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EMR/EHR Integration Best Practices

April 17, 2024

Keys to a Successful EMR/EHR Integration Using HL7v2, FHIR, and Other Protocols

A guide to some of the best practices and protocols for EHR and EMR integrations


EHR integrationSetting up an integration correctly is vital for any business, but it is especially important for medical businesses that must maintain a HIPAA-compliant website and all associated software. Those businesses are in charge of keeping their patients’ and clients’ sensitive information safe and secure, while trying to run their business efficiently.

Electronic Medical Record (EMR) and Electronic Health Record (EHR) software are meant to help these businesses do both. Integrating their EHR or EMR software with their websites and other systems helps these businesses and their employees work smarter, not harder.


Security and Auditing

Security is a top priority when dealing with, storing, and transferring your clients’ sensitive medical information. You need to ensure that security and HIPAA compliance measures are in place. It is recommended that only the necessary integration points are exposed to the middleware/integration layer, which has to authenticate by using a specific internal IP address and a valid key value. This system should live behind the firewall and only transfer data from external systems to the internal EHR system securely after the data has been sanitized. 

To meet or exceed HIPAA requirements, you should require all data transactions, reads, creations, updates, and deletions to be logged and recorded. When data is “at rest” it should be securely encrypted to minimize risks of data being used improperly if your security measures are compromised.


Standards for healthcare data integrationsStandard Protocols

What does FHIR stand for? What about HL7?

Health Level Seven, versions two and three (HL7v2, HL7v3) and Fast Healthcare Interoperability Resources (FHIR) are international standards and common interfaces for healthcare data transfers and integrations. You need to ensure that the integration layer of your systems that will communicate with your EHR software can work with these standards and protocols. Using these standards and creating a seamless EMR integration will help enable seamless upgrades in the future. HL7 and FHIR interoperability is vital for transferring information securely.


Queuing Model

When performing EMR data integration, it is vital to have a middleware layer that is modeled after and acts as a queue. The middleware layer is attached to both the EMR or EHR and the systems that they are integrated with. When data or information is being sent from the EMR to the other piece of software, the middleware layer receives stores and continually tries to send the data until it is successfully received by the recipient. This process works the same when data is sent from the other system to the EMR. This type of queuing model middleware layer ensures that data is always successfully sent and received because it persistently and continually sends the data until it gets a message that it was successfully transferred.


EHR integration performancePerformance

How your EHR integration services work is directly affected by how it was set up. In order to have an integration that functions efficiently, you should make use of intelligent caching and asynchronous data processing and communication. Using asynchronous communication allows one system to send the other one data without having to wait for a response, just in case the other system is being worked on or running slowly. Intelligent caching enables only new or updated data to be transmitted, saving time, energy, and resources, while keeping data fresh and up to date. Using both of these processes allow your EMR data integration to perform better, faster, and more efficiently.


Clarity Can Help

Which of these EMR integrations is right for you? McKesson, Athena Health, or Epic integration? At Clarity, we understand how important it is to keep your patients’ information secure and private. Our team of experts has worked with numerous medical and healthcare businesses, helping them with healthcare integration so they can work more efficiently while keeping their clients' information safe. To find out more about how Clarity can help your business integrate its software and systems, call or click to contact us today!

 

Protect Patient Data At Every Step

We can integrate data, keep its integrity, and keep it safe at every step. Get in touch today to see exactly how HIPAA-compliant your data can stay.

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FAQ

 

EMR/EHR integration involves the seamless connection of Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems with other healthcare applications or platforms. This integration enables the exchange and sharing of patient health information across different systems and healthcare settings.

By integrating EMR/EHR systems, healthcare providers can access comprehensive patient records, including medical history, test results, medications, and treatment plans, from a centralized platform. This connectivity facilitates improved care coordination, enhances clinical workflows, reduces redundancy and errors in data entry, and supports informed decision-making by providing a holistic view of patient information.

EMR/EHR integration plays a pivotal role in advancing interoperability within the healthcare ecosystem, fostering efficiency, patient safety, and quality of care.

 

EMR/EHR integration is vital for modern healthcare systems due to several key reasons. First, it enhances care coordination by enabling seamless sharing of patient information among healthcare providers across different specialties and facilities. This facilitates better collaboration and informed decision-making, leading to improved patient outcomes.

Second, integration reduces redundancy and errors by eliminating the need for manual data entry across multiple systems, thereby enhancing data accuracy and completeness. Third, it streamlines clinical workflows, saving time and improving efficiency for healthcare professionals. EMR/EHR integration also supports patient engagement and empowerment by providing secure access to their own health records and enabling telehealth services.

Finally, integration is essential for meeting regulatory requirements and standards for interoperability, ensuring compliance with data privacy and security laws. Overall, EMR/EHR integration plays a crucial role in advancing healthcare delivery, quality, and patient safety.

 

 

EMR/EHR integration, while highly beneficial, presents several challenges that healthcare organizations must address:

  1. Data Standardization: Variations in data formats and coding standards across different systems can hinder seamless integration and data exchange.

  2. Interoperability: Ensuring compatibility and smooth communication between disparate EMR/EHR systems and other healthcare applications is complex due to diverse technologies and proprietary platforms.

  3. Data Security and Privacy: Integrating systems increases the risk of unauthorized access and data breaches, necessitating robust security measures to protect sensitive patient information.

  4. Costs and Resource Allocation: Implementing and maintaining integration solutions can be expensive, requiring investments in infrastructure, software, training, and ongoing support.

  5. Workflow Disruption: Integration efforts may disrupt established workflows and require extensive user training and change management.

  6. Legacy System Compatibility: Older systems may lack interoperability features, complicating integration efforts and requiring additional resources for interface development.

  7. Regulatory Compliance: Meeting regulatory requirements (e.g., HIPAA) for data privacy, security, and interoperability poses challenges during integration.

To address these challenges, organizations should prioritize data standardization, invest in interoperable systems, implement robust security measures, allocate sufficient resources, plan for workflow adjustments, assess legacy system capabilities, and stay abreast of regulatory changes affecting integration practices.

By proactively managing these challenges, healthcare organizations can optimize EMR/EHR integration to enhance patient care and operational efficiency.

 

EMR/EHR integration offers numerous benefits to healthcare providers, enhancing efficiency, patient care, and overall operational effectiveness:

  1. Streamlined Workflows: Integration reduces manual data entry and paperwork, saving time and effort for healthcare professionals.

  2. Improved Care Coordination: Access to comprehensive patient records across systems facilitates better collaboration among providers, leading to coordinated care and reduced medical errors.

  3. Enhanced Decision-Making: Integrated EMR/EHR systems provide a holistic view of patient information, enabling data-driven decisions and personalized treatment plans.

  4. Patient Engagement: Integration supports patient portals and telehealth services, allowing patients to access their records, schedule appointments, and communicate with providers conveniently.

  5. Reduced Duplication and Errors: Integration minimizes redundancy and discrepancies in patient data, improving data accuracy and ensuring consistent information across care settings.

  6. Efficient Reporting and Analytics: Integrated systems enable easier data extraction for reporting, quality improvement initiatives, and population health management.

  7. Cost Savings: By optimizing workflows and reducing inefficiencies, integration can lead to cost savings in terms of time and resources.

  8. Compliance and Security: Centralized records enhance compliance with regulatory requirements (e.g., HIPAA) and strengthen data security through standardized access controls and encryption.

  9. Scalability and Future-Readiness: Integrated systems are scalable and adaptable to evolving healthcare needs and technological advancements.

Overall, EMR/EHR integration empowers healthcare providers to deliver more effective, coordinated, and patient-centered care while improving operational efficiency and reducing administrative burdens.

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Author
 
Stephen Beer is a Content Writer at Clarity Ventures and has written about various tech industries for nearly a decade.He is determined to demystify HIPAA, integration, and eCommerce with easy-to-read, easy-to-understand articles to help businesses make the best decisions.

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