Data to Information: Where will it come from?
How will Indian health programs get useable information from their electronic health care systems without additional funding from the CMS-funded Healthier Washington Initiative?
Can we turn medical visit/claims data into health planning information? How will tribes with largely global budgets (IHS funds) combine EHR data with claims data? Will an underfunded IT budget be able to keep up with others in ACHs?
Electronic Health Records (EHRs), even if they are linked to Health Information Exchanges (HIEs), do not have enough information to fill this need. The only truly comprehensive information about all of the healthcare costs associated with an episode of care or with a group of patients, particularly the prices being paid for the services delivered, comes from claims data maintained by payers. Consequently, providers would be more willing and better able to participate in new payment models if they could get access to claims data from health plans, Medicare, and other payers.
---source: Center for Healthcare Quality and Payment Reform---