Creating a Shared Clinical Data Ecosystem for Pediatric Value-Based Care

This case study outlines the collaboration between the Pediatric Health Network (PHN) and Payer Organization 7 to enhance the sharing of clinical data for pediatric value-based care (VBC). The document details the challenges faced due to a fragmented electronic health record (EHR) ecosystem, which resulted in incomplete and delayed data submissions. It explains how MRO, a certified clinical data aggregator, was engaged to streamline data sharing and improve data quality. The study highlights the implementation of standardized workflows and the establishment of joint governance among stakeholders to address data issues. It also discusses the operational improvements achieved, including enhanced clinician engagement and increased performance in quality measures. Furthermore, the case study presents lessons learned and best practices that other organizations can replicate to achieve similar outcomes in data integration and quality improvement.