EMR Integration - "Ice Cream, Anyone?"

Do you stand in front of a Baskin Robbins icehow to integrate healthcare applications is a little
cream case trying to figure out which flavor oflike choosing your flavor of ice cream and its
ice cream to choose? Are there so many flavorspresentation. It is highly dependent on your mood.
that it takes more time to choose your flavorDo you want a softer, more flexible interface
then to eat it? Where am I going with this icepresentation that provides conversion of one
cream questioning, you ask, when you wereproduct's interface to another? Or do you wish to
hoping to hear about EMR integration? Well with allhave a more solid, less flexible presentation? We
of the different Electronic Medical Recordswould argue that you need one scoop of both; a
systems available on the market today –softer scoop of integration that allows for
over 100 of them and counting – it isinteroperability of data between disparate
apparent that there are as many flavors of EMRhealthcare systems and a solid scoop that allows
systems and EMR integration points as there arefor compatibility and security with a published
flavors of Baskin Robbins ice cream. Additionally,interface standard such as HL7. We think that the
there are as many standards to connectkey is for the interface to be built such that is it
applications, HL7, HL7 Clinical Documentcompatible with a standard and provides data
Architecture, Continuity of Care Record, EHR-Labsecurity but still interoperable with other products
Interoperability, and Connectivity Specification, tothat meet the same standard. In other words we
name a few, as there are toppings. And finallyneed to build connectivity between systems such
there are various different ways to serve upthat the doctor or users do not need to do
integration ice cream – firm, like in a cone, oranything special in order for the systems to talk
flexible, like in a paper cup. So like picking an iceto one another. Less is more in this case.
cream from the Baskin Robbins case, how doesUltimately, here is where the rubber meets the
one know the right flavor of integration to chooseroad; or rather the ice cream meets the cone. As
when dealing with disparate healthcarea healthcare practice, you will need to have a
systems?the EMR system and your othermethod of building interoperability between
applications, such as billing or prescribing, aresystems that provides you some flexibility but still
already built and being used elsewhere, then youmeets integration standards and security. With all
are a long way down the path to choosing theof the confusion out there around interoperability
right integration flavor.(good grief – the healthcare industry can't
So go ahead and pick your integration ice cream.even agree on acronym usage much less
Just be warned that if you don't choose carefullyinteroperability standards), we suggest that you
you may choose a flavor that you don't like and itchoose an EMR system/provider that is
may end up leaving a bad taste in your mouth.knowledgeable in integration work and has
 protocols that are used consistently.
At UFC, we believe that the process of choosing