Interoperability is a crucial element in addressing the major challenges within the healthcare sector, yet it remains largely unclear to many healthcare professionals, according to Dr. Peter Schoch. While most clinicians understand the consequences of inadequate interoperability, the discussion often veers into complex technical jargon filled with acronyms like APIs, FHIR, QHIN, and DICOM, making it seem less approachable.
Interoperability, fundamentally, is about ensuring consistent communication and information sharing among healthcare workers. The primary obstacle is the need to establish an extensive infrastructure that can support these processes on a large scale, especially while dealing with limited personnel and resources. Achieving a common understanding of what interoperability entails, simplifying the technical language, and addressing concerns around security, privacy, compliance, and regulatory issues are vital for its widespread adoption.
So, what exactly is interoperability? It consists of two key elements: connectivity and meaningful communication. Connectivity refers to the capability of sharing information across different systems, while meaningful communication involves how the shared data is utilized before, during, or after its transfer. Both need to coexist; simply moving data without establishing effective communication renders it ineffective.
To illustrate, consider a computer without internet access or a house built without electrical connections. These scenarios highlight that mere technical connectivity does not equate to effective functionality. Similarly, interoperability requires both a connection and meaningful use of information to be impactful.
There is a common misconception that interoperability is simply a technical feature that can be viewed as an optional enhancement rather than a necessity. Indulging in extended discussions about software can hinder meaningful progress. A shift in focus towards connectivity and communication makes it clear that interoperability is foundational for successful healthcare operations.
Focusing on desired outcomes and then working backwards can clarify the path forward. What is essential is enabling healthcare providers to access comprehensive patient histories, understand the context, and make informed decisions for optimal care. This integration fosters personalized treatment, proactive chronic condition management, and a comprehensive view of patient health.
A tangible example of interoperability’s significance can be seen in the case of a primary care physician treating a patient who had recently visited the emergency department for abdominal pain. Without access to the prior CT scan results from the ED, the physician might unnecessarily order another scan, incurring extra costs and inconvenience. However, with effective communication and interconnected information systems, the physician would have immediate access to the previous scans, allowing for informed decisions and a better patient experience.
In conclusion, achieving full interoperability requires a collective commitment throughout the healthcare spectrum to prioritize both connectivity and meaningful communication. Providing optimal patient care begins with listening—both to patients and one another. By establishing interoperability as the standard of care, we can move towards a more efficient, coordinated, and patient-centered healthcare environment.
Dr. Peter Schoch, MD, serves as the chief health officer at Kno2 and has extensive experience as both a primary care physician and a health system physician executive.