Electronic health records (EHRs) are not sufficient to
ensure success in value-based care, according to an article published in Medical Economics.
Noting that many leaders of physician practices are
concerned about transforming their practices to better manage care quality and
cost, the core requirement for value-based care success, the authors discuss
the shortcomings of EHRs in this respect. EHRs were built for a fee-for-service
healthcare model and do not necessarily capture information needed to report
for alternative payment models. In addition, EHR interoperability is poor and
EHRs do not connect to emerging technologies or other systems, the authors
write. EHR analytics are incomplete, and quality measure reporting is limited
by unstructured or uncaptured clinical data. Patient portals do not represent
patient engagement, while value-based care requirements need direct and
interactive exchange with patients. Finally, EHRs cannot support the complexity
needed for fee-for-value workflows.
To meet reporting requirements, improve operational
efficiency, and increase revenue, according to the authors, practices should
prioritise the following: data aggregation and analysis to allow a holistic
patient view; care coordination and management to positively influence drivers
of cost and quality; and revenue cycle management focusing on alternative
payment models and risk.
“The EHR, so central during the Meaningful Use years,
is becoming just one among many elements required to equip providers to
understand and manage the cost and quality of their patients,” the authors