HealthLeaders: I was just speaking with a small practice, and they were talking about ACOs and shared savings, and how one of their challenges was just getting claims data from that universe of other providers who work with their population. It took them three to six months to get claims data out of some payers. You have to respond to some of those requests as people go into ACOs, because some of them might be seen at a Kaiser facility. How is that going?
Fasano: In some communities, we're an end-to-end health system, so we own everything, including the hospitals. In other communities across the country, we're not, and we do use community physicians, community specialists, community hospitals.
In those situations, a lot of our contracts include interacting and coexisting with medical records between the hospital and us, and we clearly integrate our claims process, so we have relationships already in place that allow us to bring a lot of the data together between claims and the medical record, and do that across all of our operations across the country.
HealthLeaders: What is your perspective on interoperability efforts such as the CommonWell Alliance, and what Farzad Mostashari is trying to do with the Direct Project and Nationwide Health Information Exchange?
Fasano: We're an enormous supporter of NwHIN. I really think the ONC and HHS have done a great service in creating capabilities. They're focus on Direct is really important for the industry, and it's a first step.
In addition to that, and frankly coexisting with that, Kaiser Permanente, along with other very leading care providers, founded the Care Connectivity Consortium [CCC] two years ago, and we all focused on interoperability of medical records to treat patients, and set the technology up to seamlessly allow us transfer of medical records on behalf of patients being seen in five different systems, and the systems are Mayo, Geisinger, GroupHealth, Intermountain, and Kaiser Permanente.
HealthLeaders: How is that effort going?
Fasano: It's actually going really, really well. In February we had a press release with Healtheway. We've organized a coalition between us and CCC and Healtheway, which now brings the CCC capabilities and Healtheway's capabilities together. [This allows] us collectively to now participate with their efforts to support an additional 40 providing organizations, and I understand Healtheway has a pipeline of almost 100 other providing organizations.