Creating a single source of truth for their data and aggregating across many silos to open a digital front door that puts the person at the center
“We’re working with a digital front door, and we want the patient experience to be phenomenal,” said Kim Chaundy, associate vice president of applications and interoperability at Geisinger. “When someone comes into the organization, we know the person and we know all the attributes that are tied to that person. We’re making sure that they feel that they’re heard, they’re part of it, they get access to all their data, and they understand where their data lies.”
Gaining this level of understanding is complex, especially for a health system that also includes a health plan, education system, and pharmacies. Complicating matters, Geisinger has grown rapidly by acquiring other area hospitals.
To unify EHRs and streamline care coordination throughout the Geisinger network, each hospital that comes onboard and all its physician practices migrate to an Epic EHR system.
Yet healthcare data increasingly exists outside the EHR. Geisinger integrates with many systems outside its EHR, including Salesforce and KeyHIE. They operate in a complex technical environment with more than 750 applications in use.
Introducing data from external systems reinforced the need to have a single source of accurate and reliable data to support their digital front door initiative — One Geisinger.
“We gain efficiency when we have one source compared to multiple sources that we need to manage and cleanse daily,” Chaundy said.
“We took that holistic approach,” she added. “Let’s think outside the box and put the person at the center. Let’s use one source as our record and let that penetrate through the system as our mechanism to identify our person for analytics, for our PACS system, for HIE, for everything.”
When every individual is uniquely identified and correctly matched to one and only one record, organizations can open a digital front door that improves patient experience and reduces risk across their care journey. There are also tremendous benefits in information sharing and care coordination across organizational boundaries.
Standardizing processes, integrating silos of data, and creating a single source of truth for their data is essential to putting the person at the center to provide coordinated, quality care with efficiency. When managing identity data, most hospitals use only the basic patient identification features embedded in their EHRs, which can produce duplicate record rates of up to 20% because of changes in demographic information or manual data entry errors. Even when the acquired entity’s system is deduplicated, identities are maintained disparately across systems.