How to prepare your team for HLS digital transformation in 2022

by Jayneel Patel

The deadline for the CMS Interoperability Cures Final Act is fast approaching. To meet the federal requirements for the 21st Century Cures Act, The Office of the National Coordinator for Health Information Technology requires the HLS industry to adopt APIs to help allow individuals to securely and easily access structured EHI using smartphone applications. 

The deadline for this transformation is December 2022. If you’re in the HLS industry, the race is on to implement digital transformation this year. 

But have you thought about how these changes will affect your organization? The HLS industry is on the pulse of digital transformation, but is your team prepared for interoperability? 

Simplus can help with the technical requirements of an HLS-based digital transformation. But we also understand that a move toward interoperability impacts the way your team does their job. 

“Health plans that choose to use the mandate to go beyond compliance can spur a whole new wave of innovation when they become adept at analyzing and sharing valuable information across multiple stakeholders,” says Minal Patel, M.D., CEO, and founder of Abacus Insights. “This is truly a rare case where compliance and transformation go hand in hand.”

These changes only succeed when your staff embraces the capabilities. While the federal government states what they want for CMS patients, it’s not clear how these changes will integrate with day-to-day internal workflow processes.

In general, the ONC Cures Act achieves two main goals:

1. Standardize data for seamless exchange and storage. 

2. Increase patient access to their medical information.

Coincidentally, the long-term effects of standardizing workflow tools and improving accessibility through better data management align with our change management strategies. 

Let’s take a broader look at how preparing your team for this drive toward interoperability to meet the needs of CMS patients by 2022 can facilitate successful innovation for your organization through better business models with streamlined workflow and more efficient data management. 


Standardize interdepartmental systems 

Standardized data is essential to ensure compatibility with payers and other healthcare delivery services. Yet, it’s also tempting for departments to use often siloed computer systems to collect and organize it. That’s where retraining your teams to share data through a standardized computer system is a smart move forward.

“Consistency is key, even when it comes to data,” says Phylicia Flood. “Data standardization helps improve the quality of your data by transforming and standardizing it. Think of it like a uniform for your databases. By taking this step, you are formatting your records in a way that creates consistency across your systems and makes it easy for businesses to use.”   

Implementing a comprehensive system throughout your organization simplifies workflow processes and prepares your organization to exchange data seamlessly with other departments as well as partnered agencies and service providers. 


Create better accessibility through a data management strategy

One of the goals of the Cures Act is to move HLS toward expanded data accessibility. But what is your organization’s approach to better manage and share data? 

 Today, data accessibility has been made easy through MuleSoft’s point-and-click products and capabilities. MuleSoft’s API Connect allows systems to integrate seamlessly. Developers can access the API library right through the browser and leverage low-code – ready for use – templates specific to all sub-verticals (payer, provider, MedTech, pharma, & life sciences) of the HLS industry for faster implementation. Through MuleSoft’s Anypoint Platform, developers can not only design their workflows but monitor the availability of the integration network in real-time. 

While MuleSoft helps with the immediate need for integration, it is much more than that. With MuleSoft paired with the flexibility of the Salesforce platform, organizations can entertain the art of possible for their future state patient experience. Interoperability doesn’t have to be a cost of business; it can be an opportunity to create more value for the patients. 

For the healthcare industry, the COVID-19 pandemic delivered the most compelling incentive for digital transformation. Implementing interoperability strategies that balance innovation with employee-focused processes will prepare your organization for the changing landscape of regulations and evolving demographics of today’s healthcare.

A successful digital transformation isn’t limited to compliance. Instead, let’s discuss creating a scalable workflow process that supports your organization’s business model, goals, employees, and stakeholders. Find out how Simplus can help. 


Jayneel PatelJayneel is VP, Healthcare & Life Sciences, here at Simplus. With a Ph.D. in engineering and MBA from Duke and over 15 years of experience, Jayneel designs and delivers empathy-driven innovative solutions in healthcare. He has developed digital strategies to reduce risk, increase visibility, and improve patient and member satisfaction. His passion is to enable better care through technology.

[email protected]



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