Saturday, December 10, 2016

Can APIs Really Improve HIT? |

        Application Program Interfaces such as the  google play store and apple store are widely known due to their overwhelming consumer marketplace. Not so  well known are the thousands of  APIs already in place in electronic health records use to interface add on features in the core EHR functions.  ('there's an app for that)

        A critical element of business success across industries has been the surge in use of open application programming interfaces (API) that provide data for applications that did not create or originate the data. APIs are the technical foundation of engaging interfaces and high-value interactions between different applications. Application ecosystems such as Google Play and Apple App Store would not exist without open APIs that enable data access across multiple sources and organizations. APIs have fueled the growth of application vendors like Salesforce, Workday and countless others. Open APIs in healthcare promise a HIPAA-compliant way to enhance a digital portfolio with an ecosystem of third party applications and services.
The API Opportunity in Healthcare
  • Big Potential  HCO C-suites, IT organizations, and clinical leadership need no convincing about the potential that APIs offer. Despite concerns about the path to value most expect API programs to deliver functional enhancements, improvements to user interfaces and broader dissemination of digital assets across their connected communities.
  • HCOs Want to Spread Expertise – API-based development, together with advanced analytics, can increase the effectiveness of existing applications by enhancing the expertise of individual clinicians. Together with programs like telehealth and substitution, expertise enhancement will make data more actionable.
  • Only Large HCOs Can Invest  The largest HCOs are currently expending some time and resources on APIs. Smaller HCOs are waiting for their HIT vendors to show them the way.
  • Mid-size and Smaller HCOs Will Follow  These HCOs, who all struggle with the “tyranny of the moment”, will wait for tangible results from leaders to demonstrate the utility and efficacy of open APIs.

The API Challenges
  • Reimbursement and Regulation Impede Data Sharing – The continued dominance of FFS-based payments and HIPAA are seen by many as counterproductive to data interoperability.
  • HCOs and Clinicians are Overwhelmed – HCO IT organizations and innovation centers are carpet-bombed with IT proposals. HCOs see process change as the way to adapt to changing payments. They want technology to help but it is not the first tool they reach for.
  • Lack of Clear Business or Clinical Justification – The wait-and-see stance of most HCOs stems from the demands of keeping existing processes functional and the practical reality that they only want to invest if a clear need can be addressed.
  • Payment Uncertainty – Most people believe that patients will not pay for apps, at least not directly. No one has ruled out the possibility of indirect payment. HCOs will pay only if there is demonstrable value or if an app provides actionable data.
  • Legacy Issues – Legacy software and skills makes modern web deployment ideas and technologies difficult to incorporate into existing software infrastructure plans.











Can APIs Really Improve HIT? | Chilmark Research

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