The pandemic era has brought a lot of changes to the healthcare industry. The digitization in the healthcare system has somehow prioritized the presence of integrated health care services. This is so because integrated healthcare systems offer many benefits, like allowing access to integrated health information for better care delivery and more. No doubt, integrated medical solutions have revolutionized this field. In this article, we will discuss how integrated healthcare strategies can help achieve optimal wellness.

Let’s start with a quick definition of the term.

What is the EHR Integrated Health System?

Electronic health records (EHRs) present patients’ structured data repository digitally. A simple definition of integrated healthcare would be the management of comprehensive care services to address various health concerns of patients and deliver it in a user-friendly and secure manner. It can be customized to facilitate care coordination in multi-disciplinary healthcare settings and more.

Importance of EHR Integrated Health System

EHR Integrated Health System

An EHR integrated healthcare is a key component for the success of healthcare provider solutions and vendors. Using integrated healthcare models, many complex conditions can be handled through online practice management at a lower cost. Such integrated medical systems work best for patients having complex behavioral health needs.

The integration process in healthcare is characterized by the sharing of information related to patient care among team members. Below discussed are a few importance of an integrated health system:

  • Health system integration allows the establishment of a comprehensive treatment plan.
  • Integrated healthcare management plans deal with the patient’s biological, psychological, and social needs.
  • EDI solutions solve the challenge of interoperability and secure data transfer by building a network of integrated health systems.
  • System integration converts the EHR into an accessible source of integrated health information systems. It further collaborates data from digitally integrated healthcare services.
  • The EHR integration process involves electronic data interchange between different healthcare professionals.

Integrated care systems create dynamic clinical integration and effective communication. It encourages collaboration and communication among health professionals and helps improve medical records management and reduce costs through automated healthcare solutions. Now let’s understand what horizontal and vertical integrated systems are.

Horizontal and Vertical Integrated Systems

Horizontal and Vertical Integrated Systems

Healthcare organizations are in high demand for systems-to-system integration involving different mechanisms. A suitable integrated healthcare model can be included in a hospital system integration. It would serve the purpose of employing essential health strategies. The health integration strategy needs to be carefully chosen, depending on the organizational needs and goals. Integrated healthcare strategies can be classified into vertical and horizontal integrated healthcare systems. Integrated systems examples include mergers of social and healthcare organizations or coordination between services of units at different stages of integrated care solutions. The former is an example of horizontal integration in healthcare, and the latter of a vertical integration system.

Horizontal integration in healthcare occurs when individual physicians join group practices or collaborate with existing groups. Together they provide the same products or services in integrated health systems. This approach offers increased business and the ability to venture into market possibilities, which is a good healthcare strategy. It is one of the healthcare strategies that does not require high costs investments in integrated health systems. Medical services can reach many people and cover many areas through a horizontal integration healthcare strategy. Horizontally integrated systems offer benefits, including improved coordination and quality of patient care, in-house referrals, and high-revenue services.

Vertical integration in healthcare means a single firm of two or more production stages that provides separate services. Healthcare companies operating at various points of a given supply chain can adopt a vertical integration strategy. This type of integrated healthcare system eliminates the middleman and offers various services and products. The trend of vertical integration in healthcare has been high over recent years. Hospital systems, drug manufacturers, wholesale distributors, pharmacy benefit managers (PBMs), retail pharmacy outlets, and medical insurers promote vertically integrated healthcare solutions. Such systems integration provides a wide range of patient care and health services, thus producing more efficiency and lower cost.

Challenges of Integrated Healthcare Systems

Challenges of Integrated Healthcare Systems

Integrated medical solutions are developed to serve patients better and provide high-quality care. However, there are a few obstacles mentioned below that need to be addressed.

Interoperability Issues

Seamless exchange of patient data is an essential part of integrated care delivery. However, interoperability challenges persist due to varying data standards, incompatible technology systems, and other factors. Achieving true interoperability requires strict adherence to HIPAA Compliance rules and investment in interoperable health information technology infrastructure.

Data Privacy and Security

In healthcare systems integration, there is always a chance of data getting compromised when being transferred between various systems. It occurs due to unintentional occurrences, like system failure or user error and malicious assaults. To overcome this issue the integrated healthcare systems must navigate complex regulatory requirements, like HIPAA and GDPR, and implement robust data protection measures like strong encryption, etc.

Resistance to Change

When combining diverse healthcare organizations with different cultures and workflows can pose challenges to integration efforts. Resistance to change and struggles among stakeholders may delay collaboration and compromise the effectiveness of the integrated care delivery model initiative. Strong leadership and effective communication can help overcome such barriers.

Cost and Resource Constraints 

Another issue is a shortage of skilled resources. Usually, it is difficult to find personnel with knowledge in both IT and healthcare, which may require hiring skilled professionals, affecting the budget. To overcome this issue, you can invest in training and development programs. These programs will help your staff members become proficient in both IT and healthcare technologies.

Fragmented Systems

Healthcare systems often consist of multiple providers, specialties, and departments operating independently, which may lead to fragmentation of care. It results in a lack of coordination and communication that may cause issues like inconsistency in patient care, difficulty sharing information between departments, duplicate data entry, etc. To overcome this challenge, you need to develop comprehensive IT strategies that can encompass every aspect of the organization.

Benefits of an Integrated Healthcare System

Integrated healthcare strategies offer many advantages.

Integrated Healthcare System

Easy data access: Integration systems allow information integrated from various healthcare providers to be readily available on online cloud platforms due to healthcare IT integration. Doctors can communicate through the HL7 interface and share vital information. Patients can learn about their reports and track the status of their health through healthcare IT integration. An integration engine helps to modernize the integrated models of healthcare delivery. Integrated health strategies contain combined data from clinical informatics, electronic labs, genomics, radiology, imaging, and so on.

Management of chronic diseases: Integrated healthcare strategies promote the sharing of free-flowing data using an integrated information system. This creates new possibilities for healthcare providers to offer better patient care services using integration systems. An integration engine assists data exchange and creates transparency across health care networks. Electronically exchanged data can be used for understanding the extent of health risk behaviors. An integration system would help you adopt preventive integrated care practices. Integrated healthcare assists in chronic diseases, helps to identify research gaps, monitors population trends and evaluates programs. This strategy serves useful in successful population health management.

Remote patient monitoring: Integrated healthcare strategies provide a range of new technologies such as an integrated healthcare information system. An integration system enables the promotion of remote patient monitoring from any location. Online applications like mhealth and telehealth serve as useful. Online monitoring helps patients to access care services from healthcare providers across any location. It eliminates waiting times for patients and a reminder for appointment scheduling.

What are the Healthcare Integration Strategies?

Healthcare Integration Strategies

Implementing healthcare systems integration comes with potential challenges such as healthcare interoperability or HL7 integration issues. Therefore, it is important to be aware of healthcare integration strategies. Let’s see what you need to do to have a successful EHR integrated healthcare system.

Overcome data problems: The data received in integrated healthcare may not be the same because of the different sources involved. It is essential to identify your data needs and eliminate unnecessary data and data silos. Similarly, a lack of critical data may also cost you. So how do you deal with this data dilemma? Establish HIPAA compliant data standards during electronic data exchange with vendors and other healthcare professionals. Discuss with them and decide a particular format to be used to avoid data silos. It would help if you also determined the value of the various data types applicable. Identify what type of data is required in which situation. Your healthcare systems strategy should consider factors like diagnosis schedule, physician and staff time, and the patient’s condition during procedures if any. These factors will vary with a different medical case and then your data should account for relevant information. The bottom line is, you must understand the data use patterns through your integrated healthcare strategies. Once the data needs are recognized, only the essential data can be supplied, thereby enhancing productivity.

Cater to healthcare data integration and migration: In integrated healthcare, organizations of various capacities tend to upgrade their EHR systems to meet the growing clinical demand. To adapt to this dynamic environment, you require a flexible, ongoing strategy suitable for EHR migration and data integration in healthcare. Electronic data migrations and HL7 interfaces stimulate the exchange of electronic data between EHR platforms. However, there may be data gaps in evolving technologies that you need to watch out for.

Focus on patient care: Develop a patient-centered approach that addresses the patient’s needs. It should also encourage patient engagement systems and participation. A population management approach will enable the evaluation of population-based health needs.

Standardize your integrated care delivery system: One of the key aspects of integrated healthcare strategies is to incorporate interprofessional teams across the collaborative care continuum. If all the teams involved design evidence-based care guidelines and protocols, a standard of care services can be established.

Performance management: Educate your staff about the importance of introducing integrated strategies and solutions in healthcare. Ensure that they are dedicated to integrated health care management and open to improving the integrated healthcare delivery system. You must remember that patient diagnosis, treatment, and care interventions are linked to clinical outcomes.

Up-to-date information system: Ensure that your information systems and HL7 interface align with the latest technology. Information systems must allow you to collect, track, and report activities. If your information systems are maintained efficiently, communication, and data flow across the care continuum will improve greatly.

Sort out your finances:  Plan your finances before applying integrated healthcare strategies. Ensure that your service funding is in place for the distribution of different care services. Funding is needed to promote interprofessional teamwork and healthcare services. You need to arrange sufficient funding to gather adequate resources for implementing the integrated healthcare strategies you select.

Trends in Healthcare Strategies

Trends in Healthcare Strategies

The healthcare industry is always transforming, and 2024 will be no exception. New technologies such as artificial intelligence to gene therapy are expected to create changes. The shift towards integrated health care delivery systems will continue to grow and change the shape of the healthcare sector.

A report by SNS Insider mentioned that in 2022, the Healthcare IT Integration Market was valued at USD 4.38 billion and is projected to reach USD 11.16 billion by 2030. It is further expected to grow at a CAGR of 12.4% over the forecast period from 2023 to 2030. Here’s a list of integrated healthcare strategies that will be on the top in 2024:

Consumerism and value-based care will bring profits

Patients like the ease of access, user-friendliness, good experience, and high-quality care. If the patients feel they get good value for their payment, they are satisfied. Improved care services with trained staff and advanced technology will increase patient engagement. A successful integrated healthcare strategy treats patients as customers who get value for the care provided. Integrated healthcare keeps patients informed about all the integration processes, and there is clear communication. This consumer-driven behavior will be one of the topmost integrated healthcare strategies to assure success. Healthcare professionals need to understand the importance of consumer needs and lead accordingly.

Venture capital will be crucial

Private equity and capital will continue to play an essential part in 2024. Private equity investors will continue to pursue healthcare IT deals, with rising competition from corporate investors and tech specialists. These investors’ main focus will be disruptive care models allowing the delivery of services outside traditional hospital care settings. Both investors and investor-funded integrated health solutions can benefit from collaboration or integration processes with local health care infrastructure. In addition to finance, outside investors will bring experience and strategic insights. These inputs will assist the payors and providers to be more successful. Further, the experts agree that strategic partnerships between digital health companies and healthcare incumbents will play a crucial role in moving forward in the healthcare industry.

Payors may put providers at risk

This is one of the consistent trends in integrated healthcare strategies over recent decades. The risk from government payors can be transferred to health care providers. Employers increasingly perceive risk-based contracting as a means to reduce costs. In this way, they lose interest in subsidizing Medicare and Medicaid through higher premiums. In the event of an economic downturn before 2023, providers may receive employer pressure on premium costs to increase rapidly.

Cloud-based solutions

It’s peak time to switch to a cloud-based solution and leave behind the legacy systems. Their inability to provide seamless integration with new technologies is creating a roadblock for healthcare organizations’ digital transformation. Around seventy percent of healthcare industries have already implemented cloud computing. Cloud platforms can enable real-time data sharing and collaboration between different providers and healthcare departments, which is essential for modern healthcare delivery. It further allows scalability and flexibility, enabling efficient management of large volumes of data. In 2024, the trend will move toward fully utilizing cloud capabilities for data storage and collaboration.

Switch from reactive to proactive care

The traditional care delivery of the reactive healthcare model is outdated now. It is time to embrace predictive analytics to offer preventive care. It allows healthcare providers to analyze vast amounts of data and identify the risk factors for early intervention. This strategic approach shifts the focus from treating illness to maintaining proper health and preventing disease, ultimately decreasing the cost of healthcare.

Conclusion

Now you know what trends to expect in integrated healthcare strategies for 2023. We can help you stay ahead of the game in 2023 by assisting with the implementation of the key steps required. Health systems integration needs to establish their goals and develop a strategic plan based on current healthcare landscape knowledge. Remember to design strategies that will give patients the value of customers. Building capacity for integrating claims and clinical data is also essential. 

References:

https://hitconsultant.net/2016/03/14/why-ehr-integration-crucial-digital-health-innovation/#.X7aXdWgzY2ws
https://www.pharmacytimes.com/news/vertical-integration-in-health-care-the-next-stairway-to-heaven
https://www.apa.org/health/integrated-health-care
https://www.usa.philips.com/healthcare/nobounds/phoenix-childrens-benefits-integrated-health-it
https://www.orchestratehealthcare.com/healthcare-system-integration-strategies-changing/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004930/
https://pubmed.ncbi.nlm.nih.gov/24749215/
https://www.foxgrp.com/healthcare-feasibility-studies/strategic-trends-in-healthcare-2020/
https://copehealthsolutions.com/cblog/2020-healthcare-forecast-4-key-trends-and-10-essential-strategies/
https://www.healthcatalyst.com/insights/2020-healthcare-trends-and-how-to-prepare

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