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The Importance of Interoperability

Interoperability is a secure way for healthcare systems and software applications to share electronic medical records (EMR) that could support better patient outcomes. This can be completed through EMR systems, such as Epic Systems, Healow, Athena, and Oracle Health.

At Arizona Complete Health, our interoperability solution is designed to support our provider partners by improving efficiency, reducing costs, and enhancing patient care.

Key benefits include:

  • Seamless data exchange: Instantly share and receive clinical information without relying on faxes or portals.
  • Comprehensive patient insights: Access lab results, medical records, and specialist consultations, all in one place.
  • Reduced chart chase: Reduce time spent on follow-ups and documentation burden.
  • Real-time alerts: Receive timely notifications for care gaps, risk adjustment coding, and quality measures.
  • Improved performance: Boost STAR and HEDIS scores with enhanced data flow.
  • Automated processes: Simplify and accelerate prior authorization requests.

We recognize your responsibility to protect patient information. You maintain full control over EMR permissions, who can monitor access logs, and determine what data is shared, and with whom.

EMR access is also governed by strict protocols, like:

  • HIPAA-Compliant Agreements: All EMR access is covered under Business Associate Agreements (BAAs) and complies with federal privacy laws.
  • Role-Based Access Controls: Only authorized personnel can view relevant data. Full charts will never be shared.
  • Audit Trails and Monitoring: Every access to an EMR is logged and monitored to ensure transparency and accountability.
  • Secure Systems: Data is encrypted both while being transmitted and while stored, using industry-standard security measures.

Here is an overview of the EMR platforms we support, along with the lines of business they connect to across our organization:

  • EPIC: 
    Medicare, Medicaid, Marketplace
    • Capabilities: Clinical data exchange, health plan clinical summary alerts, Admit/Discharge/Transfer (ADT) notifications, clinical analytics documentation, care gap exchange, coverage finder
  • Healow Insights (eClinical Works): 
    Medicare, Medicaid, Marketplace
    • Capabilities: Medical record retrieval for quality and risk, point of care alerts, quality and risk flat files
  • Athena (Moments of Care):
    Medicare, Medicaid, Marketplace
    • Capabilities: Moments of Care care gap exchange, Moments of Care diagnosis risk gaps, ongoing Consolidated Clinical Document Architecture (CCDA) delivery
  • Oracle Health (Cerner/Millenium): 
    Medicare and Marketplace
    • Capabilities: Chart chase
  • Veradigm (Practice Fusion, Allscripts/Touchworks, NextGen): 
    Medicare and Marketplace
    • Capabilities: Chart chase, quality and risk alerts (*NextGen supports chart chase only)

Questions?

To learn more about interoperability and EMR systems, email us. We also encourage you to fill out the form below to share your EMR system, so that we can better tailor our support to your needs.

EMR Intake Form