • Standards (e.g. HL7)
  • 6. Channel Description Examples Direct Payment for data transactions (infrastructure model) See interoperability initiatives Part of a solution Payment for the solution which utilizes interoperability SWIFT, ACO analytics tools Indirect Monetization of a platform that has interoperability at it’s core Doximity, Box
  • 7. HCP generated data • CareQuality (Healtheway) - Network of networks encompassing multiple stakeholders that include Kaiser, Epic, Optum (United), Walgreens, SureScripts • CommonWell Alliance - EHR Vendors led by AthenaHealth, McKesson, Allscripts, Cerner and others (in collaboration with CVS) • BlueButton - VA (Government), Walgreens, Kroger, Riteaid, CVS, Safeway (see also Blue Button Connector) • HIOs exchange - 16 HIOs that are forming an HIE together • DirectTrust • CareSync - Service that gathers and structures all of the individual medical data from multiple sources to one repository Patient generated and HCP generated data • Apple, Validic Labs – Collect data for mobile phone sensors, apps, devices • - Cloud storage for Healthcare documents with healthcare oriented apps in its ecosystem ONC Report
  • 8. Transactionsusage fee • Depends on ownership of the infrastructure • Pricing by: – Speedsecurityreliability – Value of data – Level of Interoperability Additional services • Storage • Preparationprocessing • Translation
  • 9. • The monetized value stems from the value of the solution and is therefore dependent on other elements to be realized • Interoperability is often a differentiatoraddition to the value proposition of a product: – ACO analytics tool - rely on sharing and analysis of data from multiple sources – HIEs+ EHRs – used for sharing medical information between providers • Interoperability can help expand a product to a platform and therefore add indirect monetization options
  • 10. • Interoperability it is a strong asset on top of which platforms can be created • Platforms’ monetization can be: – Direct: payment for the transactions/usage – Indirect: Generating value from the data that is collectedpassing through the platform and monetizing that value. Examples- • Leak detection (providers) • Referral patterns (payers) • Network of influence (pharma)
  • 11. Value creation is accelerated by a joint creation business model Platform- Trade Collaboration Bringing stakeholders, setting the terms and facilitating collaborationtrade between them. Market place Platform – Development Creation a platform for others to develop their solutions on (A platform is any base of technologies on which other technologies, processes and mechanisms can operate) Platform as a Service (PaaS), APIs, Ecosystem Integration Integration of several productsservices. Development of ecosystem around productservice APIs, certification processes