To promote quality of care and cost efficiency, Clinically Integrated Networks (CINs) must create a unified longitudinal health care record, support complex hierarchies, and data sharing; provide broad access to care and unified care management, and implement compensation models that reward performance over volume. To do so, hierarchies or ontology-based foundation layers are of vital importance.
Most CIN stakeholders already have technical infrastructures in place. The catch is they do not support the hierarchies or ontology-based foundation layers. Then how can a CIN supplement existing technology investment while still gaining the advantage of a robust data/microservices/hierarchy support infrastructure?
The answer is to take an incremental approach without a rip-and-replace strategy. It requires a platform infrastructure to integrate data layers seamlessly and then extend that data layer either as a Data-as-a-Service (DaaS) or a Platform-as-a-Service (PaaS), allowing CIN stakeholders to leverage existing applications served up as microservices.
Support for the hierarchical needs between CIN entities and an adaptive data and microservices infrastructure will accelerate the adoption and scaling of value-based care.
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