US government has come up with pre-defined standards to connect health care IT systems with the aim of making health care data interoperable among different stakeholders. Our client is a leading national medical group with more than $5 billion in revenue. They are implementing these standards to manage health data from different sources and process it for better solutions. 
The group’s clinical data exchange had more than thousands of point-to-point connections to support data acquisition and had more than 600 sites reporting Medicare-Access-and-CHIP-Reauthorization-Act/Merit-based-Incentive-Payment-System data via a paper-based   abstraction process. Additionally, the client was losing revenue from delayed billing caused by incomplete data as well as minimal to no internal checkpoints on data feeds.

Key stakeholders were identified, and several rounds of interviews were conducted to understand the state of data acquisition & ingestion, clinical flows, technology and integration tools. We carried out a detailed assessment of Health Information Exchanges (HIE), Epic App Orchid, Cerner Hub and other data sources as identified by the client. A strategy for real-time data acquisition and developed a data-acquisition roadmap was defined illustrating data feeds. We recommended a structured format of electronic health records data for acquisition. This included using Epic APIs and the Epic App Orchard and a Fast Healthcare Interoperability Resources (FHIR) based implementation strategy, HL7 for Cerner HUB and CCD-based strategy for HIE’s.