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Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities

INTRODUCTION: The Beacon Community Cooperative Agreement Program supports interventions, including care-delivery innovations, provider performance measurement and feedback initiatives, and tools for providers and consumers to enhance care. Using a learning health system framework, we examine the Bea...

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Autores principales: Torres, Gretchen W., Swietek, Karen, Ubri, Petry S., Singer, Rachel F., Lowell, Kristina H., Miller, Wilhelmine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AcademyHealth 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371437/
https://www.ncbi.nlm.nih.gov/pubmed/25848619
http://dx.doi.org/10.13063/2327-9214.1092
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author Torres, Gretchen W.
Swietek, Karen
Ubri, Petry S.
Singer, Rachel F.
Lowell, Kristina H.
Miller, Wilhelmine
author_facet Torres, Gretchen W.
Swietek, Karen
Ubri, Petry S.
Singer, Rachel F.
Lowell, Kristina H.
Miller, Wilhelmine
author_sort Torres, Gretchen W.
collection PubMed
description INTRODUCTION: The Beacon Community Cooperative Agreement Program supports interventions, including care-delivery innovations, provider performance measurement and feedback initiatives, and tools for providers and consumers to enhance care. Using a learning health system framework, we examine the Beacon Communities’ processes in building and strengthening health IT (HIT) infrastructures, specifically successes and challenges in sharing patient information to improve clinical care. BACKGROUND: In 2010, the Office of the National Coordinator for Health Information Technology (ONC) launched the three-year program, which provided $250 million to 17 Beacon Communities to invest in HIT and health information exchange (HIE) infrastructure. Beacon Communities used this funding to develop and disseminate HIT-enabled quality improvement practices found effective in particular community and practice environments. METHODS: NORC conducted 7 site visits, November 2012–March 2013, selecting Communities to represent diverse program features. From August–October 2013, NORC held discussions with the remaining 10 Communities. Following each visit or discussion, NORC summarized the information gathered, including transcripts, team observations, and other documents the Community provided, to facilitate a within-Community analysis of context and stakeholders, intervention strategies, enabling factors, and challenges. RESULTS: Although each Community designed and implemented data-sharing strategies in a unique environment, similar challenges and enabling factors emerged across the Beacons. From a learning health system perspective, their strategies to build and strengthen data-sharing infrastructures address the following crosscutting priorities: promoting technical advances and innovations by helping providers adapt EHRs for data exchange and performance measurement with customizable IT and offering technical support to smaller, independent providers; engaging key stakeholders; and fostering transparent governance and stewardship of the infrastructure with neutral conveners. CONCLUSION: While all the Communities developed or strengthened data-exchange infrastructure, each did this in a unique environment of existing health care market and legal factors. The Communities, however, encountered similar challenges and enabling factors. Organizations undertaking collaborative data sharing, performance measurement and clinical transformation can learn from the Beacon Communities’ experience.
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spelling pubmed-43714372015-04-06 Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities Torres, Gretchen W. Swietek, Karen Ubri, Petry S. Singer, Rachel F. Lowell, Kristina H. Miller, Wilhelmine EGEMS (Wash DC) Learning Health System INTRODUCTION: The Beacon Community Cooperative Agreement Program supports interventions, including care-delivery innovations, provider performance measurement and feedback initiatives, and tools for providers and consumers to enhance care. Using a learning health system framework, we examine the Beacon Communities’ processes in building and strengthening health IT (HIT) infrastructures, specifically successes and challenges in sharing patient information to improve clinical care. BACKGROUND: In 2010, the Office of the National Coordinator for Health Information Technology (ONC) launched the three-year program, which provided $250 million to 17 Beacon Communities to invest in HIT and health information exchange (HIE) infrastructure. Beacon Communities used this funding to develop and disseminate HIT-enabled quality improvement practices found effective in particular community and practice environments. METHODS: NORC conducted 7 site visits, November 2012–March 2013, selecting Communities to represent diverse program features. From August–October 2013, NORC held discussions with the remaining 10 Communities. Following each visit or discussion, NORC summarized the information gathered, including transcripts, team observations, and other documents the Community provided, to facilitate a within-Community analysis of context and stakeholders, intervention strategies, enabling factors, and challenges. RESULTS: Although each Community designed and implemented data-sharing strategies in a unique environment, similar challenges and enabling factors emerged across the Beacons. From a learning health system perspective, their strategies to build and strengthen data-sharing infrastructures address the following crosscutting priorities: promoting technical advances and innovations by helping providers adapt EHRs for data exchange and performance measurement with customizable IT and offering technical support to smaller, independent providers; engaging key stakeholders; and fostering transparent governance and stewardship of the infrastructure with neutral conveners. CONCLUSION: While all the Communities developed or strengthened data-exchange infrastructure, each did this in a unique environment of existing health care market and legal factors. The Communities, however, encountered similar challenges and enabling factors. Organizations undertaking collaborative data sharing, performance measurement and clinical transformation can learn from the Beacon Communities’ experience. AcademyHealth 2014-09-25 /pmc/articles/PMC4371437/ /pubmed/25848619 http://dx.doi.org/10.13063/2327-9214.1092 Text en All eGEMs publications are licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Learning Health System
Torres, Gretchen W.
Swietek, Karen
Ubri, Petry S.
Singer, Rachel F.
Lowell, Kristina H.
Miller, Wilhelmine
Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities
title Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities
title_full Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities
title_fullStr Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities
title_full_unstemmed Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities
title_short Building and Strengthening Infrastructure for Data Exchange: Lessons from the Beacon Communities
title_sort building and strengthening infrastructure for data exchange: lessons from the beacon communities
topic Learning Health System
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371437/
https://www.ncbi.nlm.nih.gov/pubmed/25848619
http://dx.doi.org/10.13063/2327-9214.1092
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