A Path to Sharing Clinical and Cost Data

Oct. 11, 2013
I recently had an opportunity to speak with Cheryl M. Stephens, who is CEO of the Community Health Information Collaborative (CHIC), Minnesota’s state-certified health information organization. In her view, health information exchange has an important role to play with initiatives such as accountable care.

I recently had an opportunity to speak with Cheryl M. Stephens, who is CEO of the Community Health Information Collaborative (CHIC), Minnesota’s state-certified health information organization. In her view, health information exchange has an important role to play with initiatives such as accountable care. That’s because being connected gives the provider a fuller picture of the patient, and thereby the ability to make better decisions on the patient’s next treatment plan or prescriptions they should be taking. Stephens, who used to run a health maintenance organization, says that one advantage of an HIE is that having better information on a patient, regardless of where the patient is being treated in the provider network, should help with both cost analysis and care coordination.

In 2011, CHIC merged with another Minnesota HIE, the Minnesota Health Information Exchange, LLC, which was formed by five major payer groups in the state. One of the agreements of the merger was that the payers would exchange data with CHIC through a secure patient data feed. In her view, one major advantage of the merger is the ability to share both clinical data and claims data for the providers to look at, based on what they need to see. “There are places you need both, in order to have a solid picture of what is happening with the patient,” she says.

The merger has been educational. “Some of their board members came onto our board, and it’s been a wonderful thing,” she says. “They learned a lot when they were putting their [HIE] together, and that’s been informing us as we progress. It has been a very good thing for HIE in Minnesota.”

What Stephens spoke about brought to mind the article “Playing Nice in Healthcare,” in the April/May issue of HCI, in which Rajiv Leventhal discussed a trend toward a more collaborative relationship between payers and provider organizations. To me, CHIC is an example of one organization that is doing just that.

Sponsored Recommendations

Clinical Evaluation: An AI Assistant for Primary Care

The AAFP's clinical evaluation offers a detailed analysis of how an innovative AI solution can help relieve physicians' administrative burden and aid them in improving health ...

From Chaos to Clarity: How AI Is Making Sense of Clinical Documentation

From Chaos to Clarity dives deep into how AI Is making sense of disorganized patient data and turning it into evidence-based diagnosis suggestions that physicians can trust, leading...

Bridging the Health Plan/Provider Gap: Data-Driven Collaboration for a Value-Based Future

Download the findings report to understand the current perspective of provider and health plan leaders’ shift to value-based care—with a focus on the gaps holding them back and...

Exploring the future of healthcare with Advanced Practice Providers

Discover how Advanced Practice Providers are transforming healthcare: boosting efficiency, cutting wait times and enhancing patient care through strategic integration and digital...