Care providers, Billing solution providers, Payers, Clearinghouses, Labs, Pharmacies and many other players in the ecosystem, exchange huge amount of data with each other and with the CMS. Integration across these different entities involves zillions of standards such as HL7, CCDA, FHIR, EDI X12, IHE, DICOM, NCPDP, ICD 10, QRDA and many more. The complexity of these standards is further coupled by the mechanisms (such as Integration engines, Web services, Direct database integrations) employed to facilitate the exchange.
The ever-evolving nature of these standards, technical complexities they entail and the ripples they create when implemented in a system, demand significant attention. Anyone leading a team of integration engineers would reckon the following are the biggest challenges they face.