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HIE 3.0: A Turning Point
for HIE Business Models

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Health Catalyst Editors

Article
Summary
HIEs juggle many priorities to improve their technology platform
for better data quality. When HIEs support a broader audience
and address gaps in clinical pathways, they can become the
preferred access point for population health analytics, quality
measure reporting, and health equity strategies.

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HIE 3.0
Health Information Exchanges (HIEs) are in a
transition period, ushered in by the pandemic and
global spotlight on healthcare equity. HIEs will
redefine their value for sustainability if they can
quickly pivot technical operations to support
innovative growth models and strategic partnerships.
Health Catalyst recently introduced HIE 3.0, an
outline of strategies to overcome revenue shortages,
secure new partnerships, and meet federal
guidelines for data exchange standards.
A Turning Point for HIE Business Models

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Market Demands on HIEs

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Market Demands on HIEs
Aligning HIEs and other networks for nationwide
interoperability is a major initiative through the Office
of the National Coordinator for Health Information
Technology (ONC). New regulatory models are quickly
gaining industry support, such as the Trusted Exchange
Framework and Common Agreement (TEFCA). TEFCA
also supports equitable healthcare by connecting rural
and suburban clinical networks so providers have
access to connected data for high-quality care to
patients in rural communities.
Trusted Exchange Framework and Common Agreement

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Market Demands on HIEs
HIEs can leverage cross-community data initiatives
like TEFCA to drive planning and participation
efforts for providers who are challenged with data
gaps in a patient’s care journey. Having a scalable
infrastructure will put HIEs ahead of the curve to
participate in federal interoperability and other
data-sharing programs that emphasize data quality.
Cross-Community Data Initiatives

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Data Quality Creates a
Competitive Advantage

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Data Quality Creates a Competitive Advantage
An innovative data foundation will help HIEs
capitalize on revenue opportunities based on the
quality and accessibility of their data. Health plans,
for example, want data that has been validated by
NCQA for reporting on Healthcare Effectiveness
Data and Information Set (HEDIS®) and other
quality measures. HIEs that validate their data
streams through NCQA Data Aggregator Validation
(DAV) certification can reduce the workload for
health plan staff who might be assigned manual
primary source verification tasks.
Data Foundation

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Data Quality Creates a Competitive Advantage
WISHIN was among the first HIEs to earn NCQA
DAV status. Their health plan participants
anticipate that leveraging the validated,
automated data will lead to a greater than 10%
increase in performance measures, including
blood pressure and hemoglobin A1c control.
Becoming NCQA DAV certified, or aligning with a
Certified Data Partner, expands HIE revenue
opportunities.
NCQA DAV

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Data Quality Creates a Competitive Advantage
In addition to the NCQA DAV program, HIEs should
seize opportunities to modernize their exchange
platforms to meet the newly released United
States Core Data for Interoperability Version 3
(USCDIv3) and other federal standards. HIE
platforms’ ability to keep up with industry
standards is key in creating a more sophisticated
interoperable system that establishes a
competitive advantage.
Modernize

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Data Quality Creates a Competitive Advantage
Leveraging a technology partner with vast
experience in meeting data quality standards
and co-creating modern HIE solutions offers
value-add services to the market and
expedites the transition to HIE 3.0.
Partnership

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Action Plan for HIE 3.0 Success

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Action Plan for HIE 3.0 Success
HIEs are juggling many priorities to improve their
platform for data tracking, analytics, and data
quality improvements. The effort to support a
broader audience and address gaps in clinical
pathways is worthwhile and will position HIEs to
become the preferred data access partner for
population health analytics, quality measures
reporting, and health equity initiatives.
Improving Platform

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Action Plan for HIE 3.0 Success
Download our new white paper, HIE 3.0:
Sustainability through Strategic Partnerships and
Scalable Technology, for a deeper look into HIE
use cases and recent successes in technology
innovation. https://go.healthcatalyst.com/WS-
221109-HIEAwarenessPage_LPv2.html
White Paper

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1 Validated Data Improves HEDIS® Measure Reporting
3 Pairing HIE Data with an Analytics Platform:
Four Key Improvement Categories
2 The Future of Healthcare: Our Promise to HIEs
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