EHRs Fall Short on Analytics and Interoperability

electronic health record
electronic health record
Many physicians are concerned about using electronic health records, noting that they were designed for a fee-for-service healthcare model and do not capture information needed to report for alternative payment models.

HealthDay News — Electronic health records (EHRs) are not sufficient to ensure success in value-based care, according to an article published in Medical Economics.

Noting that many leaders of physician practices are concerned about transforming their practices to better manage care quality and cost, the core requirement for value-based care success, the authors discussed the shortcomings of EHRs in this respect. EHRs were built for a fee-for-service healthcare model and do not necessarily capture information needed to report for alternative payment models. 

In addition, EHR interoperability is poor and EHRs do not connect to emerging technologies or other systems, the authors wrote. EHR analytics are incomplete, and quality measure reporting is limited by unstructured or uncaptured clinical data. 

Patient portals do not represent patient engagement, while value-based care requirements need direct and interactive exchange with patients. Finally, EHRs cannot support the complexity needed for fee-for-value workflows.

To meet reporting requirements, improve operational efficiency, and increase revenue, according to the authors, practices should prioritize the following: data aggregation and analysis to allow a holistic patient view; care coordination and management to positively influence drivers of cost and quality; and revenue cycle management focusing on alternative payment models and risk.

“The EHR, so central during the Meaningful Use years, is becoming just one among many elements required to equip providers to understand and manage the cost and quality of their patients,” the authors wrote.

Related Articles


Saunders C. 5 reasons why your EHR isn’t enough for success in value-based care. Modern Medicine Network. February 8, 2018. Accessed February 16, 2018.